Key result
Catheter ablation of outflow tract or fascicular premature ventricular complexes is successful in 80% to 100% of cases and can reverse PVC-mediated cardiomyopathy.
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This review summarizes the mechanisms, electrocardiographic localization, clinical indications, and mapping techniques for catheter ablation of premature ventricular complexes.
We reviewed the underlying principles that allow for safe and effective ablation for premature ventricular complexes. Clinical scenarios that necessitate consideration for ablation, the underlying anatomy, and the unique consideration to maximize energy delivery without compromising safety are sequentially examined.
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Noheria et al. (2015) conducted a review in Premature ventricular complexes (PVCs). Catheter ablation vs. Medical therapy was evaluated. Catheter ablation of outflow tract or fascicular premature ventricular complexes is successful in 80% to 100% of cases and can reverse PVC-mediated cardiomyopathy.
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