Arrhythmias & electrophysiology
Comparison of strategies for catheter ablation of left posterior fascicular ventricular tachycardia
Authors' conclusion
Left posterior fascicular-ventricular tachycardia ablation utilizing FAP and traditional ablation approaches resulted in similar acute and long-term procedural outcomes. Serious His-Purkinje injury did occur infrequently during traditional ablation. The use of FAP ablation approach was associated with shorter procedure time and fewer radiofrequency energy applications, especially for non-inducible patients.
Study context
- Population
- Consecutive patients with ECG-documented left posterior fascicular ventricular tachycardia (VT) referred for catheter ablation
- Participants
- 189 patients
- Exposure
- Fragmented antegrade Purkinje (FAP) ablation vs traditional ablation
- FAPn = 95
- Traditionaln = 94reference
- Outcome
- Freedom from recurrent VT off antiarrhythmic drugs
- Follow-up
- Mean 65 months
Methodological detailsconsecutive patients
- Consecutive patients
Main finding
As reported in the abstract
P = 0.157
Observational data: associations, not effects.
Further findings
Procedure time
P = 0.03
| Outcome | FAP | Traditional | P value |
|---|---|---|---|
| Radiofrequency energy applications | 4.1 ± 2.4 | 6.3 ± 3.5 | P = 0.003 |
- Freedom from recurrent VT off antiarrhythmic drugs · mean follow-up 65 months
- P = 0.157
Safety
Left posterior fascicular block
P < 0.001
Complete AV block and left bundle branch block
- Complete AV block in Traditional
- 1
- Left bundle branch block in Traditional
- 1
Original publication
Comparison of strategies for catheter ablation of left posterior fascicular ventricular tachycardia. Europace. Published 16 November 2023. doi:10.
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