Work

Complication after vein of Marshall ethanol ablation: A case of acute cardiogenic shock and death

Year: 2025

Type: article

Abstract: Vein of Marshall (VOM) ethanol infusion has emerged as an effective adjunctive therapy for atrial tachyarrhythmias, particularly in patients with persistent atrial fibrillation (AF). Due to its insulation by surrounding fat, radiofrequency ablation of the VOM bundle has long been challenging. Chemical ablation via retrograde ethanol infusion offers a more efficient approach, improving arrhythmia suppression1. Recent multicenter trial data suggest that VOM ethanol infusion, beyond pulmonary vein isolation, reduces the recurrence of atrial tachyarrhythmias in persistent AF 2.

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2025.05.029

Authors: Ghazaleh Goldar, Aaron Sifuentes, Sean Byrnes, Peter Farjo, Paari Dominic

Institution: University of Iowa Hospitals and Clinics

Language: English

Topic: Cardiac Arrhythmias and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,100