Key result
Total right ventricular disarticulation is linked to fewer postoperative ventricular arrhythmias than partial isolation.
Why the study?
The role of late potentials in the postoperative development of ventricular arrhythmias after right ventricular disarticulation procedures was unclear.
Does total right ventricular disarticulation reduce postoperative ventricular arrhythmias compared to partial isolation procedures in patients with arrhythmogenic right ventricular disease?
Observational
Does total right ventricular disarticulation reduce postoperative ventricular arrhythmias compared to partial isolation procedures in patients with arrhythmogenic right ventricular disease?
Total right ventricular disarticulation may be the preferred surgical approach over partial isolation for arrhythmogenic right ventricular disease as it is associated with fewer postoperative arrhythmias.
Answers are grounded in this paper and cite their sources.
May support total RV disarticulation to reduce postoperative arrhythmias in arrhythmogenic right ventricular disease; leaves open need for randomized confirmation.
Arrhythmogenic right ventricular disease may be associated with life-threatening and drug refractory ventricular arrhythmias. Right ventricular disarticulation procedures are effective antiarrhythmic surgical approaches in selected patients. This study examined the role of late potentials in the postoperative development of new ventricular arrhythmias, and showed that right ventricular isolation is effective, probably because it destroys the tissue giving rise to late potentials. Total disarticulation is associated with fewer postoperative arrhythmias than partial isolation procedures. Total disarticulation may be the surgical approach of choice in such patients.
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Doig et al. (1997) conducted an observational in Arrhythmogenic right ventricular disease. Total right ventricular disarticulation vs. Partial isolation procedures was evaluated on Postoperative development of new ventricular arrhythmias. Total right ventricular disarticulation is associated with fewer postoperative ventricular arrhythmias than partial isolation procedures.
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