{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:08:56Z","timestamp":1788480536054,"version":"build-2803163510"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"\u201cRicerca Corrente\u201d funding from Italian Ministry of Health to IRCCS Humanitas Research Hospital"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Pre-procedural imaging can facilitate scar-related ventricular tachycardia (VT) ablation, although only limited data have been reported. This prospective registry aimed to analyse procedural data and outcomes in a multi-centre setting of a pre-defined VT ablation strategy facilitated by the integration of pre-procedural imaging into the navigation system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Consecutive patients referred for scar-related left-sided VT ablation were prospectively enrolled at five European tertiary hospitals. Pre-procedural cardiac magnetic resonance (CMR)\u2013derived scar maps and\/or multi-detector computed tomography (MDCT)\u2013derived wall thinning maps of the left ventricle (LV) were obtained and integrated into the navigation system. An endocardial or endoepicardial approach was chosen based on the scar distribution at pre-procedural imaging. The decision of performing a detailed electro-anatomical map (EAM) of the LV (image-aided) or to using the pre-procedural imaging for guiding the ablation without obtaining an EAM (image-guided) was left to the physician\u2019s discretion. One hundred and seventy-one patients (71% with ischaemic cardiomyopathy) were included. Cardiac magnetic resonance was integrated in 159 (93%), MDCT in 113 (66%), and both in 101 (59%) procedures. Procedure-related complications occurred in 9 (5%) patients. At a mean follow-up of 18 \u00b1 19 months, the overall survival and VT recurrence-free survival were 91 and 74.4%, respectively. There were no significant differences in long-term ablation outcomes based on the type of cardiomyopathy (P = 0.88) or the pre-procedural imaging modality employed (P = 0.33). An image-guided approach appears feasible, safe, and faster, with reduced procedure, radiofrequency, and fluoroscopy times, without compromising efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In a large multi-centre prospective cohort, VT ablation facilitated by pre-procedural imaging is associated with favourable long-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euaf051","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T16:22:53Z","timestamp":1741796573000},"source":"Crossref","is-referenced-by-count":16,"title":["Outcomes of ventricular tachycardia ablation facilitated by pre-procedural cardiac imaging-derived scar characterization: a prospective multi-centre international registry"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7221-4829","authenticated-orcid":false,"given":"Diego","family":"Penela","sequence":"first","affiliation":[{"name":"Arrhythmology Department, IRCCS Humanitas Research Hospital , Rozzano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7128-9911","authenticated-orcid":false,"given":"Giulio","family":"Falasconi","sequence":"additional","affiliation":[{"name":"Arrhythmology Department, IRCCS Humanitas Research Hospital , Rozzano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1394-6260","authenticated-orcid":false,"given":"David","family":"Soto-Iglesias","sequence":"additional","affiliation":[{"name":"Heart Institute, Teknon Medical Centre , C\/ Vilana, 12, 08022, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1700-6604","authenticated-orcid":false,"given":"Juan","family":"Fern\u00e1ndez-Armenta","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Puerta del Mar University Hospital , Cadiz ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7274-4541","authenticated-orcid":false,"given":"Giulio","family":"Zucchelli","sequence":"additional","affiliation":[{"name":"Cardiac Thoracic and Vascular Department, University Hospital of Pisa , Pisa ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4843-7063","authenticated-orcid":false,"given":"Felipe","family":"Bisbal","sequence":"additional","affiliation":[{"name":"Heart Institute, Germans Trias i Pujol University Hospital , Badalona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0706-1987","authenticated-orcid":false,"given":"Fatima","family":"Zaraket","sequence":"additional","affiliation":[{"name":"Heart Institute, Teknon Medical Centre , C\/ Vilana, 12, 08022, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6825-243X","authenticated-orcid":false,"given":"Etelvino","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Puerta del Mar University Hospital , Cadiz ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9397-1938","authenticated-orcid":false,"given":"Matteo","family":"Parollo","sequence":"additional","affiliation":[{"name":"Cardiac Thoracic and Vascular Department, University Hospital of Pisa , Pisa ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6024-6278","authenticated-orcid":false,"given":"Alessia Chiara","family":"Latini","sequence":"additional","affiliation":[{"name":"Arrhythmology Department, IRCCS Humanitas Research Hospital , Rozzano ,","place":["Italy"]},{"name":"Department of Biomedical Sciences, Humanitas University, Pieve Emanuele , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0318-5349","authenticated-orcid":false,"given":"Jose","family":"Alderete","sequence":"additional","affiliation":[{"name":"Heart Institute, Teknon Medical Centre , C\/ Vilana, 12, 08022, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8317-561X","authenticated-orcid":false,"given":"Daniel","family":"Viveros","sequence":"additional","affiliation":[{"name":"Heart Institute, Teknon Medical Centre , C\/ Vilana, 12, 08022, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Bellido","sequence":"additional","affiliation":[{"name":"Heart Institute, Teknon Medical Centre , C\/ Vilana, 12, 08022, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9579-5413","authenticated-orcid":false,"given":"Dario","family":"Turturiello","sequence":"additional","affiliation":[{"name":"Heart Institute, Teknon Medical Centre , C\/ Vilana, 12, 08022, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0130-6218","authenticated-orcid":false,"given":"Chiara","family":"Valeriano","sequence":"additional","affiliation":[{"name":"Heart Institute, Teknon Medical Centre , C\/ Vilana, 12, 08022, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6157-058X","authenticated-orcid":false,"given":"Paula","family":"Franco-Oca\u00f1a","sequence":"additional","affiliation":[{"name":"Heart Institute, Teknon Medical Centre , C\/ Vilana, 12, 08022, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9475-1507","authenticated-orcid":false,"given":"Andrea","family":"Saglietto","sequence":"additional","affiliation":[{"name":"Heart Institute, Teknon Medical Centre , C\/ Vilana, 12, 08022, Barcelona ,","place":["Spain"]},{"name":"Department of Medical Sciences, University of Turin , Turin ,","place":["Italy"]},{"name":"Division of Cardiology, Cardiovascular and Thoracic Department, \u2018Citt\u00e0 della Salute e della Scienza\u2019 Hospital , Turin 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