Arrhythmias & electrophysiology

Lattice-tip catheter for septal ventricular tachycardia ablation guided by preprocedural imaging

Heart RhythmPublished prospective single-arm study

Authors' conclusion

Septal VT ablation using a strategy combining substrate imaging and large-footprint dual-energy lattice-tip catheter leads to a high rate of noninducibility and good outcomes during short-term follow-up, especially when combining RF and pulsed field energy.

Study context

Population
Patients with drug-refractory ventricular tachycardia (VT) in the setting of a predominantly septal substrate identified on preoperative imaging12 procedures performed in 10 consecutive patients
Participants
10 patients
Outcome
Noninducibility
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

Noninducibility reached, share of procedures

83%

Observational data: associations, not effects.

Further findings

Freedom from VT after the last procedure · mean follow-up 9.9 ± 2.2 months

Remained free from VT
60%

Baseline characteristics

Patients with at least 1 previous failed ablation procedure
9
Of those, with nonstandard radiofrequency (RF) ablation strategies
5
Patients in a VT storm at the time of ablation
6
Intramural septal substrate on CT with late iodine acquisition
all

Freedom from VT with final optimized protocol (pulsed field and RF energy), last 5 patients

Remained free from VT, last 5 patients
80%
  • The ablation protocol was adapted during the study.

Original publication

Lattice-tip catheter for septal ventricular tachycardia ablation guided by preprocedural imaging. Heart Rhythm. Published 14 May 2026. doi:10.1016/j.hrthm.2026.05.008

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