Efficacy of advanced pace-mapping technology for idiopathic premature ventricular complexes ablation

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
J FedidaS Knecht

Abstract

Catheter ablation is an effective treatment for premature ventricular complexes (PVCs). Activation mapping is accurate but requires PVCs at the time of the ablation. Pace-mapping correlation (PMC) is a supplemental tool recently developed as an integrated module for an electro-anatomical mapping platform. Our study sought to investigate whether pace-mapping technology provides similar ablation results in patients with low versus high idiopathic PVC burden at the time of ablation and the relationship between sites with the highest PMC and the earliest local activation time (LAT). A total of 59 consecutive patients undergoing catheter ablation for idiopathic PVCs were enrolled. Twelve out of 59 patients (20%) were classified in the low PVC burden group (defined as < 2 PVCs/min) and 47/59 (80%) in the high PVC burden group. The most common origin of PVCs was the right ventricular outflow tract (RVOT) followed by aortic cusps, coronary sinus, parahisian region, and aorto-mitral continuity. Procedural and 1-month success rate were 95 and 87% respectively. PVC burden at the time of ablation did not influence the success rate. The median distance between the earliest LAT points and the highest PMC points was 6.4 (4.9-10.6) mm. Pace-ma...Continue Reading

References

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Citations

Aug 20, 2019·Journal of Cardiovascular Electrophysiology·Yasuhiro ShiraiRobert D Schaller
Sep 8, 2019·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Dhani DharmapraniAndrew D McGavigan
May 25, 2021·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Beatriz JáureguiAntonio Berruezo

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