Arrhythmias & electrophysiology

Cryothermal energy demonstrates shorter ablation time and lower complication rates compared with radiofrequency in surgical hybrid ablation for recurrent ventricular tachycardia

Heart RhythmPublished Retrospective cohort study

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

OutcomeCryothermalRadiofrequency
Complications06

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

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