PERCUTANEOUS PERICARDIAL APPROACH FOR RADIOFREQUENCY CATHETERABLATION OF EPICARDIAL VENTRICULAR TACHYCARDIA
Abstract
BACKGROUND Radiofrequency catheter ablation represents effective endocardial treatment modality ofsupraventricular tachyarrhythmias, idiopathic ventricular tachycardias, as well as someforms of ventricular tachycardia associated with structural heart disease. However, radiofrequencyablation through endocardial approach sometimes fails due to epicardiallylocated substrate or is not feasible due to prosthetic valves or ventricular thrombus. In suchcases, percutaneous subxyphoid puncture offers relativelly non-invasive access to pericardialspace and epicardial surface of the heart. CONCLUSIONS Although technically demanding, procedure is relatively non-invasive and safe. In 2007,this methodology was also introduced in our institutionDownloads
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