Hemodynamic Support for Ventricular Tachycardia Ablation

Chandrasekar Palaniswamy; Marc A Miller; Vivek Y Reddy; Srinivas R Dukkipati

doi:10.1016/j.ccep.2016.10.011

Hemodynamic Support for Ventricular Tachycardia Ablation

Card Electrophysiol Clin. 2017 Mar;9(1):141-152. doi: 10.1016/j.ccep.2016.10.011. Epub 2016 Dec 24.

Authors

Chandrasekar Palaniswamy¹, Marc A Miller², Vivek Y Reddy², Srinivas R Dukkipati³

Affiliations

¹ Division of Cardiology, Department of Medicine, University of California San Francisco Fresno Medical Education Program, 155 N Fresno Street, Fresno, CA 93701, USA.
² Helmsley Electrophysiology Center, Division of Cardiology, Department of Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
³ Helmsley Electrophysiology Center, Division of Cardiology, Department of Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA. Electronic address: srinivas.dukkipati@mountsinai.org.

PMID: 28167082
DOI: 10.1016/j.ccep.2016.10.011

Abstract

This review discusses the role of hemodynamic support for catheter ablation of unstable ventricular tachycardia, using commercially available mechanical circulatory support devices (intra-aortic balloon pump, Impella, TandemHeart, extracorporeal membrane oxygenation) and analyzes the published clinical experience of the safety and efficacy of these devices during ventricular tachycardia ablation. Appropriate selection of patients, device-specific characteristics, and hemodynamic monitoring is also discussed.

Keywords: Catheter ablation; Cerebral oximetry; Hemodynamic support; Percutaneous left ventricular assist device; Ventricular tachycardia.

Publication types

Review

MeSH terms

Catheter Ablation / methods*
Extracorporeal Membrane Oxygenation / methods
Heart-Assist Devices*
Hemodynamics
Humans
Oximetry / methods
Tachycardia, Ventricular* / physiopathology
Tachycardia, Ventricular* / surgery
Treatment Outcome