Reply to the Editor — Thoughts on Inducibility

We thank M üssigbrodt et al for their interest in our study. We agree that the approach of endocardial-only ablation if ventricular tachycardia (VT) is rendered noninducible is reasonable for patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) and recurrent VT. Although epicardial ablation i s associated with better outcomes in our study and that of Wei et al, we do believe that epicardial procedures are associated with higher bleeding risk, which is of sufficiently low frequency to escape detection in reported ARVC series, but still an important consideration, as deaths have occurred.
Source: Heart Rhythm - Category: Cardiology Authors: Source Type: research