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February 28, 2006Journal of Cardiovascular Electrophysiology

Catheter Ablation of Stable and Unstable Ventricular Tachycardias in Patients with Arrhythmogenic Right Ventricular Dysplasia

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Key result

Catheter ablation using CARTO guidance rendered 88% of ventricular tachycardias noninducible, with 76.5% of ARVD patients remaining free from VT episodes over a mean 26-month follow-up.

Why the study?

Does catheter ablation using CARTO guidance prevent VT recurrence in patients with ARVD?

Population

17 patients with arrhythmogenic right ventricular dysplasia and stable or unstable ventricular tachycardias…

Design

Case_series

Follow-up

26 +/- 15 months

Authors

KSKazuhiro SatomiElectrophysiologyTKTakashi KuritaElectrophysiologyKSKazuhiro SuyamaNational Health Insurance Fund

Discussion

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Implication

Supports CARTO-guided ablation in select ARVD cases; leaves open generalizability without randomized data.

Study Design

Type

Observational (n=17)

Structured PICO

Does catheter ablation using CARTO guidance prevent VT recurrence in patients with ARVD?

P
Population
17 patients with arrhythmogenic right ventricular dysplasia (ARVD) and stable or unstable ventricular tachycardias, 13 men, mean age 47 +/- 17 years.
I
Intervention
Catheter ablation utilizing electroanatomical mapping system (CARTO) guidance.
O
Outcome
Noninducibility of VT after catheter ablation and freedom from VT episodes during follow-up.hard clinical

Catheter ablation guided by the CARTO electroanatomical mapping system is effective for characterizing substrates and abolishing ventricular tachycardia in patients with ARVD.

Cite This Study

Satomi et al. (2006) conducted an observational in Arrhythmogenic Right Ventricular Dysplasia with Ventricular Tachycardia (n=17). Catheter ablation using CARTO electroanatomical mapping was evaluated on Freedom from any ventricular tachycardia episodes during follow-up. Catheter ablation using CARTO guidance rendered 88% of ventricular tachycardias noninducible, with 76.5% of ARVD patients remaining free from VT episodes over a mean 26-month follow-up.

synapsesocial.com/papers/6a189d4e673175fe754aaee9https://doi.org/10.1111/j.1540-8167.2006.00434.x

Topics

Ventricular arrhythmiasAF ablation outcomes
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Electroanatomic Substrate and Outcome of Catheter Ablative Therapy for Ventricular Tachycardia in Setting of Right Ventricular Cardiomyopathy2004 · 257 citations
  2. 2Radiofrequency Catheter Ablation of Ventricular Tachycardia in Right Ventricular Cardiomyopathy:1996 · 12 citations
  3. 3<b>Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy:</b> A Review1995 · 256 citations
  4. 4Why Is Catheter Ablation Less Successful than Surgery for Treating Ventricular Tachycardia that Results from Coronary Artery Disease?1994 · 56 citations
  5. 5Ventricular Tachycardia Associated with Bidirectional Reentrant Circuit Around the Tricuspid Annulus in Arrhythmogenic Right Ventricular Dysplasia2003 · 10 citations