{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T18:20:43Z","timestamp":1759774843563,"version":"3.37.3"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T00:00:00Z","timestamp":1606176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background\u2003<\/jats:title>\n                  <jats:p>An endocardial radiofrequency ablation is a common approach for the treatment of idiopathic ventricular arrhythmia. However, rare cases have been reported in which ventricular arrhythmia could not be ablated from endocardium due to an epicardial origin of the arrhythmia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary\u2003<\/jats:title>\n                  <jats:p>In this article, we describe the rarely used, but acceptable approach to terminate ventricular arrhythmias in the summit of the left ventricle. We present a case of a 56-year-old patient with sustained monomorphic premature ventricular complexes, originating from the summit of the left ventricle, that were successfully eliminated. After unsuccessful ablation of the anterior wall right ventricular outflow tract, left coronary cusp, and distal coronary sinus, arrhythmia was eliminated by method of transvenous ethanol ablation. Complaints, such as palpitations and weakness, resolved after the procedure.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion\u2003<\/jats:title>\n                  <jats:p>This approach is used when an epicardial location of the substrate of arrhythmia is suspected and ablation through the right ventricular outflow tract, left coronary cusp, and great cardiac vein fails. The total effectiveness of eliminating ventricular arrhythmia increases if it is possible to use endo- and epicardial methods of mapping and ablation. In clinics with extensive experience in this area, ethanol ablation of epicardial ventricular arrhythmia is safe and effective.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa412","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T04:06:35Z","timestamp":1606190795000},"page":"1-5","source":"Crossref","is-referenced-by-count":2,"title":["Transvenous ethanol ablation in epicardial localization of ventricular arrhythmias: a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5880-9310","authenticated-orcid":false,"given":"Bakhodir","family":"Narziev","sequence":"first","affiliation":[{"name":"The Heart Team Association \u2013 American Hospital Clinic, Tashkent, Uzbekistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akmal","family":"Yakubov","sequence":"additional","affiliation":[{"name":"The Heart Team Association \u2013 American Hospital Clinic, Tashkent, Uzbekistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aliyor","family":"Ganiev","sequence":"additional","affiliation":[{"name":"The Heart Team Association \u2013 American Hospital Clinic, Tashkent, Uzbekistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7666-6488","authenticated-orcid":false,"given":"Ramesh","family":"Hamraev","sequence":"additional","affiliation":[{"name":"The Heart Team Association \u2013 American Hospital Clinic, Tashkent, Uzbekistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,11,24]]},"reference":[{"key":"2021010812222160100_ytaa412-B1","doi-asserted-by":"crossref","first-page":"2793","DOI":"10.1093\/eurheartj\/ehv316","article-title":"2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: the Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC","volume":"36","author":"Priori","year":"2015","journal-title":"Eur Heart J"},{"key":"2021010812222160100_ytaa412-B2","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1161\/CIRCULATIONAHA.105.611640","article-title":"Idiopathic epicardial left ventricular tachycardia originating remote from the sinus of Valsalva: electrophysiological characteristics, catheter ablation, and identification from the 12-lead electrocardiogram","volume":"113","author":"Daniels","year":"2006","journal-title":"Circulation"},{"key":"2021010812222160100_ytaa412-B3","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1161\/CIRCEP.109.910802","article-title":"Mapping and ablation of epicardial idiopathic ventricular arrhythmias from within the coronary venous system","volume":"3","author":"Baman","year":"2010","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"2021010812222160100_ytaa412-B4","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.116.004352","article-title":"Retrograde coronary venous ethanol infusion for ablation of refractory ventricular tachycardia","volume":"9","author":"Kreidieh","year":"2016","journal-title":"Circ Arrhythm Electrophysiol"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/6\/1\/35544471\/ytaa412.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/6\/1\/35544471\/ytaa412.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T23:55:07Z","timestamp":1610582107000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/4\/6\/1\/5999159"}},"subtitle":[],"editor":[{"given":"Roca-Luque","family":"Ivo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Sommer","family":"Philipp","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Iliodromitis","family":"Konstantinos","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Amin","family":"Reshma","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Thomson","family":"Ross","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,11,24]]},"references-count":4,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,11,24]]},"published-print":{"date-parts":[[2020,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa412","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2020,12]]},"published":{"date-parts":[[2020,11,24]]}}}