Catheter Ablation of Recurrent Scar-Related Ventricular Tachycardia Using Electroanatomical Mapping and Irrigated Ablation Technology: Results of the Prospective Multicenter Euro-VT-Study

Autor:	Steve Furniss, Gerhard Hindricks, Jesús Almendral, Volker Kühlkamp, Marius Volkmer, Hans Kottkamp, Hildegard Tanner, Dominique Lacroix, Karl-Heinz Kuck, Christian De Chillou M.D., Domenico Caponi
Rok vydání:	2010
Předmět:	Adult Male Tachycardia Electroanatomic mapping medicine.medical_specialty medicine.medical_treatment Catheter ablation Ventricular tachycardia Cicatrix Hypothermia Induced Physiology (medical) Internal medicine Secondary Prevention medicine Humans Prospective Studies cardiovascular diseases Myocardial infarction Therapeutic Irrigation Prospective cohort study Aged Aged 80 and over business.industry Body Surface Potential Mapping Middle Aged medicine.disease Ablation Europe Treatment Outcome Multicenter study Catheter Ablation Tachycardia Ventricular cardiovascular system Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business
Zdroj:	Journal of Cardiovascular Electrophysiology. 21:47-53
ISSN:	1540-8167 1045-3873
Popis:	Ventricular tachycardia (VT) late after myocardial infarction is an important contributor to morbidity and mortality. This prospective multicenter study assessed the efficacy and safety of electroanatomical mapping in combination with open-saline irrigated ablation technology for ablation of chronic recurrent mappable and unmappable VT in remote myocardial infarction.In 8 European institutions, 63 patients (89% males) were enrolled in the study. All patients had remote myocardial infarction and presented with a median number of 17 (range 1-380) VTs in the preceding 6 months. Incessant VT was present in 14 patients (22%). Left ventricular ejection fraction measured 30 +/- 13%. A mean of 3 VTs were targeted per patient and 22% of all patients had only unmappable VT. The mean follow-up period was 12 +/- 3 months. A total of 164 VTs were targeted during catheter ablation. Ablation was acutely successful in 51 patients (81%). One patient (1.5%) experienced a major complication with degeneration of VT into ventricular fibrillation necessitating cardiopulmonary resuscitation maneuvers. However, no death occurred acutely or within the first 30 days after catheter ablation. During the follow-up, 19 of the initially successful ablated patients (37%) and 31 of all ablated patients (49%) developed some type of VT recurrence.The results of this multicenter study demonstrate the high acute success rate and a low complication rate of irrigated tip catheter ablation of all clinical relevant VTs in remote myocardial infarction. However, during the follow-up a relevant number of recurrences occurred.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6e8109e5dc8686d9d552082be0cb8d22 https://doi.org/10.1111/j.1540-8167.2009.01563.x Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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