Outcomes with prophylactic use of percutaneous left ventricular assist devices in high-risk patients undergoing catheter ablation of scar-related ventricular tachycardia: A propensity-score matched analysis

Heart Rhythm : the Official Journal of the Heart Rhythm Society
Daniele MuserPasquale Santangeli

Abstract

The PAINESD score predicts the risk of periprocedural acute hemodynamic decompensation (AHD) and postprocedural mortality in patients undergoing catheter ablation (CA) of scar-related ventricular tachycardia (VT). The role of prophylactic placement of percutaneous left ventricular assist devices (pLVADs) in high-risk patients is unknown. The purpose of this study was to evaluate the outcomes of prophylactic use of pLVAD in high-risk patients undergoing CA of scar-related VT. We included 75 patients undergoing CA of scar-related VT in whom a prophylactic pLVAD was implanted because of perceived high risk. The control population was a propensity-matched group of 75 patients who did not undergo prophylactic pLVAD placement. The PAINESD score was used for propensity matching. The median PAINESD score was 13 (41% with score ≥15) in the prophylactic pLVAD group and 12 (40% with score ≥15) in the control group. Periprocedural AHD occurred in 5 patients (7%) in the prophylactic pLVAD group and in 17 patients (23%) in the control group (P < .01). The 12-month cumulative incidence of VT was 40% in the prophylactic pLVAD group vs 41% in the control group (P = .97), while the 12-month incidence of death/transplant was 33% vs 66%, respectiv...Continue Reading

Citations

May 11, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Edmond M CroninUNKNOWN ESC Scientific Document Group
Nov 21, 2019·Annual Review of Medicine·Pasquale Santangeli, Francis E Marchlinski
Dec 28, 2018·Arrhythmia & Electrophysiology Review·Daniele MuserPasquale Santangeli
Sep 20, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Qi ChenNilesh Mathuria
Apr 14, 2020·Circulation. Arrhythmia and Electrophysiology·Jad A BalloutAyman A Hussein
Jan 28, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Edmond M CroninKatja Zeppenfeld
Jan 1, 2021·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Paolo Della BellaFrancesca Baratto
Oct 31, 2020·JACC. Clinical Electrophysiology·Juan Fernandez-ArmentaAntonio Berruezo
Apr 2, 2020·International Journal of Cardiology·Silvia MarianiRoberto Lorusso
Feb 20, 2021·JACC. Clinical Electrophysiology·Ling KuoPasquale Santangeli
May 2, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·L Christian Napp, Mir B Basir
Dec 21, 2019·JACC. Clinical Electrophysiology·Gustavo S GuandaliniFrancis E Marchlinski
Jul 29, 2021·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Shibu MathewFeifan Ouyang

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