Figure 1
12-lead ECG – Wide complex QRS tachycardia, 180/min; RBBB morphology, right-axis deviation suggestive for anterolateral LV exit-site
Figure 2A
Coronary angiogram and FFR measurements – subocclusion of OM 1 (middle segment); 50 % middle LAD stenosis (FFR – 0.73); 50-60 % proximal LCx stenosis (FFR – 0.76)
Figure 2B
Coronary angiogram after implantation of 3 drug-elluting stents (middle LAD, proximal LCx and middle OM1)
Figure 3
Cardiac MRI – Mild LV dilation; LVEF – 43 %; Multiple areas of LGE along the middle third of antero-lateral and lateral wall
Figure 4
Multimodal image integration. Right: Fusion between MDCT and LGE-CMR PSI Map (ADAS 3D Software). Left: Integration with EAM (Biosense – Webster Carto 3 Navigation System)
Figure 5
Substrate-based RF ablation targeting conduction channels (CC) identified on fusion imaging concordant with fractionated and late potentials on EAM
Figure 6
EGMs before and after RF ablation showing fragmented potential abolition at the conducting channel entry
Figure 7
Ventricular programmed stimulation with 4 ES – complete non-inducibility of VT