Patients’ characteristics and procedural outcomes of premature ventricular complex ablation: Data of a single-centre arrhythmia unit experience

Year 2024, Volume: 37 Issue: 1, 1 - 4, 28.01.2024

Serdar Demır , Ayhan Kup , Kamil Gulsen , Abdulkadir Uslu Ayhan Tosun Mehmet Çelik , Cagan Yıldırım , Taylan Akgun , Alper Kepez

https://doi.org/10.5472/marumj.1378571

Abstract

Objective: Premature ventricular complexes (PVCs) are common arrhythmias and catheter ablation (CA) is the major treatment in
patients with PVCs. In this study, we aimed to share our experience on PVCs patients who had undergone CA.
Patients and Methods: We investigated consecutive patients who had undergone CA because of PVCs between January 2015 and
March 2021 in a single centre arrhythmia unit. Patients’ characteristics, rhythm Holter recordings, echocardiography results and CA
outcomes were noted. Patients were followed up for 22.3±3.7 months. Descriptive statistics were used to demonstrate features of study
patients.
Results: Study population consisted of 645 patients; mean age was 51 ± 4.14 and 372 (57.7%) were male. Arrhythmia originated
from the right ventricular outflow tract in 279 (46.6 %) patients, coronary cusps in 161 (26.9 %) patients, left ventricle summit in 50
(8.3%) patients and inside of the right or left ventricle in remaining patients. Sustained procedural success was achieved in 526 (88.1
%) patients. Recurrence was observed in 46 (6.7%) patients during follow-up. Major complication occurred in two patients (one
procedural mortality due to coronary artery injury and one tamponade).
Conclusion: Premature ventricular contraction ablation can be utilized safely with high success rate. Most PVCs originate from the
right or left ventricular outflow tract.

Keywords

Premature ventricular complexes, Catheter ablation, Outflow tract, Mapping

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