Coronary arterial injury during right ventricular outflow tract ablation: Know your neighbors

Abstract

appreciate on electrophysiology recording systems due to increased sweep speed. Particular vigilance is needed in patients under general anesthesia in whom the presence of symptoms cannot be assessed.In summary, the study by Dilling-Boer et al highlights the anatomical relationship of the RVOT with the intraseptal course of the LAD with attendant risk of vessel occlusion during ablation. A thorough understanding of spatial anatomy of this region and ablation biophysics will help the practicing electrophysiologist both to anticipate possible complications specific to this region and to tailor ablation strategies to mitigate procedural risk.