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Published in: Journal of Interventional Cardiac Electrophysiology 1/2010

01-10-2010 | Case Report

First experience of percutaneous radio-frequency ablation for atrial flutter and atrial fibrillation in a patient with HeartMate II left ventricular assist device

Authors: Philippe Maury, Clement Delmas, Charlotte Trouillet, Mark S. Slaughter, Olivier Lairez, Michel Galinier, Jerome Roncalli, David Bertrand, Lydie Mathevet, Alexandre Duparc, Michelle Salvador, Marc Delay, Camille Dambrin

Published in: Journal of Interventional Cardiac Electrophysiology | Issue 1/2010

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Abstract

We report the first case of percutaneous radio-frequency (RF) ablation procedure in a patient implanted with a HeartMate II left ventricular assist device for refractory heart failure. This procedure was performed for poorly tolerated recurrent atrial arrhythmias. No harmful consequence happened during or after the procedure despite the potential electromagnetic interferences existing between the RF delivery and the functioning of the device.
Literature
1.
go back to reference Slaughter, M. S., Rogers, J. G., Milano, C. A., Russell, S. D., Conte, J. V., Feldman, D., et al. (2009). Advanced heart failure treated with continuous-flow left ventricular assist device. New England J Med, 361, 2241–2251.CrossRef Slaughter, M. S., Rogers, J. G., Milano, C. A., Russell, S. D., Conte, J. V., Feldman, D., et al. (2009). Advanced heart failure treated with continuous-flow left ventricular assist device. New England J Med, 361, 2241–2251.CrossRef
2.
go back to reference Loforte, A., Montalto, A., Ranocchi, F., Casali, G., Luzi, G., Monica, P. L., et al. (2009). Heartmate II axial-flow left ventricular assist system: management, clinical review and personal experience. Journal of Cardiovascular Medicine, 10, 765–771.CrossRefPubMed Loforte, A., Montalto, A., Ranocchi, F., Casali, G., Luzi, G., Monica, P. L., et al. (2009). Heartmate II axial-flow left ventricular assist system: management, clinical review and personal experience. Journal of Cardiovascular Medicine, 10, 765–771.CrossRefPubMed
3.
go back to reference Griffith, B. P., Kormos, R. L., Borovetz, H. S., & Litwak, K. (2001). HeartMate II left ventricular assist system: from concept to first clinical use. Annals of Thoracic Surgery, 71, S116–S120.CrossRefPubMed Griffith, B. P., Kormos, R. L., Borovetz, H. S., & Litwak, K. (2001). HeartMate II left ventricular assist system: from concept to first clinical use. Annals of Thoracic Surgery, 71, S116–S120.CrossRefPubMed
4.
go back to reference Ziv, O., Dizon, J., Thosani, A., Naka, Y., Magnano, A. R., & Garan, H. (2005). Effects of left ventricular assist device therapy on ventricular arrhythmias. Journal of the American College of Cardiology, 45, 1428–1434.CrossRefPubMed Ziv, O., Dizon, J., Thosani, A., Naka, Y., Magnano, A. R., & Garan, H. (2005). Effects of left ventricular assist device therapy on ventricular arrhythmias. Journal of the American College of Cardiology, 45, 1428–1434.CrossRefPubMed
5.
go back to reference Oz, M. C., Rose, E. A., Slater, J., Kuiper, J. J., Catanese, K. A., & Levin, H. R. (1994). Malignant ventricular arrhythmias are well tolerated in patients receiving long-term left ventricular assist devices. Journal of the American College of Cardiology, 24, 1688–1691.CrossRefPubMed Oz, M. C., Rose, E. A., Slater, J., Kuiper, J. J., Catanese, K. A., & Levin, H. R. (1994). Malignant ventricular arrhythmias are well tolerated in patients receiving long-term left ventricular assist devices. Journal of the American College of Cardiology, 24, 1688–1691.CrossRefPubMed
6.
go back to reference Arai, H., Swartz, M. T., Pennington, D. G., Moriyama, Y., Miller, L., Peigh, P., et al. (1991). Importance of ventricular arrhythmias in bridge patients with ventricular assist devices. ASAIO Transactions, 37, M427–M428.PubMed Arai, H., Swartz, M. T., Pennington, D. G., Moriyama, Y., Miller, L., Peigh, P., et al. (1991). Importance of ventricular arrhythmias in bridge patients with ventricular assist devices. ASAIO Transactions, 37, M427–M428.PubMed
7.
go back to reference Osaki, S., Alberte, C., Murray, M. A., Brahmbhatt, R. D., Johnson, M. R., Edwards, N. M., et al. (2008). Successful radiofrequency ablation therapy for intractable ventricular tachycardia with a ventricular assist device. Journal of Heart and Lung Transplantation, 27, 353–356.CrossRefPubMed Osaki, S., Alberte, C., Murray, M. A., Brahmbhatt, R. D., Johnson, M. R., Edwards, N. M., et al. (2008). Successful radiofrequency ablation therapy for intractable ventricular tachycardia with a ventricular assist device. Journal of Heart and Lung Transplantation, 27, 353–356.CrossRefPubMed
8.
go back to reference Dandamudi, G., Ghumman, W. S., Das, M. K., & Miller, J. M. (2007). Endocardial catheter ablation of ventricular tachycardia in patients with ventricular assist devices. Heart Rhythm, 4, 1165–1169.CrossRefPubMed Dandamudi, G., Ghumman, W. S., Das, M. K., & Miller, J. M. (2007). Endocardial catheter ablation of ventricular tachycardia in patients with ventricular assist devices. Heart Rhythm, 4, 1165–1169.CrossRefPubMed
9.
go back to reference Rillig, A., Meyerfeldt, U., Birkemeyer, R., Treusch, F., Kunze, M., & Jung, W. (2008). Persistent iatrogenic atrial septal defect after pulmonary vein isolation: incidence and clinical implications. J Interv Card Electrophysiol, 22, 177–181.CrossRefPubMed Rillig, A., Meyerfeldt, U., Birkemeyer, R., Treusch, F., Kunze, M., & Jung, W. (2008). Persistent iatrogenic atrial septal defect after pulmonary vein isolation: incidence and clinical implications. J Interv Card Electrophysiol, 22, 177–181.CrossRefPubMed
10.
go back to reference Baker, J. E., Stratmann, G., Hoopes, C., Donateillo, R., Tseng, E., & Russell, I. A. (2004). Profound hypoxemia resulting from shunting across an inadvertent atrial septal tear after left ventricular assist device placement. Anesthesia and Analgesia, 98, 937–940.CrossRefPubMed Baker, J. E., Stratmann, G., Hoopes, C., Donateillo, R., Tseng, E., & Russell, I. A. (2004). Profound hypoxemia resulting from shunting across an inadvertent atrial septal tear after left ventricular assist device placement. Anesthesia and Analgesia, 98, 937–940.CrossRefPubMed
11.
go back to reference Kilger, E., Strom, C., Frey, L., Felbinger, T. W., Pichler, B., Tichy, M., et al. (2000). Intermittent atrial level right-to-left shunt with temporary hypoxemia in a patient during support with a left ventricular assist device. Acta Anaesthesiologica Scandinavica, 44, 125–127.CrossRefPubMed Kilger, E., Strom, C., Frey, L., Felbinger, T. W., Pichler, B., Tichy, M., et al. (2000). Intermittent atrial level right-to-left shunt with temporary hypoxemia in a patient during support with a left ventricular assist device. Acta Anaesthesiologica Scandinavica, 44, 125–127.CrossRefPubMed
12.
go back to reference Hammerstingl, C., Lickfett, L., Jeong, K. M., Troatz, C., Wedekind, J. A., Tiemann, K., et al. (2006). Persistence of iatrogenic atrial septal defect after pulmonary vein isolation—an underestimated risk? American Heart Journal, 152, 362 e 1–5.CrossRef Hammerstingl, C., Lickfett, L., Jeong, K. M., Troatz, C., Wedekind, J. A., Tiemann, K., et al. (2006). Persistence of iatrogenic atrial septal defect after pulmonary vein isolation—an underestimated risk? American Heart Journal, 152, 362 e 1–5.CrossRef
13.
go back to reference Fasseas, P., Kutalek, S. P., & Kanthria, B. K. (2002). Prolonged sustained ventricular fibrillation without loss of consciousness in patients supported by left ventricular assist device. Cardiology, 97, 210–213.CrossRefPubMed Fasseas, P., Kutalek, S. P., & Kanthria, B. K. (2002). Prolonged sustained ventricular fibrillation without loss of consciousness in patients supported by left ventricular assist device. Cardiology, 97, 210–213.CrossRefPubMed
14.
go back to reference Fasseas, P., Kutalek, S. P., Samuels, F. L., Holmes, E. C., & Samuels, L. E. (2002). Ventricular assist device support for management of sustained ventricular arrhythmias. Texas Heart Institute Journal, 29, 33–36.PubMed Fasseas, P., Kutalek, S. P., Samuels, F. L., Holmes, E. C., & Samuels, L. E. (2002). Ventricular assist device support for management of sustained ventricular arrhythmias. Texas Heart Institute Journal, 29, 33–36.PubMed
15.
go back to reference Maile, S., Kunz, M., Oechslin, E., Zund, G., Rahn, M., Lachat, M. L., et al. (2004). Intractable ventricular tachycardia and bridging to heart transplantation with a non-pulsatile flow assist device in a patient with isolated left-ventricular non-compaction. Journal of Heart and Lung Transplantation, 23, 147–149.CrossRefPubMed Maile, S., Kunz, M., Oechslin, E., Zund, G., Rahn, M., Lachat, M. L., et al. (2004). Intractable ventricular tachycardia and bridging to heart transplantation with a non-pulsatile flow assist device in a patient with isolated left-ventricular non-compaction. Journal of Heart and Lung Transplantation, 23, 147–149.CrossRefPubMed
16.
go back to reference Friedman, P. A., Munger, T. M., Torres, N., & Rihal, C. (2007). Percutaneous endocardial and epicardial ablation of hypotensive ventricular tachycardia with percutaneous left ventricular assist in the electrophysiology laboratory. Journal of Cardiovascular Electrophysiology, 18, 106–109.CrossRefPubMed Friedman, P. A., Munger, T. M., Torres, N., & Rihal, C. (2007). Percutaneous endocardial and epicardial ablation of hypotensive ventricular tachycardia with percutaneous left ventricular assist in the electrophysiology laboratory. Journal of Cardiovascular Electrophysiology, 18, 106–109.CrossRefPubMed
17.
go back to reference Thomas, N. J., & Harvey, A. T. (1999). Bridge to recovery with the Abiomed BVS-5000 device in a patient with intractable ventricular tachycardia. Journal of Thoracic and Cardiovascular Surgery, 117, 831–832.CrossRefPubMed Thomas, N. J., & Harvey, A. T. (1999). Bridge to recovery with the Abiomed BVS-5000 device in a patient with intractable ventricular tachycardia. Journal of Thoracic and Cardiovascular Surgery, 117, 831–832.CrossRefPubMed
18.
go back to reference Swartz, M. T., Lowdermilk, G. A., & McBride, L. R. (1999). Refractory ventricular tachycardia as an indication for ventricular assist device support. Journal of Thoracic and Cardiovascular Surgery, 118, 1119–1120.CrossRefPubMed Swartz, M. T., Lowdermilk, G. A., & McBride, L. R. (1999). Refractory ventricular tachycardia as an indication for ventricular assist device support. Journal of Thoracic and Cardiovascular Surgery, 118, 1119–1120.CrossRefPubMed
19.
go back to reference Kulick, D. M., Bolman, R. M., III, Salerno, C. T., Bank, A. J., & Park, S. J. (1998). Management of recurrent ventricular tachycardia with ventricular assist device placement. Annals of Thoracic Surgery, 66, 571–573.CrossRefPubMed Kulick, D. M., Bolman, R. M., III, Salerno, C. T., Bank, A. J., & Park, S. J. (1998). Management of recurrent ventricular tachycardia with ventricular assist device placement. Annals of Thoracic Surgery, 66, 571–573.CrossRefPubMed
20.
go back to reference Iqbal, I., Ventura, H. O., Smart, F. W., & Stapleton, D. D. (1999). Difficult cases in heart failure: left ventricular assist device implantation for the treatment of recurrent ventricular tachycardia in end stage heart failure. Congestive Heart Failure, 5, 129–130.PubMed Iqbal, I., Ventura, H. O., Smart, F. W., & Stapleton, D. D. (1999). Difficult cases in heart failure: left ventricular assist device implantation for the treatment of recurrent ventricular tachycardia in end stage heart failure. Congestive Heart Failure, 5, 129–130.PubMed
Metadata
Title
First experience of percutaneous radio-frequency ablation for atrial flutter and atrial fibrillation in a patient with HeartMate II left ventricular assist device
Authors
Philippe Maury
Clement Delmas
Charlotte Trouillet
Mark S. Slaughter
Olivier Lairez
Michel Galinier
Jerome Roncalli
David Bertrand
Lydie Mathevet
Alexandre Duparc
Michelle Salvador
Marc Delay
Camille Dambrin
Publication date
01-10-2010
Publisher
Springer US
Published in
Journal of Interventional Cardiac Electrophysiology / Issue 1/2010
Print ISSN: 1383-875X
Electronic ISSN: 1572-8595
DOI
https://doi.org/10.1007/s10840-010-9476-6

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