ESC Cardio Talk cover image

ESC Cardio Talk

Journal Editorial - Post-ablation cardiac magnetic resonance in ventricular tachycardia ablation: shining light on dark cores and corridors

Jan 22, 2024
Discussions on using Post-Ablation Cardiac Magnetic Resonance to evaluate ablation lesions in ventricular tachycardia, advancements in CMR for predicting recurrence, analyzing factors influencing low VT recurrence rate, exploring precision care in ablation, and novel ablation technologies for improving outcomes.
15:38

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Quick takeaways

  • Post-ablation CMR can predict VT recurrence by detecting conducting channels.
  • Future VT ablation research will focus on optimizing CMR techniques and interdisciplinary collaboration.

Deep dives

Key Findings of the PAM VT Study

The PAM VT study focused on post-ablation late-catalyan enhancement CMR to evaluate ablation lesions. The study revealed significant reductions in conducting channels post-ablation through CMR imaging. Dark core lesions were present but did not correlate with conducting channel reduction. Detecting two or more channels post-ablation predicted VT recurrence, emphasizing the importance of post-ablation CMR in predicting outcomes.

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