Subcutaneous ICD Implantation and Catheter Ablation: A Step-Planned Approach for Ventricular Tachycardia Management in ARVC

Aurora Sanniti; Domenico Zagari; Elvira Renzullo; Chiara Valeriano; Paolo Moretti; Giammario Spadacini; Massimo Tritto

doi:10.1016/j.jaccas.2021.12.007

Subcutaneous ICD Implantation and Catheter Ablation: A Step-Planned Approach for Ventricular Tachycardia Management in ARVC

JACC Case Rep. 2022 Feb 16;4(4):185-191. doi: 10.1016/j.jaccas.2021.12.007.

Authors

Aurora Sanniti¹, Domenico Zagari^{1

2}, Elvira Renzullo¹, Chiara Valeriano², Paolo Moretti¹, Giammario Spadacini¹, Massimo Tritto^{1

2}

Affiliations

¹ Electrophysiology and Pacing Unit, Humanitas Mater Domini Clinical Institute, Castellanza, Italy.
² Department of Biomedical Sciences, Humanitas University-Pieve Emanuele, Milan, Italy.

Abstract

Secondary prevention of sudden cardiac death in the young patient with arrhythmogenic right ventricular cardiomyopathy and hemodynamically tolerated ventricular tachycardia is still a challenging field. We present a combined approach, including subcutaneous implantable cardioverter-defibrillator (ICD) and catheter ablation, as a promising treatment to prevent both ventricular tachycardia recurrences and ICD shocks. (Level of Difficulty: Intermediate.).

Keywords: 3D-EAM, 3-dimensional electroanatomical map; ARVC, arrhythmogenic right ventricular cardiomyopathy; ATP, antitachycardia pacing; CA, catheter ablation; CMR, cardiac magnetic resonance; ECG, electrocardiogram; ED, emergency department; EP, electrophysiological; ICD, implantable cardioverter-defibrillator; LBBB, left bundle branch block; LP, late potential; LV, left ventricle; NSVT, nonsustained ventricular tachycardia; PVS, programmed ventricular stimulation; RV, right ventricular; S-ICD, subcutaneous implantable cardioverter-defibrillator; VT, ventricular tachycardia; arrhythmogenic right ventricular cardiomyopathy; subcutaneous ICD; ventricular tachycardia ablation.

Publication types

Case Reports