Arrhythmias & electrophysiology

Ventricular Intramyocardial Navigation for Tachycardia Ablation Guided by Electrograms (VINTAGE)): Initial Human Experience

JACC Clin ElectrophysiolPublished Retrospective cohort study

Authors' conclusion

VINTAGE was effective at creating intramural ablation lesions and treating ventricular arrhythmias arising from targets traditionally considered inaccessible from the endocardium and epicardium, including infarcted myocardium.

Study context

Population
Patients with recurrent ventricular tachycardia (VT) or high premature ventricular contractions (PVC) burden despite prior ablation and antiarrhythmic drugs
Participants
13 patients14 procedures
Outcome
Clinical success by patient (reduction in VT therapy or PVC burden >80%)
Follow-up
Median 150 days
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Clinical success, all patients

85%

Clinical success, VT

100%

Clinical success, PVC

75%

Observational data: associations, not effects.

Further findings

Freedom from appropriate ICD shocks, appropriate antitachycardia pacing or hospital admission for recurrent VT (VT cohort)

Free from appropriate ICD shocks, ATP or VT admission
4 of 5 (80%)

Technical success

Technical success
100%

Safety

OutcomeValues
ComplicationsVINTAGE Nondisabling stroke 1 · Vascular complication 1

Original publication

Ventricular Intramyocardial Navigation for Tachycardia Ablation Guided by Electrograms (VINTAGE)): Initial Human Experience. JACC Clin Electrophysiol. Published 23 July 2025. doi:10.1016/j.jacep.2025.06.003

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

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