Catheter Ablation of Ventricular Tachycardia in Patients with Structural Heart Disease

Types of Energy Used for Ablation.

Direct Current Catheter Ablation ("Fulguration").

· Methodology.

· Mechanisms of DC Ablation.

· Our Experience.

· Transient Nature of the Ablative Effects of DC.

· Complications and Mortality Related to DC Ablation.

Chemical Ablation.

RF Catheter Ablation of VT.

· Histologic Evolution of RF Lesions and Subendocardial and Intramural Temperature Response During RF Ablation in Chronic Myocardial Infarction.

Modifications of the Conventional RF Ablation Equipment and New Technologies.

Localization of the "Site of Origin" of VT.

Pacing Interventions During VT.

Limitations of Pacing Interventions During VT Mapping.

Clinical Results of RF Ablation of VT in Patients with Heart Disease.

· Complications of RF Catheter Ablation.

Specific Situations Favoring RF Current Ablation.

· Incessant VT.

RF Catheter Ablation of VT Following Implantation of a Cardioverter-Defibrillator.

· Catheter Ablation of the Mitral Isthmus for VT Associated with Inferior Myocardial Infarction.

· Results of Catheter Ablation in Patients with Dilated Cardiomyopathy and Monomorphic VT.

Results of Catheter Ablation in Patients with Arrhythmogenic Right Ventricular Cardiomyopathy.

· Characteristics of the Arrhythmogenic Substrate in ARVC.

· Endocardial Catheter Mapping of VT in ARVC.

· Acute and Long-Term Results of Catheter Ablation in ARVC.

· Specific Situations Favoring Catheter Ablation in ARVC.

· Localized ARVC.

Advances in Mapping of VT.

· Three-Dimensional Electromagnetic (3-D) Catheter Technology.

· Noncontact Mapping.

· Epicardial Mapping of VT Hemodynamically Unstable VT.

· Hemodynamically Unstable VT.

Advances in Modifying Energy Sources Epicardial Mapping of VT.

Recommendations for Catheter Ablation of VT.

Future Perspectives.

References.

Index