Key result
Epicardial ablation may improve the results of ventricular tachycardia ablation in almost all cardiomyopathies and is an important tool for scar-related ventricular arrhythmias.
Why the study?
Does epicardial ablation improve outcomes in patients with scar-related ventricular arrhythmias?
Does epicardial ablation improve outcomes in patients with scar-related ventricular arrhythmias?
Epicardial ablation is an important tool for managing scar-related ventricular arrhythmias, with outcomes and safety improved by new imaging techniques.
Should not yet change practice; leaves open need for prospective trials on epicardial VT ablation.
PURPOSE OF REVIEW: To review the most relevant published data on epicardial ablation of cardiac arrhythmias in the last few years. RECENT FINDINGS: Several studies performing epicardial and endocardial ablation have demonstrated that epicardial ablation may improve the results of ventricular tachycardia (VT) ablation in almost all cardiomyopathies. New imaging techniques have been recently applied, refining the identification of patients who actually benefit from epicardial ablation and increasing its safety. SUMMARY: Epicardial VT ablation is an important tool for electrophysiologists to deal with the challenge of scar-related ventricular arrhythmias.
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Pisani et al. (2013) conducted a review in Cardiac arrhythmias / Ventricular tachycardia. Epicardial ablation was evaluated. Epicardial ablation may improve the results of ventricular tachycardia ablation in almost all cardiomyopathies and is an important tool for scar-related ventricular arrhythmias.
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