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Surgical Ablation of Refractory Ventricular Tachycardia in Patients With Nonischemic Cardiomyopathy
Author(s) -
Elad Anter,
Mathew D. Hutchinson,
Rajat Deo,
Haris M. Haqqani,
David J. Callans,
Edward P. Gerstenfeld,
Fermin C. García,
Rupa Bala,
David Lin,
Michael P. Riley,
Harold Litt,
Young Woo,
Michael A. Acker,
Wilson Y. Szeto,
Erica S. Zado,
Francis E. Marchlinski,
Sanjay Dixit
Publication year - 2011
Publication title -
circulation arrhythmia and electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.684
H-Index - 102
eISSN - 1941-3149
pISSN - 1941-3084
DOI - 10.1161/circep.111.962555
Subject(s) - medicine , ventricular tachycardia , catheter ablation , cardiology , ablation , percutaneous , cryoablation , perioperative , ischemic cardiomyopathy , tachycardia , refractory (planetary science) , cardiomyopathy , surgery , heart failure , ejection fraction , astrobiology , physics
The surgical approach for the treatment of ventricular tachycardia (VT) has been largely replaced by percutaneous, catheter-based techniques. However, some VT circuits, particularly in patients with nonischemic cardiomyopathy, remain inaccessible to percutaneous ablation. Surgical therapy of these VTs is an alternative approach; however, its methodology has not been well defined. The purpose of this study was to evaluate the efficacy of preoperative electroanatomic and electrophysiological characterization of the VT substrate and circuit to guide surgical ablation.

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