open access

Vol 23, No 1 (2016)
Original articles
Published online: 2015-09-23
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Radiofrequency catheter ablation of frequent premature ventricular contractions using ARRAY multi-electrode balloon catheter

Sergio Dubner, Claudio Hadid, Damian Azocar, Carlos Labadet, Cecilia Valsecchi, Agustin Dominguez
DOI: 10.5603/CJ.a2015.0063
·
Pubmed: 26412601
·
Cardiol J 2016;23(1):17-22.

open access

Vol 23, No 1 (2016)
Original articles
Published online: 2015-09-23

Abstract

Background: The noncontact mapping system facilitates the mapping of premature ventricular contractions (PVCs) and ventricular tachycardia (VT) using a 64-electrode expandable balloon catheter (ARRAY, St. Jude Medical). The aim of this study is to analyze the results and follow-up of the PVC ablation using this system.

Methods and results: Prospective and consecutive patients with frequent PVCs (6,000 or more) or monomorphic VT, suspected to be originated on the right ventricular outflow tract (RVOT), were included. The balloon catheter was positioned in the RVOT. Eighteen patients, 9 women, mean age 48 years (youngest/oldest 19–65) were included. Sixteen patients presented no structural heart disease. The origin of the arrhythmia was RVOT (n = 15), right ventricular inflow tract (n = 1), and left ventricular outflow tract (n = 2). Acute success was achieved in 15 patients; in 2 patients radiofrequency was not applied due to security reasons (origin site close to left coronary artery origin). The mean follow-up was 15 months (min. 4, max. 26); 13 patients presented abolition of the arrhythmia without drugs and 1 patient required antiarrhythmic drugs for arrhythmia control (previously ineffective). As an only complication, a femoral artery-venous fistula was observed.

Conclusions: The noncontact mapping system using a multielectrode balloon allows right ventricular arrhythmia treatment with a high rate of efficacy and safety.

Abstract

Background: The noncontact mapping system facilitates the mapping of premature ventricular contractions (PVCs) and ventricular tachycardia (VT) using a 64-electrode expandable balloon catheter (ARRAY, St. Jude Medical). The aim of this study is to analyze the results and follow-up of the PVC ablation using this system.

Methods and results: Prospective and consecutive patients with frequent PVCs (6,000 or more) or monomorphic VT, suspected to be originated on the right ventricular outflow tract (RVOT), were included. The balloon catheter was positioned in the RVOT. Eighteen patients, 9 women, mean age 48 years (youngest/oldest 19–65) were included. Sixteen patients presented no structural heart disease. The origin of the arrhythmia was RVOT (n = 15), right ventricular inflow tract (n = 1), and left ventricular outflow tract (n = 2). Acute success was achieved in 15 patients; in 2 patients radiofrequency was not applied due to security reasons (origin site close to left coronary artery origin). The mean follow-up was 15 months (min. 4, max. 26); 13 patients presented abolition of the arrhythmia without drugs and 1 patient required antiarrhythmic drugs for arrhythmia control (previously ineffective). As an only complication, a femoral artery-venous fistula was observed.

Conclusions: The noncontact mapping system using a multielectrode balloon allows right ventricular arrhythmia treatment with a high rate of efficacy and safety.

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Keywords

catheter ablation, frequent premature ventricular contractions, ARRAY balloon catheter, non-contact mapping, ventricular tachycardia

About this article
Title

Radiofrequency catheter ablation of frequent premature ventricular contractions using ARRAY multi-electrode balloon catheter

Journal

Cardiology Journal

Issue

Vol 23, No 1 (2016)

Pages

17-22

Published online

2015-09-23

DOI

10.5603/CJ.a2015.0063

Pubmed

26412601

Bibliographic record

Cardiol J 2016;23(1):17-22.

Keywords

catheter ablation
frequent premature ventricular contractions
ARRAY balloon catheter
non-contact mapping
ventricular tachycardia

Authors

Sergio Dubner
Claudio Hadid
Damian Azocar
Carlos Labadet
Cecilia Valsecchi
Agustin Dominguez

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