Extracorporeal Membrane Oxygenation for Protected Catheter Ablation in A Post-Cardiotomy Patient With Electrical Storm

Author:

Norawat Rahul1,Maybauer Marc O.1234,O’Keeffe Niall1,Vohra Akbar1

Affiliation:

1. Cardiothoracic Anaesthesia and Intensive Care, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre and University of Manchester, Manchester, UK

2. Department of Anaesthesiology, Division of Critical Care Medicine, University of Florida College of Medicine, Gainesville, FL, USA

3. Department of Anaesthesia and Intensive Care, Philipps University, Marburg, Germany

4. Critical Care Research Group, Prince Charles Hospital, University of Queensland, Brisbane, Australia

Abstract

ABSTRACT An electrical storm (ES) refers to multiple occurrences of ventricular arrhythmias within a short time. Catheter ablation is a treatment option for ES but can be challenging in unstable cardiovascular patients. We present the case of a 50-year-old patient with poor left ventricular function who experienced ES after emergency coronary artery bypass grafting (CABG). Despite maximal antiarrhythmic therapy, the patient had recurrent ventricular tachycardia and fibrillation (VT/VF), hindering catheter ablation. Elective venoarterial extracorporeal membrane oxygenation (ECMO) support was established, allowing a successful second catheter ablation attempt without complications. The patient was weaned off ECMO the following day and remained in normal sinus rhythm.

Publisher

Medknow

Reference10 articles.

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4. Use of cardioplegia to guide alcohol ablation for incessant ventricular tachycardia;Kim;Pacing Clin Electrophysiol,2017

5. Successful bipolar ablation for ventricular tachycardia with potential substrate identification by pre-procedural cardiac magnetic resonance imaging;Sakamoto;Int Med Case Rep J,2017

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