+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Bundle branch reentrant ventricular tachycardia: An indication for catheter ablation



Bundle branch reentrant ventricular tachycardia: An indication for catheter ablation



Zeitschrift fuer Kardiologie 82(2): 116-122



Out of 115 patients with recurrent sustained monomorphic ventricular tachycardia who underwent catheter ablation between August, 1987 and May, 1992, 7 were found to have bundle branch reentry. Bundle branch reentrant tachycardia was assumed if His potential or bundle branch potential preceded ventricular activation during tachycardia with identical H-H'- and V-V'-intervals. In 5 patients, catheter ablation of the right bundle branch and in 2 patients, ablation of the proximal left bundle branch were performed with direct current or radiofrequency energy. The procedure was successful in all 7 patients. During the follow-up of 15 +- 12 months, 3 patients died due to cardiac failure. One patient had sustained ventricular tachycardia 12 months after catheter ablation which was not due to bundle branch reentry and was treated with an implantable cardioverter/defibrillator. Atrioventricular conduction delay in the surface electrogram and during electrophysiologic study may give a hint at bundle branch reentrant ventricular tachycardia since it was seen in 5 of our 7 patients. Catheter ablation of one bundle branch is an effective treatment which can prevent recurrence of this tachycardia.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 008247986

Download citation: RISBibTeXText


Related references

Catheter Ablation of the Left Bundle Branch for the Treatment of Sustained Bundle Branch Reentrant Ventricular Tachycardia. Journal Of Cardiovascular Electrophysiology. 6(1): 40-43, 1995

Long-term clinical outcome of right bundle branch radiofrequency catheter ablation for treatment of bundle branch reentrant ventricular tachycardia. Pacing and Clinical Electrophysiology 18(12 Pt 1): 2135-2143, 1995

Catheter ablation of bundle branch reentrant ventricular tachycardia. Heart Rhythm 5(6 Suppl): S68-S72, 2008

Radiofrequency catheter ablation of the bundle branch reentrant ventricular tachycardia. Acta Medica Austriaca 28(1): 16-20, 2001

Interfascicular reentrant ventricular tachycardia Utility of bundle branch potentials in diagnosis and catheter ablation. Circulation 86(4 Suppl. 1): I519, 1992

Radiofrequency catheter ablation for treatment of bundle branch reentrant ventricular tachycardia: results and long-term follow-up. Journal of the American College of Cardiology 18(7): 1767-1773, 1991

Selective percutaneous catheter ablation of the right bundle branch in patients with sustained bundle branch reentrant tachycardia. Journal of the American College of Cardiology 7(2 Suppl. A): 243A, 1986

Left bundle branch-Purkinje system in patients with bundle branch reentrant tachycardia: lessons from catheter ablation and electroanatomic mapping. Heart Rhythm 6(1): 51-58, 2009

Incessant interfascicular reentrant ventricular tachycardia as a result of catheter ablation of the right bundle branch: case report and review of the literature. Journal of Cardiovascular Electrophysiology 20(11): 1279-1283, 2010

Bundle branch reentrant tachycardia treated by transvenous catheter ablation of the right bundle branch. Pacing and Clinical Electrophysiology 12(1 Pt 2): 258-261, 1989

Prospective search for bundle branch reentrant ventricular tachycardia high incidence 22 percent and frequent association with nonbundle branch reentrant ventricular tachycardia. Circulation 84(4 Suppl. 2): II318, 1991

Long term clinical follow-up of patients post right bundle ablation for bundle branch reentrant ventricular tachycardia. Circulation 88(4 Part 2): I354, 1993

Catheter Ablation of the Left Posterior Fascicle for Bundle Branch Re-Entrant Ventricular Tachycardia With Right Bundle Branch Block Morphology: A Stepwise Approach. Jacc. Clinical Electrophysiology 3(4): 415-416, 2017

Successful catheter ablation of focal ventricular tachycardia originating from right bundle branch without making right bundle branch block, using pharmacologic induction by landiolol. Heartrhythm Case Reports 3(12): 586-589, 2017

Successful radiofrequency catheter ablation of "clockwise" and "counterclockwise" bundle branch re-entrant ventricular tachycardia in the absence of myocardial or valvar dysfunction without detecting bundle branch potentials. Heart 89(4): E12, 2003