Edmond M Cronin 1 , Frank M Bogun 2 , Philippe Maury 3 , Petr Peichl 4 , Minglong Chen 5 , Narayanan Namboodiri 6 , Luis Aguinaga 7 , Luiz Roberto Leite 8 , Sana M Al-Khatib 9 , Elad Anter 10 , Antonio Berruezo 11 , David J Callans 12 , Mina K Chung 13 , Phillip Cuculich 14 , Andre d’Avila 15 , Barbara J Deal 16 , Paolo Della Bella 17 , Thomas Deneke 18 , Timm-Michael Dickfeld 19 , Claudio Hadid 20 , Haris M Haqqani 21 , G Neal Kay 22 , Rakesh Latchamsetty 2 , Francis Marchlinski 12 , John M Miller 23 , Akihiko Nogami 24 , Akash R Patel 25 , Rajeev Kumar Pathak 26 , Luis C Sáenz Morales 27 , Pasquale Santangeli 12 , John L Sapp 28 , Andrea Sarkozy 29 , Kyoko Soejima 30 , William G Stevenson 31 , Usha B Tedrow 32 , Wendy S Tzou 33 , Niraj Varma 13 , Katja Zeppenfeld 34 , Samuel J Asirvatham , Eduardo Back Sternick , Janice Chyou , Sabine Ernst , Guilherme Fenelon , Edward P Gerstenfeld , Gerhard Hindricks , Koichi Inoue , Jeffrey J Kim , Kousik Krishnan , Karl-Heinz Kuck , Martin Ortiz Avalos , Thomas Paul , Mauricio I Scanavacca , Roderick Tung , Jamie Voss , Takumi Yamada , Teiichi Yamane , ESC Scientific Document Group
May 10 2019
May 10 2019
Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.