The 2019 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Catheter Ablation of Ventricular Arrhythmias-Catheter Ablation of Ventricular Arrhythmias

Catheter Ablation of Ventricular Arrhythmias

Pdf Summary

The document provides an overview and recommendations for the management of ventricular arrhythmias using catheter ablation. It emphasizes the importance of individualized patient care and discusses advances in mapping techniques, ablation power sources, and imaging technologies. The document covers various topics, including patient evaluation, procedural planning, and postprocedural care. It also highlights future directions in the field. The document serves as a comprehensive guide for clinicians and researchers in the field of ventricular arrhythmias.<br /><br />The document highlights the historical development of catheter ablation techniques for ventricular arrhythmias and summarizes advancements in mapping and ablation techniques. It discusses the use of various imaging modalities and technologies to improve the identification and elimination of ventricular arrhythmia substrates. The document also discusses the management of high-risk patients, including the use of risk assessment tools and a multidisciplinary approach. It provides recommendations for patient preparation, anesthesia, and access during ablation procedures. The document also discusses the use of hemodynamic support, ventricular assist devices, and anticoagulation during ablation procedures. The monitoring of fluid balance and the use of imaging techniques during ablation procedures are also highlighted. The document provides guidelines for operators performing ablation procedures, emphasizing the importance of operator proficiency, patient safety, and routine equipment maintenance. The document also discusses the management of specific types of ventricular arrhythmias, such as bundle branch reentrant VT, fascicular VT, and postinfarction VT. It provides recommendations for the treatment of ventricular arrhythmias in various rare cardiomyopathies and clinical scenarios. The document also discusses different strategies and endpoints for catheter ablation procedures and provides recommendations for postprocedural care and complications associated with VA ablation. The document emphasizes the importance of individualized treatment approaches and the use of multiple strategies in combination. It provides recommendations for long-term follow-up assessments and outcomes monitoring following ablation procedures. Overall, the document provides a comprehensive overview of the management of ventricular arrhythmias using catheter ablation and serves as a valuable resource for clinicians and researchers in the field.

Keywords

ventricular arrhythmias

catheter ablation

mapping techniques

ablation power sources

imaging technologies

patient evaluation

procedural planning

postprocedural care

operator proficiency

complications