Ventricular Tachycardia / Fibrillation Ablation

Andrea Natale M.D., F.A.C.C., F.H.R.S., F.E.S.C., Executive Medical Director, Texas Cardiac Arrhythmia Institute at St. David’s Medical Center. A committed academician, Dr. Natale’s faculty positions at a variety of prestigious universities include Duke University and Stanford University. He has been an invited lecturer at more than 200 symposiums and conferences around the world, and is the author or co-author of hundreds of published articles on pacing and electrophysiology. In addition to serving on the editorial boards of numerous medical journals, he is editor-in-chief of the Journal of Atrial Fibrillation. A forefront researche. Dr. Natale focuses on innovative advances in the treatment of atrial fibrillation. His goal is to benefit patient care through technologies such as robotic devices and specialized ablation catheters.

Preface, vi

List of Contributors, vii

VeniceChart Task Force Composition, xxiii

1 Epidemiology, Classifi cation, and Clinical Impact of Ventricular Tachycardia/Ventricular Fibrillation 1

2 Anatomy of Right/Left Ventricles and Surrounding Structures in Health and Disease 46

3 Pathophysiology and Mechanisms of Ventricular Tachycardia/Ventricular Fibrillation 66

4 Electrocardiogram Features of Ventricular Tachycardia/Ventricular Fibrillation as Expression of the Underlying Mechanisms and Site of Origin 79

5 Pre- and Intraprocedural Management 88

6 Mapping Methods for Ventricular Tachycardia Ablation 98

7 Imaging Tools, Energy Sources and Catheters for Ventricular Tachycardia/Ventricular Fibrillation Ablation, 117

8 Ablation of Ventricular Tachycardia/Ventricular Fibrillation in Patients with Structural Heart Disease: Techniques and Results 132

9 Ablation of Ventricular Tachycardia/Ventricular Fibrillation in Patients without Structural Heart Disease: Techniques and Results 183

10 Acute and Periprocedural Complications 205

11 Post-ventricular Tachycardia Ablation Follow-up Management 219

12 Surgical Ablation 227

13 Indications to Ventricular Tachycardia/Ventricular Fibrillation Ablation and Hybrid Therapy 237

14 Future Tools and Treatment Options for Catheter Ablation of Ventricular Tachycardia/Ventricular Fibrillation 258

Index 273