Evidence map›Paper›PMID 42238624›Full record

ReviewReviews in cardiovascular medicine2026

"From Surface to Substrate: Advancing VT Ablation Strategies for Deep Arrhythmic Substrates"-A Review of Emerging Techniques in Intramural Lesion Formation.

Krittapoom Akrawinthawong, Roopesh Sai Jakulla, Takumi Yamada

Abstract readReview
In one paragraph

Review in Reviews in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Krittapoom AkrawinthawongSection of Cardiac Electrophysiology, University of Oklahoma Health Science Center, Oklahoma City, OK 73104, USA.ORCID https://orcid.org/0000-0001-9064-6187
Roopesh Sai JakullaSection of Cardiac Electrophysiology, University of Oklahoma Health Science Center, Oklahoma City, OK 73104, USA.ORCID https://orcid.org/0009-0009-4409-0064
Takumi YamadaCardiovascular Division, University of Minnesota, Minneapolis, MN 55455, USA.ORCID https://orcid.org/0000-0002-9956-0395

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intramural ventricular tachycardia represents a formidable frontier in catheter ablation, where the arrhythmogenic substrate resides deep within the myocardial wall, often beyond the reach of conventional energy delivery. Achieving durable lesion formation in this setting requires a strategic balance between transmural efficacy and procedural safety. This review synthesizes the evolving landscape of intramural ventricular tachycardia ablation, detailing contemporary techniques, including bipolar ablation, needle-based approaches, simultaneous endocardial-epicardial delivery, and emerging energy modalities, each tailored to overcome the limitations of lesion depth and tissue heterogeneity. We examine diagnostic criteria, imaging adjuncts, and electroanatomic mapping strategies that guide procedural planning and highlight innovations aimed at enhancing lesion depth without compromising adjacent structures. By integrating current evidence and expert practice, this article offers a comprehensive framework for navigating the complexities of intramural ventricular tachycardia ablation and advancing outcomes in this challenging domain.

Indexed as

cathetersradiofrequency ablationventricular tachyarrhythmiasventricular tachycardia

Identifiers

PMID42238624
PMCPMC13227388

What OpenQuestion holds

Textmetadata
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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.