{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T22:38:41Z","timestamp":1778107121143,"version":"3.51.4"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Left ventricular (LV) summit arrhythmias account for up to 14% of LV arrhythmias. The ablation of LV summit arrhythmias is challenging, as testified by the fact that radiofrequency (RF) catheter ablation failure is frequent. Retrograde coronary venous ethanol infusion has been proposed as an alternative approach for the ablation of LV summit arrhythmias.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 47-year-old man with Lamin A\/C cardiomyopathy was referred for the ablation of a pleiomorphic ventricular tachycardia (VT) storm, with dominant morphology compatible with LV summit origin. He first received a combined endo- and epicardial RF ablation with the elimination of three clinically relevant VTs. However, the dominant VT could not be ablated due to the proximity of the coronary vasculature and phrenic nerve and remained inducible. Accordingly, an urgent rescue redo procedure consisting of retrograde coronary venous ethanol ablation was performed. Based on the best pace-match and precocity, the first septal, retro-pulmonary branch and the first diagonal branch were infused with ethanol with immediate cessation of the tachycardia and non-inducibility. Anti-arrhythmic drugs were withdrawn, while guideline-directed medical therapy for heart failure was continued. No complications occurred. After 3 months, the patient remained free from any arrythmias.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Ablation of LV summit arrythmias is challenging, especially in the context of an electrical storm or in patients with structural heart disease. In such a situation, rescue ablation with retrograde coronary venous ethanol infusion represents an attractive alternative ablation modality.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae235","type":"journal-article","created":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T07:21:37Z","timestamp":1715239297000},"source":"Crossref","is-referenced-by-count":2,"title":["Rescue retrograde coronary venous ethanol ablation of ventricular tachycardia storm in a patient with Lamin A\/C cardiomyopathy: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1885-7606","authenticated-orcid":false,"given":"Maarten A J","family":"De Smet","sequence":"first","affiliation":[{"name":"Department of Cardiology, AZ Sint-Jan Hospital , Ruddershove 10, 8000 Brugge , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rene","family":"Tavernier","sequence":"additional","affiliation":[{"name":"Department of Cardiology, AZ Sint-Jan Hospital , Ruddershove 10, 8000 Brugge , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mattias","family":"Duytschaever","sequence":"additional","affiliation":[{"name":"Department of Cardiology, AZ Sint-Jan Hospital , Ruddershove 10, 8000 Brugge , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9bastien","family":"Knecht","sequence":"additional","affiliation":[{"name":"Department of Cardiology, AZ Sint-Jan Hospital , Ruddershove 10, 8000 Brugge , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Beno\u00eet","family":"le Polain de Waroux","sequence":"additional","affiliation":[{"name":"Department of Cardiology, AZ Sint-Jan Hospital , Ruddershove 10, 8000 Brugge , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,5,9]]},"reference":[{"key":"2024051615361109600_ytae235-B1","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1161\/CIRCEP.110.939744","article-title":"Idiopathic ventricular arrhythmias originating from the left ventricular summit: anatomic concepts relevant to ablation","volume":"3","author":"Yamada","year":"2010","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"2024051615361109600_ytae235-B2","doi-asserted-by":"crossref","first-page":"e004357","DOI":"10.1161\/CIRCEP.116.004357","article-title":"Multicenter experience with catheter ablation for ventricular tachycardia in Lamin A\/C cardiomyopathy","volume":"9","author":"Kumar","year":"2016","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"2024051615361109600_ytae235-B3","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1016\/j.jacep.2020.07.023","article-title":"Intramural venous ethanol infusion for refractory ventricular arrhythmias: outcomes of a multicenter experience","volume":"6","author":"Tavares","year":"2020","journal-title":"JACC Clin Electrophysiol"},{"key":"2024051615361109600_ytae235-B4","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1161\/CIRCULATIONAHA.122.060882","article-title":"Substrate ablation by multivein, multiballoon coronary venous ethanol for refractory ventricular tachycardia in structural heart disease","volume":"146","author":"Valderr\u00e1bano","year":"2022","journal-title":"Circulation"},{"key":"2024051615361109600_ytae235-B5","doi-asserted-by":"crossref","first-page":"3997","DOI":"10.1093\/eurheartj\/ehac262","article-title":"2022 ESC guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death","volume":"43","author":"Zeppenfeld","year":"2022","journal-title":"Eur Heart J"},{"key":"2024051615361109600_ytae235-B6","doi-asserted-by":"crossref","first-page":"3503","DOI":"10.1093\/eurheartj\/ehad194","article-title":"2023 ESC guidelines for the management of cardiomyopathies","volume":"44","author":"Arbelo","year":"2023","journal-title":"Eur Heart J"},{"key":"2024051615361109600_ytae235-B7","doi-asserted-by":"crossref","first-page":"e004352","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 - 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