Open surgical ablation of ventricular tachycardia: Utility and feasibility of contemporary mapping and ablation tools.

ABSTRACT:

Background

Ventricular tachycardia (VT) catheter ablation success may be limited when transcutaneous epicardial access is contraindicated. Surgical ablation (SurgAbl) is an option, but ablation guidance is limited without simultaneously acquired electrophysiological data.

Objective

We describe our SurgAbl experience utilizing contemporary electroanatomic mapping (EAM) among patients with refractory VT storm.

Methods

Consecutive patients with recurrent VT despite antiarrhythmic drugs (AADs) and prior ablation, for whom percutaneous epicardial access was contraindicated, underwent open SurgAbl using intraoperative EAM guidance.

Results

Eight patients were included, among whom mean age was 63 ± 5 years, all were male, mean left ventricular ejection fraction was 39

SUBMITTER: Kunkel M 

PROVIDER: S-EPMC8322924 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature