Journal article

Catheter Ablation of Ventricular Tachycardia in Patients With a Ventricular Assist Device A Systematic Review of Procedural Characteristics and Outcomes

Robert D Anderson, Geoffrey Lee, Sohaib Virk, Richard G Bennett, Christopher S Hayward, Kavitha Muthiah, Jonathan Kalman, Saurabh Kumar

JACC Clinical Electrophysiology | ELSEVIER | Published : 2019


OBJECTIVES: This is a systematic review summarizing the procedural characteristics and outcomes of ventricular assist device (VAD)-related ventricular tachycardia (VT) ablation. BACKGROUND: Drug-refractory VT refractory commonly develops post-VAD implantation. Procedural and outcome data come from small series or case reports. METHODS: An electronic search was performed using major databases. Primary outcomes were VT recurrence, mortality, and cardiac transplantation. Secondary endpoints were acute procedural success and procedural complications. RESULTS: Eighteen studies were included, with a total of 110 patients (mean age 59.6 ± 11 years, 89% men; VT storm 34%). Scar-related re-entry was ..

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Funding Acknowledgements

Dr. Anderson has been supported by postgraduate scholarships co-funded by the National Health and Medical Research Council (NHMRC) and Royal Australasian College of Physicians NHMRC Woodcock Scholarships. Dr. Hayward has served as a consultant for Medtronic. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.