4 promising heart failure therapies interventional cardiologists should keep an eye on

Illustration showing four innovative heart failure technologies: The V-Wave interaterial shunt to relieve pressures between the left and right sides of the heart; the Carillon Transcatheter mitral valve annuloplasty system; the Revivent TC system and the AccuCinch device. Interventional cardiology heart failure cleveland clinic

Illustration showing four innovative heart failure technologies: The V-Wave interaterial shunt to relieve pressures between the left and right sides of the heart; the Carillon Transcatheter mitral valve annuloplasty system; the Revivent TC system and the AccuCinch device. Image courtesy of Cleveland Clinic. 

The devices, currently being investigated by teams of heart specialists, could make a big impact in the years ahead. 

Epicardial ablation in Brugada syndrome reduces sudden cardiac death

Brugada arrhythmogenic substrate that causes VT and sudden cardiac death. This study showed ablation of this substrate area could help prevent sudden cardiac arrest in these patients.
Brugada arrhythmogenic substrate that causes VT and sudden cardiac death. This study showed ablation of this substrate area could help prevent sudden cardiac arrest in these patients.

A late-breaking study at Heart Rhythm 2022 found epicardial ablation in Brugada syndrome helped significantly reduce sudden cardiac arrest in these patients, increasing their survival.

High power vs. standard RF ablation leads to improved pulmonary vein isolation, shorter procedures

Pulmonary vein isolation (PVI) using higher power energy ablation was found to be safe, more effective and was able to cut procedure time, but there was a signal of increased emboli.
Pulmonary vein isolation (PVI) using higher power energy ablation was found to be safe, more effective and was able to cut procedure time, but there was a signal of increased emboli.

New research, presented at Heart Rhythm 2022, found a 96% percent freedom from reoccurrence of atrial fibrillation in patients treated with high power vs. standard power radiofrequency ablation.