Evidence map›Paper›PMID 40163515›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2025

Epicardial ventricular arrhythmia ablation: a clinical consensus statement of the European Heart Rhythm Association of the European Society of Cardiology and the Heart Rhythm Society, the Asian Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society.

Arash Arya, Luigi Di Biase, Victor Bazán, Antonio Berruezo, Andrea d'Avila, Paolo Della Bella, Andres Enriquez, Mélèze Hocini, Josef Kautzner, Hui-Nam Pak and 16 more

Abstract readConsensus Statement
In one paragraph

Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Ventricular pulsed field ablation from bench to bedside: preclinical and clinical evidence from a systematic review and meta-analysis.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Pooled it
  2. Early substrate-based catheter ablation vs. antiarrhythmic drug therapy for ventricular tachyarrhythmias among patients with prior myocardial infarction: the MANTRA-VT randomized trial.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Trial
  3. Article
  4. Review
  5. Article
  6. Needle-in-needle micropuncture technique for epicardial access during ventricular tachycardia ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  7. Article
  8. A coronary anatomy-guided myocardial infarction strategy for optimizing survival and ventricular tachycardia inducibility in a porcine model.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  9. Article
  10. Article
  11. Rare complications in electrophysiological procedures.Herzschrittmachertherapie & Elektrophysiologie · 2026
    Review
  12. Review
  13. Accuracy of non-invasive electrocardiographic imaging in scar-dependent ventricular tachycardia: relationship to arrhythmogenic substrate and imaging defined scar.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  14. Review
  15. Article
  16. Pulsed field ablation for ventricular tachycardia: are we there yet?Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Arash AryaDepartment of Cardiology, University Hospital Halle, Martin-Luther University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle (Saale), Germany.ORCID 0009-0005-7610-9314
Luigi Di BiaseCardiac Arrhythmia Center, Division of Cardiology at Montefiore-Health System, Albert Einstein College of Medicine, New York, USA.ORCID 0000-0001-6508-4047
Victor BazánUnidad de Arritmias, Servicio de Cardiología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, Spain.ORCID 0000-0001-8072-7434
Antonio BerruezoArrhythmia Department, Teknon Heart Institute, Teknon Medical Center, Barcelona, Spain.ORCID 0000-0002-5418-383X
Andrea d'AvilaHarvard-Thorndike Arrhythmia Institute and Division of Cardiovascular Diseases, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-8769-1411
Paolo Della BellaDepartment of Cardiac Arrhythmia and Electrophysiology, San Raffaele University-Hospital, Milan, Italy.ORCID 0000-0001-8346-1387
Andres EnriquezSection of Cardiac Electrophysiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-8146-360X
Mélèze HociniIHU LIRYC, Electrophysiology and Heart Modeling Institute, Cardiac Electrophysiology and Stimulation Department Fondation Bordeaux Université and Bordeaux University Hospital (CHU), Pessac-Bordeaux, France.ORCID 0000-0002-7957-8766
Josef KautznerDepartment of Cardiology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0002-1632-6182
Hui-Nam PakDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine and Yonsei University Health System, Seoul, Republic of Korea.ORCID 0000-0002-3256-3620
William G StevensonDepartment of Cardiology, Vanderbilt Heart and Vascular Institute, Nashville, TN, USA.ORCID 0000-0002-2118-7893
Katja ZeppenfeldDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-7034-1017
Alireza Sepehri ShamlooDepartment of Cardiology, Deutsches Herzzentrum der Charité-Medical Heart Center of Charité, German Heart Institute Berlin, Berlin, Germany.ORCID 0000-0002-4894-8664
Christian MeyerDivision of Cardiology, Angiology, Intensive Care Medicine, EVK Düsseldorf, cNEP, cardiac Neuro- and Electrophysiology Research Consortium, Düsseldorf, Germany.
Christian de ChillouDepartment of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, France.
Thomas DenekeClinic for Arrhythmology, University Heart Center Nuremberg, University Hospital Nuremberg, South Campus, Nuremberg, Germany.
Marta de RivaDepartment of Cardiology, Willem Einthoven Center of Arrhythmia Research and Management, Leiden University Medical Center, Leiden, The Netherlands.
Andreu Porta-SanchezHospital Clínic de Barcelona, Universitat de Barcelona, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain.
John SappQEII Health Sciences Centre, Dalhousie University, Halifax, Canada.
Boris SchmidtCardionagiologisches Centrum Bethanien, Agaplesion Markus Krankenhaus, Frankfurt/Main, Germany.
Kalyanam ShivkumarCenter for Interventional Programs, University of California, Los Angeles, CA, USA.
Philipp SommerClinic of Electrophysiology, Heart- and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
Kyoko SoejimaDepartment of Cardiovascular Medicine, Kyorin University, Tokyo, Japan.
Gregory E SuppleCardiac Electrophysiology Section, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Arthur WildeDepartment of Cardiology, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Giulio ZucchelliSecond Division of Cardiology, Cardiothoracic and Vascular Department, Pisa University Hospital, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epicardial access during electrophysiology procedures offers valuable insights and therapeutic options for managing ventricular arrhythmias (VAs). The current clinical consensus statement on epicardial VA ablation aims to provide clinicians with a comprehensive understanding of this complex clinical scenario. It offers structured advice and a systematic approach to patient management. Specific sections are devoted to anatomical considerations, criteria for epicardial access and mapping evaluation, methods of epicardial access, management of complications, training, and institutional requirements for epicardial VA ablation. This consensus is a joint effort of collaborating cardiac electrophysiology societies, including the European Heart Rhythm Association, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society.

Indexed as

CardiologyCatheter AblationElectrophysiologic Techniques, CardiacEpicardial MappingPericardiumTachycardia, VentricularEuropeHumansTreatment OutcomeCardiomyopathiesCatheter ablationClinical consensus statementElectrophysiology proceduresEpicardial accessVentricular arrhythmiasVentricular fibrillationVentricular tachycardia

Identifiers

PMID40163515
PMCPMC11956854

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.