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Volume 358:2295-2296 May 22, 2008 Number 21
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Catheter Ablation in Patients with ICDs

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by Estes, N.A. M.
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by Reddy, V. Y.
-PubMed Citation
To the Editor: We strongly support the rationale for ablation of ventricular tachycardia to reduce implantable cardioverter–defibrillator (ICD) therapy, described by Reddy et al. (Dec. 27 issue),1 but would caution that risk stratification is essential to identify the subgroups of patients who would truly benefit from ablation in this setting. Ablation is time-consuming and technically challenging, with potentially significant complication rates.2 In addition, there is evidence that the clinical presentation can be used to stratify the risk associated with ICD therapy.3,4,5 It is therefore unfortunate that the article by Reddy et al. omits both the procedural and the clinical details . . . [Full Text of this Article]



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