Arrhythmias & electrophysiology
A new mapping and ablation strategy for premature ventricular complexes originating from the proximal left anterior fascicle under the guidance of electrocardiographic characteristics
Authors' conclusion
Under the guidance of electrocardiographic characteristics, this new mapping and ablation strategy (from the RCC alone) is a simple, safe, and effective method for elimination of proximal LAF-PVCs.
Study context
- Population
- Patients with premature ventricular complexes originating from the proximal left anterior fascicle (proximal LAF-PVCs)study group 24 · control group 8
- Participants
- 24 vs 8
- Comparison
- study group vs control group
- study groupn = 24
- control groupn = 8
Methodological detailsconsecutive patients, prospectively mapped and ablated
- Consecutive patients
- Prospectively mapped and ablated
Main finding
As reported in the abstract
Mapping time
P < 0.001
Further findings
Procedure time · shorter in study group
P < 0.001
- Ablation lesions (study group)
- 2.5 · ± 0.7 · lesions
Long-term success rates and electrocardiographic characteristics
- Similar between groups
Ablation lesions (study group)
- Proximal LAF-PVCs were eliminated with ablation from the right coronary cusp (RCC) alone
Original publication
A new mapping and ablation strategy for premature ventricular complexes originating from the proximal left anterior fascicle under the guidance of electrocardiographic characteristics. Heart Rhythm. Published 5 May 2026. doi:10. 1016/ j. hrthm. 2026. 04. 058
Summarised from the published abstract; every number is checked against it