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Improving outcomes from VT ablation

Some of the most innovative technologies being employed to treat patients with ventricular tachycardia (VT) were discussed during this session. Dr Charlotte Manisty (Bart’s Health NHS Trust, London) described the use of peri-procedural imaging using computed tomography (CT) and magnetic resonance imaging (MRI) to create 3D maps of scar in the heart, identify optimal ablation targets and help decide the approach to VT ablation. Some investigators are working on developing interventional cardiac MRI platforms using active and passive tracking catheters to gain real-time information and optimise VT ablation using imaging guidance.

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Dr Charlotte Manisty (Bart’s Health NHS Trust, London)

Dr Manisty presented a vision that one day, these developments in imaging could lead to an ability to identify VT circuits in 3D based on patterns of scar at different levels of tissue. Such information may be able to guide the electrophysiologist in improving success rates from catheter ablation (currently around 40–50% of patients have a recurrence of VT after an initial ablation procedure within one year).

Published on: November 8, 2016

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ENDORSED BY

  • ArrhythmiaAlliance
  • Stars
  • Anticoagulation Europe
  • Atrial Fibrillation Association
 

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