Arrhythmias & electrophysiology
Cryothermal energy demonstrates shorter ablation time and lower complication rates compared with radiofrequency in surgical hybrid ablation for recurrent ventricular tachycardia
Authors' conclusion
Hybrid surgical VT ablation with cryothermal or radiofrequency energy demonstrated similar efficacy outcomes.
Study context
- Population
- Patients with recurrent ventricular tachycardia (VT) after prior endocardial and/or percutaneous epicardial ablation, undergoing surgical epicardial VT ablation, 2009–2022
- Participants
- 43 patients
- Exposure
- Cryothermal vs radiofrequency ablation in surgical hybrid epicardial VT ablation
- Cryothermaln = 17
- Radiofrequencyn = 26reference
- Outcome
- Ablation time
Methodological detailsconsecutive cases
- Consecutive cases
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Further findings
Surgical access site · remainder via median sternotomy
Lateral thoracotomy
Subxiphoid approach Radiofrequency 38.5%
Recurrent VT episodes and all-cause mortality
- Similar in both groups
Safety
Events
| Outcome | Cryothermal | Radiofrequency |
|---|---|---|
| Complications | 0 | 6 |
Original publication
Cryothermal energy demonstrates shorter ablation time and lower complication rates compared with radiofrequency in surgical hybrid ablation for recurrent ventricular tachycardia. Heart Rhythm. Published 1 September 2023. doi:10. 1016/ j. hrthm. 2023. 08. 036
Composed by AI from the published abstract and checked against it. How Briefs are made →