Observational studyJournal of cardiovascular electrophysiology2025
Bipolar Catheter Ablation as a Key for Successful Treatment of Intramural VentricuLar Arrhythmias: Results From the Bipolar-Kiel Study.
Observational study in Journal of cardiovascular electrophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
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Who cites it
3 citing papers in PubMed.
- Ablation Methods and Catheter Settings for Ventricular Tachycardia Ablation: A Bench to Bedside Review: Part 2.Arrhythmia & electrophysiology review · 2026Review
- Intramural left ventricular posterior superior process premature ventricular complex ablation with intracardiac echocardiography.Indian pacing and electrophysiology journalArticle
- Catheter ablation of ventricular tachycardia via the coronary veins.Indian pacing and electrophysiology journalReview
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnipolar catheter ablation (CA) is effective in the treatment of ventricular arrhythmias but its efficacy can be limited in eliminating intramural arrhythmic origins. Bipolar ablation has emerged as a bail-out strategy. However, currently, it is being primarily utilized after a failed ablation attempt.
objectiveThe aim of this study is to assess the safety and efficacy of endocardial and/or epicardial bipolar catheter ablation in patients with ventricular arrhythmias within their first procedure or after a previously failed ablation attempt. METHODS AND
resultsPatients who underwent bipolar CA between September 2022 and February 2025 were included. A total of 21 bipolar ablation procedures were performed in 19 patients (median age 66 ± 11, 11% female, median ejection fraction 42% ± 16%). In total, 16 procedures were performed due to ventricular tachycardia (VT) or VT storm, five procedures were performed due to symptomatic premature ventricular contractions (PVC). In 48% of all cases, ablation was performed within the patient's first procedure. The interventricular septum was the most common site of bipolar ablation (11/21), followed by epi-endocardial bipolar ablation procedures (9/21) and the papillary muscle (1/21). Bipolar ablation was successful in 17/21 patients. In one patient, AV block occurred after bipolar ablation. During a median follow-up time of 12 ± 6 months, four patients with initially acute procedural success experienced recurrence of a ventricular arrhythmia.
conclusionBipolar catheter ablation is an effective tool for arrhythmias with an intramural origin. It is shown to be safe with a high acute success rate in patients undergoing their first or redo procedure for VT or PVC.
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