EP on EP Episode 85: Epicardial Ablation and Brugada with Koonlawee Nademanee, MD, FHRS, CCDS-EP on EP Episode 85: Epicardial Ablation and Brugada with Koonlawee Nademanee, MD, FHRS, CCDS

EP on EP Episode 85: Epicardial Ablation and Brugada with Koonlawee Nademanee, MD, FHRS, CCDS

Video Transcription

Video Summary

Dr. Wee Nadamani, a professor of medicine at Chulalongkorn University, discusses his pioneering work in ablation for Brugada syndrome. He shares how the prevailing opinion on Brugada syndrome being a phase two reentry changed when a patient with electrical storm required a heart transplant and the transplanted heart showed fibrosis. Dr. Wee then performed ablation in a patient with an electrical storm using the Salsa technique and successfully normalized the Brugada ECG pattern. He later extended his work to epicardial ablation and found that eliminating the areas with fractionated electrograms resulted in the disappearance of the Brugada pattern in almost 100% of cases.

Keywords

ablation

Brugada syndrome

Salsa technique

electrical storm

ECG pattern