{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:19:37Z","timestamp":1787008777304,"version":"build-2736575974"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T00:00:00Z","timestamp":1668038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"French Government"},{"name":"National Research Agency","award":["ANR-10-IAHU-04"],"award-info":[{"award-number":["ANR-10-IAHU-04"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Assess prevalence, risk factors, and management of patients with intra-cardiac thrombus referred for scar-related ventricular tachycardia (VT) ablation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Consecutive VT ablation referrals between January 2015 and December 2019 were reviewed (n = 618). Patients referred for de novo, scar-related VT ablation who underwent pre-procedure cardiac computed tomography (cCT) were included. We included 401 patients [61 \u00b1 14 years; 364 male; left ventricular ejection fraction (LVEF) 40 \u00b1 13%]; 45 patients (11%) had cardiac thrombi on cCT at 49 sites [29 LV; eight left atrial appendage (LAA); eight right ventricle (RV); four right atrial appendage]. Nine patients had pulmonary emboli. Overall predictors of cardiac thrombus included LV aneurysm [odds ratio (OR): 6.6, 95%, confidence interval (CI): 3.1\u201314.3], LVEF &amp;lt; 40% (OR: 3.3, CI: 1.5\u20137.3), altered RV ejection fraction (OR: 2.3, CI: 1.1\u20134.6), and electrical storm (OR: 2.9, CI: 1.4\u20136.1). Thrombus location-specific analysis identified LV aneurysm (OR: 10.9, CI: 4.3\u201327.7) and LVEF &amp;lt; 40% (OR: 9.6, CI: 2.6\u201335.8) as predictors of LV thrombus and arrhythmogenic right ventricular cardiomyopathy (OR: 10.6, CI: 1.2\u201398.4) as a predictor for RV thrombus. Left atrial appendage thrombi exclusively occurred in patients with atrial fibrillation. Ventricular tachycardia ablation was finally performed in 363 including 7 (16%) patients with thrombus but refractory electrical storm. These seven patients had tailored ablation with no embolic complications. Only one (0.3%) ablation-related embolic event occurred in the entire cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cardiac thrombus can be identified in 11% of patients referred for scar-related VT ablation. These findings underscore the importance of systematic thrombus screening to minimize embolic risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euac156","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T16:27:34Z","timestamp":1661444854000},"page":"487-495","source":"Crossref","is-referenced-by-count":13,"title":["Prevalence and risk factors of cardiac thrombus prior to ventricular tachycardia catheter ablation in structural heart disease"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0120-9669","authenticated-orcid":false,"given":"Thomas","family":"Bonnin","sequence":"first","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6167-4947","authenticated-orcid":false,"given":"Pierre","family":"Roumegou","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0307-1758","authenticated-orcid":false,"given":"Soumaya","family":"Sridi","sequence":"additional","affiliation":[{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"},{"name":"Department of Radiology, Bordeaux University Hospital (CHU) , Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saagar","family":"Mahida","sequence":"additional","affiliation":[{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2845-8617","authenticated-orcid":false,"given":"Aur\u00e9lien","family":"Bustin","sequence":"additional","affiliation":[{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"},{"name":"Department of Radiology, Bordeaux University Hospital (CHU) , Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4367-1117","authenticated-orcid":false,"given":"Josselin","family":"Duchateau","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4093-0483","authenticated-orcid":false,"given":"Romain","family":"Tixier","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Derval","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6763-2350","authenticated-orcid":false,"given":"Thomas","family":"Pambrun","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7305-311X","authenticated-orcid":false,"given":"Ghassen","family":"Chniti","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6734-0569","authenticated-orcid":false,"given":"Takamitsu","family":"Takagi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2964-2544","authenticated-orcid":false,"given":"Tsukasa","family":"Kamakura","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4367-2363","authenticated-orcid":false,"given":"Philipp","family":"Krisai","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4052-4047","authenticated-orcid":false,"given":"Clementine","family":"Andre","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7148-440X","authenticated-orcid":false,"given":"R\u00e9mi","family":"Chauvel","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7957-8766","authenticated-orcid":false,"given":"Meleze","family":"Hocini","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7644-6146","authenticated-orcid":false,"given":"Michel","family":"Haissaguerre","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4700-7811","authenticated-orcid":false,"given":"Pierre","family":"Jais","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7772-5331","authenticated-orcid":false,"given":"Hubert","family":"Cochet","sequence":"additional","affiliation":[{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , France"},{"name":"Department of Radiology, Bordeaux University Hospital (CHU) , Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8348-9320","authenticated-orcid":false,"given":"Frederic","family":"Sacher","sequence":"additional","affiliation":[{"name":"Department of Cardiac Pacing and Electrophysiology, Hopital cardiologique du Haut-Leveque, Bordeaux University Hospital (CHU) , 33604 Bordeaux , France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, University Bordeaux , F-33600 Bordeaux , 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cardiomyopathy","volume":"25","author":"Wu","year":"2014","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2023041412153099300_","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.ahj.2005.08.021","article-title":"Clinical, imaging, and pathological characteristics of left ventricular thrombus: a comparison of contrast-enhanced magnetic resonance imaging, transthoracic echocardiography, and transesophageal echocardiography with surgical or pathological validation","volume":"152","author":"Srichai","year":"2006","journal-title":"Am Heart J"},{"key":"2023041412153099300_","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.jcct.2011.12.006","article-title":"Left ventricular thrombus attenuation characterization in cardiac computed tomography angiography","volume":"6","author":"Bittencourt","year":"2012","journal-title":"J Cardiovasc Comput 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