This protocol addresses patients with Tetralogy of Fallot presenting with symptomatic monomorphic sustained ventricular tachycardia in the setting of preserved biventricular function — a specific sub-population for whom a targeted procedural intervention may be considered.
Management involves an ablation-based intervention — a procedure type that requires delivery at highly experienced centres to meet defined electrophysiological endpoints. The complete protocol, candidacy criteria, and procedural details are available in the full regimen.
DOI: 10.1093/eurheartj/ehaa554
Catheter ablation or concomitant surgical ablation for symptomatic monomorphic sustained VT may be considered in those with a preserved biventricular function as an alternative to ICD therapy, provided that the procedure is performed in highly experienced centres and that established ablation endpoints have been reached (e.g. non-inducibility, conduction block across ablation lines).
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