The Lead Episode 111: A Discussion of Computed Tomography-Guided-Catheter Ablation for Ventricular Tachycardia: The InEurHeart Multicentric Randomized Control Trial-The Lead Episode 111 (video)

Video Transcription

Video Summary

In this episode of Heart Rhythm Society's "The Lead," Jason Jacobson hosts a discussion on the INYOURHEART trial, which evaluates CT-guided ventricular tachycardia ablation. Experts Natalia Trianova and Tim Dickfeld analyze the study, which was conducted in four European countries across 14 centers. The trial assesses CT-guided ablation against traditional methods, involving 113 patients with ventricular tachycardia. The procedure time was significantly reduced in the CT group, while outcomes like VT recurrence and costs were favorable, albeit not statistically significant. The discussion highlights limitations, such as assumptions about scar transmurality and potential missing targets due to exclusive focus on wall thinning. Despite these challenges, CT-guided ablation shows promise for accessibility in various medical centers and a reduction in procedure times, though further advancements and refinements, including improved imaging techniques, are necessary for better success rates in the future.

Keywords

ventricular tachycardia

CT-guided ablation

INYOURHEART trial

procedure time

imaging techniques