• Rescue upon rescue: ventricula...

Treffer: Rescue upon rescue: ventricular tachycardia ablation using cerebral protection device in a patient with left ventricular thrombus associated with mitral valve transcatheter repair.

Title:
Rescue upon rescue: ventricular tachycardia ablation using cerebral protection device in a patient with left ventricular thrombus associated with mitral valve transcatheter repair.
Authors:
Kozaily E; Hank and Laurel Greer Chair in Cardiac Electrophysiology Chief, Cardiac Rhythm Services, Medical University of South Carolina (MUSC), Charleston, SC, USA., Dhakal BP; Hank and Laurel Greer Chair in Cardiac Electrophysiology Chief, Cardiac Rhythm Services, Medical University of South Carolina (MUSC), Charleston, SC, USA., Laxina I; Hank and Laurel Greer Chair in Cardiac Electrophysiology Chief, Cardiac Rhythm Services, Medical University of South Carolina (MUSC), Charleston, SC, USA., Dowd RP; Hank and Laurel Greer Chair in Cardiac Electrophysiology Chief, Cardiac Rhythm Services, Medical University of South Carolina (MUSC), Charleston, SC, USA., Vo C; Hank and Laurel Greer Chair in Cardiac Electrophysiology Chief, Cardiac Rhythm Services, Medical University of South Carolina (MUSC), Charleston, SC, USA., Winterfield J; Hank and Laurel Greer Chair in Cardiac Electrophysiology Chief, Cardiac Rhythm Services, Medical University of South Carolina (MUSC), Charleston, SC, USA. winterfj@musc.edu.
Source:
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing [J Interv Card Electrophysiol] 2026 Jan; Vol. 69 (1), pp. 11-14. Date of Electronic Publication: 2025 Nov 25.
Publication Type:
Journal Article; Case Reports
Language:
English
Journal Info:
Publisher: Springer Country of Publication: Netherlands NLM ID: 9708966 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1572-8595 (Electronic) Linking ISSN: 1383875X NLM ISO Abbreviation: J Interv Card Electrophysiol Subsets: MEDLINE
Imprint Name(s):
Publication: Amsterdam : Springer
Original Publication: Norwell, MA : Kluwer Academic Publishers, c1997-
MeSH Terms:
Tachycardia, Ventricular*/surgery , Thrombosis*/surgery , Thrombosis*/etiology , Thrombosis*/complications , Thrombosis*/diagnostic imaging , Mitral Valve Insufficiency*/surgery , Mitral Valve Insufficiency*/complications , Catheter Ablation*/methods , Embolic Protection Devices*, Humans ; Male ; Treatment Outcome ; Aged ; Cardiac Catheterization
References:
Heart Rhythm. 2020 Jan;17(1):e2-e154. (PMID: 31085023)
Pacing Clin Electrophysiol. 2016 Jun;39(6):581-7. (PMID: 26969894)
Catheter Cardiovasc Interv. 2025 May;105(6):1516-1522. (PMID: 40071304)
Europace. 2023 Feb 16;25(2):487-495. (PMID: 36355748)
Pacing Clin Electrophysiol. 2024 Nov;47(11):1433-1440. (PMID: 39331574)
J Cardiovasc Electrophysiol. 2021 Sep;32(9):2473-2483. (PMID: 34270148)
Contributed Indexing:
Keywords: Heart failure; Ventricular tachycardia; Ventricular tachycardia ablation
Entry Date(s):
Date Created: 20251125 Date Completed: 20260103 Latest Revision: 20260106
Update Code:
20260106
PubMed Central ID:
PMC12764667
DOI:
10.1007/s10840-025-02192-8
PMID:
41288919
Database:
MEDLINE

Weitere Informationen

We present the case of an elderly man with advanced heart failure and worsening severe mitral regurgitation who underwent transcatheter mitral valve edge-to-edge repair (M-TEER) who presented with VT storm 2 weeks after M-TEER. VT ablation was considered but not performed since cardiac CT scan revealed M-TEER associated thrombus on the ventricular surface of the posterior mitral leaflet. Despite being on amiodarone, the patient returned few days later with VT storm. After multidisciplinary assessment and patient-centric discussions, the decision was made to proceed with emergent, rescue VT ablation using cerebral embolic protection device (CEP) and mechanical support as needed. VT ablation was safe and successfully performed. Patient had no recurrence of VT during 2.5 month follow up. To our knowledge, this is the first reported case of VT ablation using CEP for LV thrombus in North America. Emergent, successful VT ablation in advanced HF patient with transcatheter mitral prosthesis associated left ventricular thrombus using cerebral protection device.
(© 2025. The Author(s).)

Declarations. Competing interests: The authors declare no competing interests.