Why the study?
Incessant VT in advanced ischaemic cardiomyopathy is difficult to eliminate with conventional RF ablation when maintained by deep intramyocardial scar channels, whereas PFA has potential to target arrhythmogenic tissue while minimising collateral injury.
Does sequential dual-energy RF and PFA ablation terminate incessant VT in a patient with severe ischaemic cardiomyopathy?
Population
One 60-year-old man with severe ischaemic cardiomyopathy and incessant VT
Comparison
Sequential dual-energy strategy combining RF and PFA under eCPR via VA-ECMO
Design
Case report
Follow-up
Day 5
Authors
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Feasible adjunct for incessant VT in intramural post-MI substrate; leaves open safety and adoption pending systematic evaluation.
Does sequential dual-energy RF and PFA ablation terminate incessant VT in a patient with severe ischaemic cardiomyopathy?
Colocalized sequential RF and PFA ablation is a feasible adjunct strategy for terminating incessant VT in suspected intramural post-infarction substrate, though further systematic evaluation is needed.
Borlich et al. (2026) studied this question.
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