Volume 15, Issue 1, Pages (January 2018)

Slides:

Advertisements

Similar presentations

Epicardial access and ventricular tachycardia ablation in a postmyocarditis patient using a nonfluoroscopic catheter visualization system Akiko Ueda,

Advertisements

Volume 14, Issue 1, Pages (January 2017)

Kim H. Chan, MBBS, PhD, Raymond W. Sy, MBBS, PhD

Volume 12, Issue 5, Pages (May 2015)

Epicardial Catheter Ablation Through Subxiphoid Surgical Approach in a Patient With Implanted Left Ventricular Assist Device and Cannula-Related Ventricular.

How to map and ablate left ventricular summit arrhythmias

Volume 15, Issue 1, Pages (January 2018)

Volume 13, Issue 1, Pages (January 2016)

Volume 11, Issue 1, Pages (January 2014)

Volume 9, Issue 1, Pages (January 2012)

Volume 7, Issue 1, Pages (January 2010)

MediGuide-assisted atrial flutter ablation in a patient with a HeartMate II left ventricular assist device Hien Kiem Nguyen Thanh, MD, Jason Andrade,

Volume 13, Issue 1, Pages (January 2016)

Wolff-Parkinson-White syndrome due to a left atrial appendage–to–left ventricular connection: A case of a successful pathway elimination from inside of.

Late presentation of constrictive pericarditis after limited epicardial ablation for inappropriate sinus tachycardia Adam Oesterle, MD, Amita Singh,

Role of intracardiac echocardiography for guiding ablation of tricuspid valve arrhythmias Andres Enriquez, MD, Carlos Tapias, MD, Diego Rodriguez, MD,

Intramyocardial radiofrequency ablation of ventricular arrhythmias using intracoronary wire mapping and a coronary reentry system: Description of a novel.

Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach

Volume 11, Issue 1, Pages (January 2014)

Atypical inferoseptal accessory pathway connection associated with an aneurysm of the coronary sinus: Insight from a three-dimensional combined image.

Jeremy W. Docekal, MD, Gregory Francisco, MD, Joseph C. Lee, MD, FHRS

Cardiac resynchronization therapy device implantation guided by electroanatomic mapping system when contrast medium infusion is contraindicated Vittorio.

Three-dimensional electroanatomical mapping to guide transseptal catheterization Mark R. Bowers, MS, MD, Padraig Gearoid O'Neill, MD, FHRS, Rohit Bhaskar,

Volume 15, Issue 1, Pages (January 2018)

Left ventricle penetration—A rare complication of transseptal puncture and catheter ablation for supraventricular tachycardia Nelson Chavarria, MD, Seth.

Challenges in the diagnosis and management of idiopathic ventricular fibrillation Jonathan Lipton, MD, PhD, George J. Klein, MD, Raymond W. Sy, MBBS,

Volume 7, Issue 11, (November 2010)

Epicardial substrate ablation for Brugada syndrome

Permanent His bundle pacing at the time of atrioventricular node ablation: A 3- dimensional mapping approach Sukit Ringwala, MD, MPH, Bradley P. Knight,

Volume 5, Issue 7, Pages (July 2008)

Remote magnetic navigation–guided ventricular tachycardia ablation with continuous- flow mechanical circulatory support Anna M.E. Noten, MD, Nicolas M.

Cardiac inflammation and ventricular tachycardia in Chagas disease

Limitations of 12-lead electrocardiogram wide complex tachycardia algorithms in a patient with left atrial flutter and large myocardial infarction Carlos.

Isolated Wolff-Parkinson-White syndrome in identical twins

Volume 13, Issue 1, Pages (January 2016)

B-cell lymphoma of the pericardium presenting with ventricular tachycardia with a successful catheter ablation Takumi Yamada, MD, Franjo Siric, MD, Vishnu.

Left axillary active can positioning markedly reduces defibrillation threshold of a transvenous defibrillator failing to defibrillate at maximum output

Bradley D. Brochu, MD, Ahmed Abdi-Ali, MD, Jeffrey Shaw, MD, F

Parasternal intercostal approach as an alternative to subxiphoid approach for epicardial catheter ablation: A case report Koji Miyamoto, MD, Takashi.

Incessant intraseptal ventricular tachycardia ablated utilizing extracorporeal membrane oxygenation and bipolar ablation Ali B.A.K. Al-Hadithi, BA(Hons),

Cardiac resynchronization therapy in coronary sinus atresia delivered using leadless endocardial pacing Dewi E. Thomas, MD, MRCP, Nicholas M. Child,

Finding the right pathway is the key to success

Daniel P. Morin, MD, MPH, FACC, FHRS HeartRhythm Case Reports

Cavotricuspid isthmus ablation using multimodality imaging in Ebstein anomaly with a mechanical tricuspid valve replacement Sang Hyun Lee, MD, Hyung.

Epicardial access and ventricular tachycardia ablation in a postmyocarditis patient using a nonfluoroscopic catheter visualization system Akiko Ueda,

Transvenous nonfluoroscopic pacemaker implantation during pregnancy guided by 3- dimensional electroanatomic mapping Jacob Hartz, MD, MPH, Bradley C.

An inferior myocardial infarction with conduction abnormalities

An unusual approach to intractable AVNRT in a pediatric patient

Volume 11, Issue 3, Pages (March 2014)

A case series and review of the literature regarding coronary artery complications associated with coronary sinus catheter ablation Paul J. Garabelli,

Volume 7, Issue 1, Pages 2-8 (January 2010)

Successful ablation for non-pulmonary multi-foci atrial fibrillation/tachycardia in a patient with coronary sinus ostial atresia by transseptal puncture.

Volume 13, Issue 1, Pages (January 2016)

Coronary sinus ostium in the lateral right atrium: Implications for the electrophysiologist Nilesh Mathuria, MD, Neeta Bachani, MBBS, Ravi Mandapati,

Volume 10, Issue 1, Pages (January 2013)

Brugada syndrome—Malignant phenotype associated with acute cardiac inflammation? Anthony Li, MBBS, MD, Roderick Tung, MD, FHRS, Kalyanam Shivkumar, MD,

Volume 10, Issue 1, Pages (January 2013)

Successful catheter ablation of idiopathic ventricular tachycardia originating from the top of the left ventricular posterior papillary muscle near the.

Atsuyuki Watanabe, MD, Atsuko Seki, MD, Michael C

Miki Yokokawa, MD, Fred Morady, MD, FACC, Frank Bogun, MD, FACC

Successful atrioventricular junction ablation in a patient with situs inversus with dextrocardia and complex venous anatomy Iosif Kelesidis, MD, MSc,

Peter Kabunga, MBChB, MRCP, George J. Klein, MD, FHRS, Raymond W

Combined use of TandemHeart percutaneous ventricular assist device and Stereotaxis magnetic navigation during cardiac ablation procedure Andrew C. Miller,

Nishaki Mehta, MD, Benjamin E. Peterson, MD, Roy M. John, MD, PhD

Philip M. Chang, MD, FHRS, CEPS, Rahul N. Doshi, MD, FHRS, FACC

Left atrial access via an unroofed coronary sinus to eliminate fast/slow atypical AVNRT: A case report Gustavo X. Morales, MD, Yousef H. Darrat, MD,

Prolonged high-power endocardial ablation of epicardial microreentrant VT from the LV summit in a patient with nonischemic cardiomyopathy Jorge Romero,

Percutaneous epicardial cryoablation of idiopathic premature ventricular contractions near the left anterior descending artery Victor A. Abrich, MD,

Chance M. Witt, MD, Samuel J. Asirvatham, MD, FHRS, Carole A

Epicardial ablation of ventricular tachycardia in a patient with Becker muscular dystrophy Siva Mohan Krothapalli, MD, Elaine Demetroulis, MD, Gardar.

Presentation transcript:

Volume 15, Issue 1, Pages 65-74 (January 2018) Incidence and significance of adhesions encountered during epicardial mapping and ablation of ventricular tachycardia in patients with no history of prior cardiac surgery or pericarditis Anthony Li, MBBS, BSc, MD, Eric Buch, MD, FHRS, Noel G. Boyle, MD, PhD, FHRS, Kalyanam Shivkumar, MD, PhD, FHRS, Jason S. Bradfield, MD, FHRS Heart Rhythm Volume 15, Issue 1, Pages 65-74 (January 2018) DOI: 10.1016/j.hrthm.2017.09.007 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Visualization of adhesions on biplane fluoroscopy after contrast pericardiography. The J-tipped guide wire can be seen to buckle in the presence of adhesions, which are highlighted by contrast pooling (dashed line). CS = coronary sinus; His = His catheter; LAO = left anterior oblique; Quad = quadripolar catheter; RAO = right anterior oblique. Heart Rhythm 2018 15, 65-74DOI: (10.1016/j.hrthm.2017.09.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 Fluoroscopic images of an epicardial access that was initially unsuccessful due to adhesions requiring a separate apical puncture to gain access. A and B: Staining of pericardium marks the initial unsuccessful puncture site 1. Contrast pooling and wire buckling confirms presence of adhesions. C: Corresponding 3-dimensional geometry in orthogonal views of the same patient, demonstrating incomplete epicardial geometry creation due to adhesions. D: Voltage map of the mapped epicardial surface (0.5–1.0 mV). LAO = left anterior oblique; LL = left lateral; LV = left ventricle; RAO = right anterior oblique. Heart Rhythm 2018 15, 65-74DOI: (10.1016/j.hrthm.2017.09.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 3 Flowchart showing the incidence of adhesions at first epicardial access. Heart Rhythm 2018 15, 65-74DOI: (10.1016/j.hrthm.2017.09.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 4 Kaplan-Meier curve of ventricular tachycardia–free survival in the presence and absence of adhesions. Heart Rhythm 2018 15, 65-74DOI: (10.1016/j.hrthm.2017.09.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 5 Kaplan-Meier curve for the combined end point of ventricular tachycardia recurrence, transplant/ventricular assist device implantation, or death. Heart Rhythm 2018 15, 65-74DOI: (10.1016/j.hrthm.2017.09.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 6 Flowchart demonstrating the incidence of adhesions after repeat epicardial access. Heart Rhythm 2018 15, 65-74DOI: (10.1016/j.hrthm.2017.09.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions