Local activation time guided versus anatomical approach for ablation of premature ventricular complexes originating from the cardiac base
N Tsianakas, P Bengel, P Huisl, N Schneider, P Starcke, S Sossalla, B Dinov · 2026
Read Local activation time guided versus anatomical approach for ablation of premature ventricular complexes originating from the cardiac base by N Tsianakas, P Bengel, P Huisl, N Schneider, P Starcke, S Sossalla, B Dinov (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13300387.txt.
Description
N Tsianakas and colleagues compare two targeting strategies for extra heartbeats arising near the base of the heart, in a 2026 retrospective study. Standard practice burns the site of earliest electrical activation, while an anatomical fallback burns neighboring structures when that site cannot be reached. The single-center series covered forty-eight patients with frequent symptomatic extra beats from the outflow tracts, the distal coronary sinus, or the aorto-mitral region.
Twenty-seven patients received activation-guided ablation and twenty-one the anatomical approach. Acute success was universal in the guided group and reached about seventy-one percent with the fallback. Extra beat burden fell sharply under both strategies, though recurrence during follow-up was higher after anatomical ablation, at 54 percent against 32 percent. The authors present the fallback as feasible when guidance fails, while noting its weaker long-term results.
Catalog record
| CREATOR | N Tsianakas, P Bengel, P Huisl, N Schneider, P Starcke, S Sossalla, B Dinov |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |