{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:06:58Z","timestamp":1777734418270,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Epicardial ventricular tachycardia (VT) ablation is a therapeutic option for drug\u2010refractory VT, particularly when endocardial ablation fails or is inadequate. However, accurately identifying patients who will benefit most from an epicardial approach remains challenging due to its higher procedure\u2010related risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to develop and validate a predictive scoring model \u2014 EPI\u2010VT\u2010Score \u2014 to identify patients likely to benefit from epicardial VT ablation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed data from 138 patients (mean age 64.9\u2009\u00b1\u200911.3 years, 89.9% male) who underwent VT ablation between 2018 and 2024. Four predictors \u2014 underlying cardiomyopathy, left ventricular ejection fraction (LVEF), number of prior VT ablations, and VT\u2010QRS interval \u2014 were identified and incorporated into the EPI\u2010VT\u2010Score, which ranges from 4 to 12 points. Score performance was assessed using area under curve (AUC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 138 patients, 51 (37.0%) underwent epicardial ablation. The EPI\u2010VT\u2010Score accurately predicted epicardial ablation necessity with an AUC of 0.990 (95% CI, 0.978\u20131.000). A score \u2265\u20098 identified epicardial need with 92.2% sensitivity and 100% specificity. Patients scoring &lt;\u20098 were effectively managed with endocardial\u2010only ablation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The EPI\u2010VT\u2010Score can be a clinical support to evaluate preprocedural necessity for epicardial access and the complexity of the procedure to improves procedural outcomes as well as minimize unnecessary procedural risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70061","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T08:17:36Z","timestamp":1755505056000},"page":"2870-2877","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Novel Predictive Score to Identify the Necessity for Epicardial Ventricular Tachycardia Ablation: EPI\u2010VT\u2010Score"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2454-1335","authenticated-orcid":false,"given":"Moneeb","family":"Khalaph","sequence":"first","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1470-7157","authenticated-orcid":false,"given":"Denise","family":"Guckel","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadica","family":"Trajkovska","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxim","family":"Didenko","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustapha El","family":"Hamriti","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology\/Electrophysiology GZO\u2010Spital Wetzikon Z\u00fcrich Suisse"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Braun","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guram","family":"Imnadze","sequence":"additional","affiliation":[{"name":"Medical Clinic A \u2013 Rhythmology University Hospital Ruppin\u2010Brandenburg Neuruppin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Lucas","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Fink","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Sciacca","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Beyer","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuri","family":"Bocchini","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Guareschi","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health University of Milan Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arseniy","family":"Goncharov","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology\/Angiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kawa","family":"Mohemed","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology\/Angiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volker","family":"Rudolph","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology\/Angiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0490-5862","authenticated-orcid":false,"given":"Christian","family":"Sohns","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3037-8704","authenticated-orcid":false,"given":"Philipp","family":"Sommer","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Heart and Diabetes Center NRW Ruhr University Bochum Bad Oeynhausen 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