Successful ablation of ventricular tachycardia arising from a midmyocardial septal outflow tract site utilizing a simplified bipolar ablation setup

Abstract

Key Teaching Points•Bipolar ablation is sometimes necessary for targeting deep intramural arrhythmia sources, but its availability to date has been limited by restricted access to investigational equipment or custom-made equipment.•Bipolar ablation can be safely and effectively performed without use of custom-made, modified, or investigational equipment, and with a widely available electroanatomic mapping system.•In this case, bipolar ablation utilizing a simplified configuration was able to be performed to effectively control refractory ventricular tachycardia originating from the interventricular septum. •Bipolar ablation is sometimes necessary for targeting deep intramural arrhythmia sources, but its availability to date has been limited by restricted access to investigational equipment or custom-made equipment.•Bipolar ablation can be safely and effectively performed without use of custom-made, modified, or investigational equipment, and with a widely available electroanatomic mapping system.•In this case, bipolar ablation utilizing a simplified configuration was able to be performed to effectively control refractory ventricular tachycardia originating from the interventricular septum.