Vol. 18 No. 2 (2014)
ELECTROPHYSIOLOGY

Efficacy of ablation of ventricular tachyarrhythmias originated from papillary muscles and His - Purkinje system of right and left ventricle

E. Ivanitskiy
Federal Center for Cardiovascular Surgery
Bio
V. Sakovich
Federal Center for Cardiovascular Surgery
Bio
Ye. Kropotkin
Federal Center for Cardiovascular Surgery
Bio
A. Strelnikov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Shabanov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
S. Artemenko
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
R. Kamiev
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
A. Romanov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
Ye. Pokushalov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio

Published 2014-06-10

Keywords

  • PAPILLARY MUSCLES,
  • HIS - PURKINJE SYSTEM,
  • RADIOFREQUENCY CATHETER ABLATION

How to Cite

Ivanitskiy, E., Sakovich, V., Kropotkin, Y., Strelnikov, A., Shabanov, V., Artemenko, S., Kamiev, R., Romanov, A., & Pokushalov, Y. (2014). Efficacy of ablation of ventricular tachyarrhythmias originated from papillary muscles and His - Purkinje system of right and left ventricle. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 18(2), 55–59. https://doi.org/10.21688/1681-3472-2014-2-55-59

Abstract

Among 360 patients without structural heart disease, who were operated for ventricular arrhythmias (VAs), 46 (12,8%) patients had premature ventricular complexes (PVC) or ventricular tachycardias (VT) originated from papillary muscles and His - Purkinje system of the right (RV) and left ventricles (LV). The mean follow up period was 40.6±3.6 months. The long-term efficacy in patients with such VAs originated from RV after one or multiple ablation procedures was 78.6% (11 patients) and 92.9% (13 patients) respectively. In patients with VAs originated from LV, the efficacy after one or multiple ablation procedures was 81.3% (26 patients) and 90.6% (29 patients) respectively. Radiofrequency catheter ablation of ventricular tachyarrhythmias originated from papillary muscles and His - Purkinje system of the right and left ventricles allows for removing the above disorders in the overwhelming majority of patients during long-term follow up.

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