The dividing line of arrhythmogenic right ventricular cardiomyopathy and Brugada syndrome at epicardial ablation era: Limited to or beyond RVOT?

2019 ◽  
Vol 42 (6) ◽  
pp. 771-773
Author(s):  
Dursun Aras ◽  
Ozcan Ozeke ◽  
Serkan Cay ◽  
Firat Ozcan ◽  
Serkan Topaloglu
2016 ◽  
Vol 32 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Shohei Kataoka ◽  
Naoki Serizawa ◽  
Kazutaka Kitamura ◽  
Atsushi Suzuki ◽  
Tsuyoshi Suzuki ◽  
...  

Author(s):  
Domenico Corrado ◽  
Alessandro Zorzi ◽  
Marina Cerrone ◽  
Ilaria Rigato ◽  
Marco Mongillo ◽  
...  

Author(s):  
Ryohsuke Narui ◽  
Shinichi Tanigawa ◽  
Ikutaro Nakajima ◽  
Kenichi Tokutake ◽  
Tomofumi Nakamura ◽  
...  

Background - Options when endocardial ventricular arrhythmia (VA) ablation fails include epicardial, simultaneous two site unipolar radiofrequency (SURF) and transcoronary ethanol (TCE) ablation. Recently, investigational needle ablation has also been used, but how it compares to other advanced methods is not clear. This study sought to compare outcomes and complications for needle ablation versus other advanced ablation techniques in patients with structural heart disease, VA, and failed endocardial ablation. Methods - We retrospectively reviewed 136 procedures in 119 consecutive patients with structural heart disease (excluding arrhythmogenic right ventricular cardiomyopathy) who failed endocardial ablation and underwent ablation with either an investigational needle catheter (27 gauge, single end hole) or with other advanced techniques including epicardial, SURF or TCE ablation. Results - Of 136 procedures, needle ablation was performed in 58 procedures. In the remaining 78 procedures, 65 were epicardial ablation including 10 with SURF ablation from endocardial and epicardial sites, seven with SURF from both sides of the septum, one SURF and TCE ablation, and five TCE ablation procedures. Acute outcomes, 6-month VA recurrence, and mortality rates were not different between the two groups (49% vs 55%, P=0.54, 45% vs 46%, P=1.00, and 4% vs 3%, P=1.00, respectively). There were 22 major complications observed in 22 procedures with pericardial bleeding occurring less frequently with needle ablation (1.7% vs 12.8%, P=0.02). Conclusions - Ablation with an irrigated needle catheter compares favorably to other advanced ablation techniques.


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