FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377015720> ?p ?o ?g. }

• W4377015720 endingPage "S589" @default.
• W4377015720 startingPage "S589" @default.
• W4377015720 abstract "Transcatheter aortic valve replacement (TAVR) is commonly used to treat severe aortic stenosis (AS). To date there is only one reported case of post-TAVR, new onset, left ventricular outflow tract (LVOT) ventricular tachycardia (VT) which was ablated above the TAVR valve. We report a case of late presenting symptomatic LVOT VT, which was successfully ablated via a trans-septal approach, without fluoroscopy, using intracardiac echocardiography (ICE) and electroanatomic mapping (EAM), thereby, avoiding catheter manipulation in the aorta above the valve. N/A A 68-year-old man underwent TAVR for severe AS with Sapien 3 valve (Edwards Lifescience). Nine months later, the patient developed worsening dyspnea. Echocardiogram showed well seated TAVR valve, and exercise nuclear stress revealed no ischemia. During the stress test, he had slow monomorphic VT at rest, during exercise, and recovery (100-120 bpm). A 24-hour Holter monitor revealed a ventricular arrhythmia burden of 55% with rates between 85 and 112 bpm. The 12-lead ECG of VT had an initial positive deflection in lead I, QS in V1 and V2, and an initial R wave in V3 taller than the sinus QRS, suggesting a septal right ventricular outflow tract (RVOT) vs. LVOT origin. There was no improvement with beta-blocker therapy. An electrophysiology study was performed using ICE and CARTO (Biosense Webster, Diamond Bar, CA). Activation mapping in the septal RVOT revealed a 20ms presystolic electrogram (far field) and an 80% pace map, despite the unipolar signal with QS complex. Radiofrequency ablation performed at this site only mildly suppressed the arrhythmia. The decision was made to map from the LVOT via transseptal access using EAM and real-time markers from Cartosound real time images to accurately visualize the ablation catheter below the TAVR. Earliest activation was beneath the left coronary cusp directly across the RVOT lesions with a sharp 22ms pre-systolic electrogram, unipolar QS, and 90% pace map match. Ablation performed here successfully eliminated the VT even after isoproterenol infusion and programmed stimulation. The patient’s symptoms have resolved, and he remains arrhythmia free. LVOT VA’s may rarely occur post TAVR, although a direct cause cannot be ascertained. This is the first report of successfully ablating the arrhythmia in a TAVR patient using a transeptal, subvalvular approach without fluoroscopy, and avoiding any risks associated with the aortic approach." @default.
• W4377015720 created "2023-05-19" @default.
• W4377015720 creator A5009858089 @default.
• W4377015720 creator A5052598774 @default.
• W4377015720 date "2023-05-01" @default.
• W4377015720 modified "2023-10-01" @default.
• W4377015720 title "PO-04-061 A RARE CASE OF FOCAL LEFT VENTRICULAR OUTFLOW TRACT VENTRICULAR TACHYCARDIA LATE AFTER TRANSCATHETER AORTIC VALVE REPLACEMENT" @default.
• W4377015720 doi "https://doi.org/10.1016/j.hrthm.2023.03.1247" @default.
• W4377015720 hasPublicationYear "2023" @default.
• W4377015720 type Work @default.
• W4377015720 citedByCount "0" @default.
• W4377015720 crossrefType "journal-article" @default.
• W4377015720 hasAuthorship W4377015720A5009858089 @default.
• W4377015720 hasAuthorship W4377015720A5052598774 @default.
• W4377015720 hasBestOaLocation W43770157201 @default.
• W4377015720 hasConcept C111773187 @default.
• W4377015720 hasConcept C126322002 @default.
• W4377015720 hasConcept C164705383 @default.
• W4377015720 hasConcept C2776131983 @default.
• W4377015720 hasConcept C2776331378 @default.
• W4377015720 hasConcept C2777361368 @default.
• W4377015720 hasConcept C2778902805 @default.
• W4377015720 hasConcept C2779165606 @default.
• W4377015720 hasConcept C2780007028 @default.
• W4377015720 hasConcept C2780714102 @default.
• W4377015720 hasConcept C71924100 @default.
• W4377015720 hasConceptScore W4377015720C111773187 @default.
• W4377015720 hasConceptScore W4377015720C126322002 @default.
• W4377015720 hasConceptScore W4377015720C164705383 @default.
• W4377015720 hasConceptScore W4377015720C2776131983 @default.
• W4377015720 hasConceptScore W4377015720C2776331378 @default.
• W4377015720 hasConceptScore W4377015720C2777361368 @default.
• W4377015720 hasConceptScore W4377015720C2778902805 @default.
• W4377015720 hasConceptScore W4377015720C2779165606 @default.
• W4377015720 hasConceptScore W4377015720C2780007028 @default.
• W4377015720 hasConceptScore W4377015720C2780714102 @default.
• W4377015720 hasConceptScore W4377015720C71924100 @default.
• W4377015720 hasIssue "5" @default.
• W4377015720 hasLocation W43770157201 @default.
• W4377015720 hasOpenAccess W4377015720 @default.
• W4377015720 hasPrimaryLocation W43770157201 @default.
• W4377015720 hasRelatedWork W194810238 @default.
• W4377015720 hasRelatedWork W1968078558 @default.
• W4377015720 hasRelatedWork W1990922181 @default.
• W4377015720 hasRelatedWork W2003846283 @default.
• W4377015720 hasRelatedWork W2042539030 @default.
• W4377015720 hasRelatedWork W2170278060 @default.
• W4377015720 hasRelatedWork W2383874458 @default.
• W4377015720 hasRelatedWork W2606391377 @default.
• W4377015720 hasRelatedWork W2607902594 @default.
• W4377015720 hasRelatedWork W3182110439 @default.
• W4377015720 hasVolume "20" @default.
• W4377015720 isParatext "false" @default.
• W4377015720 isRetracted "false" @default.
• W4377015720 workType "article" @default.