Current practice of ventricular tachycardia ablation in patients with implantable cardioverter-defibrillators

被引:13
作者
Dagres, Nikolaos [1 ]
Cantu, Francesco [2 ]
Geelen, Peter [3 ]
Lewalter, Thorsten [4 ]
Proclemer, Alessandro [5 ]
Blomstrom-Lundqvist, Carina [6 ]
机构
[1] Univ Athens, Attikon Univ Hosp, Cardiol Dept 2, Athens 12462, Greece
[2] Osped Riuniti Bergamo, Cardiovasc Dept, I-24100 Bergamo, Italy
[3] Onze Lieve Vrouw Hosp, Ctr Cardiovasc, Arrhythmia Unit, Aalst, Belgium
[4] Isar Heart Ctr Munich, Dept Med Cardiol & Intens Care, Munich, Germany
[5] Univ Hosp S Maria della Misericordia, Dept Cardiol, Udine, Italy
[6] Uppsala Univ, Inst Med Sci, Dept Cardiol, Uppsala, Sweden
来源
EUROPACE | 2012年 / 14卷 / 01期
关键词
Ventricular tachycardia; Catheter ablation; Implantabe cardioverter-defibrillator; CATHETER ABLATION; TRIAL;
D O I
10.1093/europace/eur411
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We performed a survey on current practice of ventricular tachycardia (VT) ablation in patients with implantable cardioverter-defibrillators among the European Heart Rhythm Association Research Network. The main indication for the procedure is the occurrence of multiple shocks or electrical storm, while prophylactic ablation is only rarely performed. The epicardial approach is seldom used and mostly only after failure of endocardial ablation. The main ablation strategy is targeting the clinical VT only by substrate mapping and ablation, and by targeting fractionated potentials with utilization of modern electroanatomical mapping systems. Still, a considerable number of centres frequently perform the procedure using conventional mapping catheters only.
引用
收藏
页码:135 / 137
页数:3
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