作者
Jorge Romero, Roberto C Cerrud-Rodriguez, Luigi Di Biase, Juan Carlos Diaz, Isabella Alviz, Vito Grupposo, Luis Cerna, Ricardo Avendano, Usha Tedrow, Andrea Natale, Roderick Tung, Saurabh Kumar
发表日期
2019/1
来源
JACC: Clinical Electrophysiology
卷号
5
期号
1
页码范围
13-24
出版商
American College of Cardiology Foundation
简介
Objectives
This study sought to determine whether combined endocardial-epicardial (endo-epi) ablation was superior to endocardial only ablation in patients with scar-related ventricular tachycardia (VT).
Background
Limited single-center studies suggest that combined endo-epi ablation strategy may be superior to endocardial ablation (endo) alone in patients with nonischemic cardiomyopathy (NICM) and arrhythmogenic right ventricular cardiomyopathy (ARVC), and ischemic cardiomyopathy (ICM).
Methods
A systematic review of Medline, Cochrane, and Embase databases was performed for studies that reported outcomes comparing endo-epi with endo VT ablation alone.
Results
Seventeen studies consisting of 975 patients were included (mean 56 ± 10 years of age; 79% male; NICM in 36.6%; ICM in 32.8%; and ARVC in 30.6%). After a mean follow-up of 27 ± 21 months, endo-epi ablation was associated with a …
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J Romero, RC Cerrud-Rodriguez, L Di Biase, JC Diaz… - JACC: Clinical Electrophysiology, 2019
