{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:13:27Z","timestamp":1785798807480,"version":"3.56.0"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T00:00:00Z","timestamp":1559606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Catheter ablation is an important treatment option for sustained ventricular arrhythmias (VA) that are refractory to pharmacological treatment; however, patients with fast VA or electrical storm (ES) are at risk for cardiogenic shock. We report our experience using cardiopulmonary support with extracorporeal membrane oxygenation (ECMO) during catheter ablation of VA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nineteen patients (mean age, 62\u2009\u00b1\u200910 years; 84% male) were referred to our center for CA of ES between January 2017 and April 2018. ES was defined as the occurrence of \u22653 ventricular tachycardia or ventricular fibrillation episodes requiring electrical cardioversion or defibrillation in a 24\u2010hour period. ECMO support was implemented for all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CA of ES was completed in all patients. Activation mapping was performed for all VTs and substrate modification was performed by targeting sites identified by late\/fragmented abnormal potentials. VTs were not inducible after ablation in 16 of 19 patients (84%). With regard to procedural complications, two patients underwent percutaneous angioplasty with stenting for a femoral artery dissection and one patient was treated for a dislodged ECMO arterial cannula and subsequent hemorrhagic shock. After a median follow\u2010up of 10 months, three patients died from refractory heart failure and one patient died as a result of ES. Overall, the procedural success rate was 68% and the Kaplan\u2010Meier mortality rate was 21%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ECMO support may be used for ablation procedures in patients with ES.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13995","type":"journal-article","created":{"date-parts":[[2019,5,21]],"date-time":"2019-05-21T07:04:15Z","timestamp":1558422255000},"page":"1281-1286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Cardiopulmonary support in patients undergoing catheter ablation of poorly tolerated ventricular arrhythmias and electrical storm"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1297-2056","authenticated-orcid":false,"given":"Antonio","family":"Di Monaco","sequence":"first","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Quadrini","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Troisi","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Vitulano","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Caruso","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Duni","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Cecere","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piero","family":"Guida","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso","family":"Langialonga","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Grimaldi","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Generale Regionale \u201cF. Miulli Acquaviva delle Fonti  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,4]]},"reference":[{"issue":"36","key":"e_1_2_9_1_2_1","first-page":"2793","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). 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