Premature ventricular complexes with a QRS morphology almost identical to the sinus rhythm was caused by a His-LBB twig that could be successfully ablated in or underneath the right coronary cusp without injury to the conduction system. jacc.org/doi/10.1016/j.jacep…#JACCCEP
Today’s case: LCC PVC ablation in a female patient with PVC-induced cardiomyopathy (PVC burden 35%).
📌 Total procedure time: 29 min.
📌 Fluoroscopy time: 80 sec.
📌 Single shot RF application (35W)
@DrBerruezo @BiosenseWebster #epeeps#ablatePVC#Carto
High MDI had me concerned about Epi or intramural origin. Early in AIV on top of LCX, matched opposite location in LCC and was 20-25ms earlier, success with 35w. #ablatePVC
Amazing PAP PVC at NYP Columbia. contours of calcification on the PAP were drawn (pink tag). Pace match of 96% on that spot and 25ms early to onset QRS. Thanks for amazing case @kevivek#ablatePVC#safensound #cartosound#oneburdndone
I would usually say 80-90%, but point out that it is not 100%. As is often the case, this will be from somewhere in the pyramidal space between the septal RVOT, AO root, AIV (accessed via CS), and the basal LV. Getting to this via epi access unlikely...#ablatePVC#stereotaxis