{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:19:32Z","timestamp":1787008772580,"version":"build-2736575974"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Ventricular tachycardia (VT) substrate-based ablation has an increasing role in patients with structural heart disease-related VT. VT is linked to re-entry in relation to myocardial scarring with areas of conduction block (core scar) and areas of slow conduction [border zone (BZ)]. VT substrate can be analysed by late gadolinium enhancement cardiac magnetic resonance (LGE-CMR). Our study aims to analyse the role of LGE-CMR in identifying predictors of VT recurrence after ablation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>We analysed 110 consecutive patients who underwent VT ablation from 2013 to 2018. All patients underwent a preprocedural LGE-CMR, and in 94 patients (85.5%), the CMR was used to aid the ablation. All LGE-CMR images were semi-automatically processed using dedicated software to detect scarring and conducting channels. After a median follow-up of 2.7\u2009\u00b1\u20091.6\u2009years, the overall VT recurrence was 41.8% with an implantable cardioverter-defibrillator shock reduction from 43.6% to 28.2% before and after ablation, respectively. The amount of BZ (26.6\u2009\u00b1\u200913.9 vs. 19.6\u2009\u00b1\u20099.7 g, P\u2009=\u20090.012), the total amount of scarring (37.1\u2009\u00b1\u200918.2 vs. 29\u2009\u00b1\u200916.3\u2009g, P\u2009=\u20090,033), and left ventricular (LV) mass (168.3\u2009\u00b1\u200953.3 vs. 152.3\u2009\u00b1\u200946.4 g, P\u2009&amp;lt;\u20090.001) were associated with VT recurrence. LGE septal distribution [62.5% vs. 37.8%; hazard ratio (HR) 1.67 (1.02\u20133.93), P\u2009=\u20090.044], channels with transmural path [66.7% vs. 31.4%, HR 3.25 (1.70\u20136.23), P\u2009&amp;lt;\u20090.001], and midmural channels [54.3% vs. 27.6%, HR 2.49 (1.21\u20135.13), P\u2009=\u20090.013] were related with VT recurrence. Multivariate analysis showed that the presence of septal LGE [HR 3.67 (1.60\u20138.38), P\u2009=\u20090.002], transmural channels [HR 2.32 (1.15\u20134.72), P\u2009=\u20090.019], and LV mass [HR 1.01 (1.005\u20131.019), P\u2009=\u20090.002] were independent predictors of VT recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pre-procedural LGE-CMR is a helpful and feasible technique to identify patients with high risk of VT recurrence after ablation. LV mass, septal LGE distribution, and transmural channels were predictive factors of post-ablation VT recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euab127","type":"journal-article","created":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T16:53:39Z","timestamp":1620406419000},"page":"1437-1445","source":"Crossref","is-referenced-by-count":26,"title":["Cardiac magnetic resonance to predict recurrences after ventricular tachycardia ablation: septal involvement, transmural channels, and left ventricular mass"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8779-5461","authenticated-orcid":false,"given":"Levio","family":"Quinto","sequence":"first","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Alarc\u00f3n","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paz","family":"Garre","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Zaraket","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Prat-Gonzalez","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose T","family":"Ortiz-Perez","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario","family":"Jes\u00fasPerea","sequence":"additional","affiliation":[{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"},{"name":"Centre de Diagn\u00f2stic per la Imatge, Hospital Cl\u00ednic, Universitat de Barcelona, Barcelona, Catalonia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-5319","authenticated-orcid":false,"given":"Eduard","family":"Guasch","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Maria","family":"Tolosana","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi 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Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5662-8302","authenticated-orcid":false,"given":"Josep","family":"Brugada","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0543-2131","authenticated-orcid":false,"given":"Antonio","family":"Berruezo","sequence":"additional","affiliation":[{"name":"Arrhythmia Section Institut Clinic Cardiovascular, Hospital Cl\u00ednic, Universitat de Barcelona, Villarroel, 170, 08036Barcelona, Catalonia, Spain"},{"name":"Institut 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