Predictors of success in ablation of scar-related ventricular tachycardia.

Autor: Ghanem MT; Cardiology Department, Ain Shams University, Cairo, Egypt., Ahmed RS, Abd El Moteleb AM, Zarif JK
Jazyk: angličtina
Zdroj: Clinical Medicine Insights. Cardiology [Clin Med Insights Cardiol] 2013 May 07; Vol. 7, pp. 87-95. Date of Electronic Publication: 2013 May 07 (Print Publication: 2013).
DOI: 10.4137/CMC.S11501
Abstrakt: During ablation of re-entrant ventricular tachycardia (VT) 3-dimensional mapping systems are now used to properly delineate the scar tissue and aid ablation of scar-related VT. The aim of our study was to outline how the mode of ablation predicts success and recurrence in large scar-related VT. When comparing patients with recurrence and patients with no recurrence, univariate analysis showed that number of ablation lesions (28 ± 8 vs. 12 ± 8, P = 0.01) and more linear ablation lesions rather than focal lesions (P = 0.03) were associated with long-term success. We demonstrated that more extensive ablation lesions and creation of linear lesions is associated with better success rate and lower recurrence rate during ablation of large scar-related ventricular tachycardia.
Databáze: MEDLINE