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. 2024 Feb 1;26(2):euae030.
doi: 10.1093/europace/euae030.

Management of ventricular tachycardias: insights on centre settings, procedural workflow, endpoints, and implementation of guidelines-results from an EHRA survey

Arian Sultan  1 , Piotr Futyma  2   3 , Andreas Metzner  4 , Ante Anic  5 , Sergio Richter  6 , Laurent Roten  7 , Patrick Badertscher  7 , Giulio Conte  8 , Julian K R Chun  9
Affiliations

Management of ventricular tachycardias: insights on centre settings, procedural workflow, endpoints, and implementation of guidelines-results from an EHRA survey

Arian Sultan et al. Europace. .

Abstract

Ventricular tachycardia (VT), and its occurrence, is still one of the main reasons for sudden cardiac death and, therefore, for increased mortality and morbidity foremost in patients with structural heart [Kahle A-K, Jungen C, Alken F-A, Scherschel K, Willems S, Pürerfellner H et al. Management of ventricular tachycardia in patients with ischaemic cardiomyopathy: contemporary armamentarium. Europace 2022;24:538-51]. Catheter ablation has become a safe and effective treatment option in patients with recurrent VT [Cronin EM, Bogun FM, Maury P, Peichl P, Chen M, Namboodiri N et al. 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias. Heart Rhythm 2020;17:e2-154]. Previous and current guidelines provide guidance on indication for VT ablation and risk assessment and evaluation of underlying disease. However, no uniform recommendation is provided regarding procedural strategies, timing of ablation, and centre setting. Therefore, these specifics seem to differ largely, and recent data are sparse. This physician-based European Heart Rhythm Association survey aims to deliver insights on not only infrastructural settings but also procedural specifics, applied technologies, ablation strategies, and procedural endpoints. Therefore, these findings might deliver a real-world scenario of VT management and potentially are of guidance for other centres.

Keywords: Advanced ablation; Guidelines; Medical therapy; Sudden cardiac death; VT ablation.

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Conflict of interest statement

Conflict of interest: I have read the journal’s policy, and the authors of this manuscript have the following competing interests: A.S. has received speaker honoraria and consulting fees from Abbott, Boston Scientific, J&J, and Medtronic. L.R. has received speaker honoraria from Abbott and consulting honoraria from Medtronic. He also has received a research grant to the institution from Medtronic. All remaining authors declare that no competing interests exist.

Figures

Graphical Abstract
Graphical Abstract
Figure 1
Figure 1
Response by countries.
Figure 2
Figure 2
Distribution of used AADs and/or adjunctive treatments to treat VT or VT storm.
Figure 3
Figure 3
Timing of first ablation attempt.
Figure 4
Figure 4
Use and/or access to advanced ablation techniques if conventional ablation failed.
Figure 5
Figure 5
Distribution of procedural endpoints in VT ablation.
Figure 6
Figure 6
Workflow for VT ablation: Procedural strategy, mapping and used tools.
See this image and copyright information in PMC

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References

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