Arrhythmias & electrophysiology

Feasibility, Efficacy, and Safety of Fluoroless Ablation of Ventricular Tachycardia (VT) in Patients With Structural Heart Disease

JACC Clin ElectrophysiolPublished Multicentre observational study

Authors' conclusion

Fluoroless ablation of VT in structural heart disease is feasible, effective, and safe when epicardial mapping/ablation is not required.

Study context

Population
Patients with ischemic and nonischemic cardiomyopathy undergoing VT ablation, excluding those requiring epicardial access or coronary angiography, 2017–202348% ischemic
Participants
198 patients
Outcome
Freedom from VT recurrence
Follow-up
22 ± 18 months
Methodological detailsconsecutive patients, single-group
  • Consecutive patients
  • Single-group

Main finding

As reported in the abstract

Freedom from VT recurrence

80%

Observational data: associations, not effects.

Further findings

Repeat ablation · follow-up 22 ± 18 months

Patients undergoing repeat ablation
7.6%

Total procedural time

Mean total procedural time
211 ± 70 minutes

Total radiofrequency time

Total radiofrequency time
30 ± 22 minutes

Safety

Procedure-related complications, 6 patients
3.0%

Original publication

Feasibility, Efficacy, and Safety of Fluoroless Ablation of VT in Patients With Structural Heart Disease. JACC Clin Electrophysiol. Published 29 May 2024. doi:10.1016/j.jacep.2024.03.011

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