Catheter ablation of ventricular tachycardia associated with structural heart disease: Current status and perspectives

被引：2

作者：

Nakahara, Shiro ^{[1
]}

机构：

[1] Dokkyo Med Univ, Saitama Med Ctr, Dept Cardiol, 2-1-50 Minami, Koshigaya, Saitama 3438555, Japan

来源：

JOURNAL OF CARDIOLOGY | 2023年 / 81卷 / 01期

关键词：

Ventricular arrhythmia; Ventricular tachycardia; Cardiac mapping; Catheter ablation; DEFIBRILLATOR SHOCKS; CRITICAL ISTHMUS; END-POINT; IMPLANTATION; MULTICENTER; OUTCOMES; CARDIOMYOPATHY; ESCALATION; GUIDELINE; THERAPY;

D O I：

10.1016/j.jjcc.2022.09.008

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Catheter ablation is an effective and safe treatment for ventricular tachycardia attributable to structural heart disease, reducing the risk of recurrent arrhythmias and defibrillator shock therapy. Advances in medical technology and an accumulation of data have led to the development of detailed guidelines. Successful ablation requires accurate identification of the arrhythmia substrate and effective delivery of radiofrequency energy to the target tissue. Modern practice requires use of traditional electrophysiological mapping processes such as entrainment mapping and three-dimensional activation sequence mapping in combination with newer functional mapping techniques for which there is growing support. Thorough non-invasive preoperative assessment is also necessary before an invasive procedure is undertaken. In this review, we summarize contemporary practice and recent randomized controlled trials underpinning the latest developments in mapping and ablation and discuss potential future developments in this field. (c) 2022 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

引用

页码：57 / 62

页数：6

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