Arrhythmias & electrophysiology

Outcome of repeat ablation for premature ventricular contractions in patients with prior ablation failure: Impact of advanced techniques

Heart RhythmPublished Retrospective cohort study

Authors' conclusion

Although success is lower for patients with prior failed ablation, repeat ablation seems reasonable for many, and the use of advanced techniques increased success to 71% in this group.

Study context

Population
Consecutive patients undergoing ablation for premature ventricular contractions75 (31%) with prior failed ablation
Participants
239 patients
Exposure
Repeat PVC ablation after prior failed ablation vs first ablation
  • Prior failed ablationn = 75
Outcome
Acute success (abolition of the target PVC) and long-term outcome of repeat ablation
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

Acute success of standard ablation

P < 0.001

Observational data: associations, not effects.

Further findings

Long-term recurrence after standard ablation

P < 0.05

OutcomePrior failed ablationNo prior ablation
Long-term success after acutely successful repeat standard ablation75%— not stated in the abstract
Overall long-term success, prior failed standard ablation71%— not stated in the abstract

— not stated in the abstract

Advanced techniques after failed repeat standard ablation (23 of 31: 16 needle, 5 epicardial, 2 simultaneous)

Acute success
16 (70%)
Long-term success
14 (45%)

Original publication

Outcome of repeat ablation for premature ventricular contractions in patients with prior ablation failure: Impact of advanced techniques. Heart Rhythm. Published 16 November 2024. doi:10.1016/j.hrthm.2024.11.021

Composed by AI from the published abstract and checked against it. How Briefs are made →

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