Electrical Storm Ablation in a Patient in Cardiogenic Shock Supported by Impella 5.0

Robin Le Ruz; Gilles Lande; Thierry Lepoivre; Charles-Henri David; Magali Michel; Jean-Baptiste Gourraud

doi:10.1016/j.jaccas.2020.12.032

Electrical Storm Ablation in a Patient in Cardiogenic Shock Supported by Impella 5.0

JACC Case Rep. 2021 Mar 17;3(3):486-490. doi: 10.1016/j.jaccas.2020.12.032. eCollection 2021 Mar.

Authors

Robin Le Ruz¹, Gilles Lande¹, Thierry Lepoivre², Charles-Henri David³, Magali Michel¹, Jean-Baptiste Gourraud¹

Affiliations

¹ Department of Cardiology, Nantes University Hospital Center, Saint-Herblain, France.
² Department of Cardiac Anesthesiology and Intensive Care, Nantes University Hospital Center, Saint-Herblain, France.
³ Department of Cardiac Surgery, Nantes University Hospital Center, Saint-Herblain, France.

Abstract

Intra-axial pumps are increasingly used to support cardiogenic shock. The occurrence of electrical storms in this setting is a rising issue, and data remain scarce about optimal management. We report the feasibility of ventricular tachycardia ablation in the presence of a recent surgically inserted Impella 5.0 device (Abiomed, Danvers, Massachusetts). (Level of Difficulty: Intermediate.).

Keywords: ECLS, extracorporeal life support; ES, electrical storm; Impella 5.0; LV, left ventricular; LVAD, left ventricular assist device; VT, ventricular tachycardia; cardiogenic shock; case report; electrical storm; radiofrequency ablation.

Publication types

Case Reports