Primary ablation for ventricular tachycardia: When and how?

Pasquale Santangeli; Luigi Di Biase; Amin Al-Ahmad; Henry Hsia; J. David Burkhardt; Javier Sanchez; Rong Bai; Michela Casella; Antonio Dello Russo; Claudio Tondo; Andrea Natale

doi:10.1016/j.ccep.2011.08.014

Primary ablation for ventricular tachycardia: When and how?

Pasquale Santangeli, Luigi Di Biase, Amin Al-Ahmad, Henry Hsia, J. David Burkhardt, Javier Sanchez, Rong Bai, Michela Casella, Antonio Dello Russo, Claudio Tondo, Andrea Natale

Research output: Contribution to journal › Review article › peer-review

5 Scopus citations

Abstract

Catheter ablation of ventricular tachycardia (VT) has improved arrhythmia-free survival in patients with multiple VT episodes refractory to antiarrhythmic drugs. Recent studies have evaluated the role of early intervention with catheter ablation in patients experiencing a single episode of life-threatening ventricular arrhythmias and undergoing secondary prevention defibrillator implantation. Such "primary VT ablation" strategy has proven effective in reducing the VT recurrence rate compared with standard medical therapy (no antiarrhythmic drug). This article summarizes the evidence on primary VT ablation and discusses its clinical indications and outcomes compared with standard catheter ablation of drug-refractory recurrent VT (ie, secondary VT ablation).

Original language	English (US)
Pages (from-to)	675-688
Number of pages	14
Journal	Cardiac Electrophysiology Clinics
Volume	3
Issue number	4
DOIs	https://doi.org/10.1016/j.ccep.2011.08.014
State	Published - Dec 2011
Externally published	Yes

Keywords

Cardiac arrest
Catheter ablation
Ventricular tachycardia

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.ccep.2011.08.014

Cite this

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title = "Primary ablation for ventricular tachycardia: When and how?",

abstract = "Catheter ablation of ventricular tachycardia (VT) has improved arrhythmia-free survival in patients with multiple VT episodes refractory to antiarrhythmic drugs. Recent studies have evaluated the role of early intervention with catheter ablation in patients experiencing a single episode of life-threatening ventricular arrhythmias and undergoing secondary prevention defibrillator implantation. Such {"}primary VT ablation{"} strategy has proven effective in reducing the VT recurrence rate compared with standard medical therapy (no antiarrhythmic drug). This article summarizes the evidence on primary VT ablation and discusses its clinical indications and outcomes compared with standard catheter ablation of drug-refractory recurrent VT (ie, secondary VT ablation).",

keywords = "Cardiac arrest, Catheter ablation, Ventricular tachycardia",

author = "Pasquale Santangeli and {Di Biase}, Luigi and Amin Al-Ahmad and Henry Hsia and Burkhardt, {J. David} and Javier Sanchez and Rong Bai and Michela Casella and Russo, {Antonio Dello} and Claudio Tondo and Andrea Natale",

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language = "English (US)",

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T1 - Primary ablation for ventricular tachycardia

T2 - When and how?

AU - Santangeli, Pasquale

AU - Di Biase, Luigi

AU - Al-Ahmad, Amin

AU - Hsia, Henry

AU - Burkhardt, J. David

AU - Sanchez, Javier

AU - Bai, Rong

AU - Casella, Michela

AU - Russo, Antonio Dello

AU - Tondo, Claudio

AU - Natale, Andrea

PY - 2011/12

Y1 - 2011/12

N2 - Catheter ablation of ventricular tachycardia (VT) has improved arrhythmia-free survival in patients with multiple VT episodes refractory to antiarrhythmic drugs. Recent studies have evaluated the role of early intervention with catheter ablation in patients experiencing a single episode of life-threatening ventricular arrhythmias and undergoing secondary prevention defibrillator implantation. Such "primary VT ablation" strategy has proven effective in reducing the VT recurrence rate compared with standard medical therapy (no antiarrhythmic drug). This article summarizes the evidence on primary VT ablation and discusses its clinical indications and outcomes compared with standard catheter ablation of drug-refractory recurrent VT (ie, secondary VT ablation).

AB - Catheter ablation of ventricular tachycardia (VT) has improved arrhythmia-free survival in patients with multiple VT episodes refractory to antiarrhythmic drugs. Recent studies have evaluated the role of early intervention with catheter ablation in patients experiencing a single episode of life-threatening ventricular arrhythmias and undergoing secondary prevention defibrillator implantation. Such "primary VT ablation" strategy has proven effective in reducing the VT recurrence rate compared with standard medical therapy (no antiarrhythmic drug). This article summarizes the evidence on primary VT ablation and discusses its clinical indications and outcomes compared with standard catheter ablation of drug-refractory recurrent VT (ie, secondary VT ablation).

KW - Cardiac arrest

KW - Catheter ablation

KW - Ventricular tachycardia

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DO - 10.1016/j.ccep.2011.08.014

M3 - Review article

AN - SCOPUS:82755189154

SN - 1877-9182

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EP - 688

JO - Cardiac Electrophysiology Clinics

JF - Cardiac Electrophysiology Clinics

IS - 4

ER -

Primary ablation for ventricular tachycardia: When and how?

Abstract

Keywords

ASJC Scopus subject areas

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