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First-in-Human Experience With Ultra-Low Temperature Cryoablation for Monomorphic Ventricular Tachycardia

T. De Potter, JC. Balt, L. Boersma, F. Sacher, P. Neuzil, V. Reddy, I. Grigorov, A. Verma

. 2023 ; 9 (5) : 686-691. [pub] 20230118

Language English Country United States

Document type Journal Article, Review, Research Support, Non-U.S. Gov't

Ultra-low temperature cryoablation (ULTC) using near-critical nitrogen (-196oC) has been shown to produce durable, contiguous, transmural lesions in ventricles of animal models. This report summarizes acute experience with ULTC in the first-ever 13 patients with recurrent monomorphic ventricular tachycardias (VTs) of both ischemic cardiomyopathy and nonischemic etiologies enrolled in the CryoCure-VT (Cryoablation for Monomorphic Ventricular Tachycardia; NCT04893317) clinical trial. After an average of 9.6 ± 4.6 endocardial ULTC lesions per patient, no clinical ventricular tachycardias were inducible in 91% of patients. Two procedure-related serious adverse events recorded in 2 patients resolved post-procedurally without clinical sequelae. Further investigation of both acute and chronic outcomes is warranted and ongoing.

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