Percutaneous transhepatic approach for cryoballoon pulmonary vein isolation in a patient with persistent atrial fibrillation and interruption of the inferior.

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Presentation transcript:

Percutaneous transhepatic approach for cryoballoon pulmonary vein isolation in a patient with persistent atrial fibrillation and interruption of the inferior vena cava G. Joseph Orme, DO, MPH, Cole Mendenhall, MD, Foreman Blair, MD, FACC, Steve Yu Wen Chen, MD, Edward Rhee, MD, FACC, Wilber Su, MD, FHRS HeartRhythm Case Reports Volume 4, Issue 8, Pages 332-335 (August 2018) DOI: 10.1016/j.hrcr.2018.01.012 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 Ultrasound visualization of access into the hepatic vein using an AccuStick needle. HeartRhythm Case Reports 2018 4, 332-335DOI: (10.1016/j.hrcr.2018.01.012) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 A: FlexCath and cryoballoon visualization along with intracardiac echocardiography via the right internal jugular vein. B: Removal of all sheaths and completion of procedure. HeartRhythm Case Reports 2018 4, 332-335DOI: (10.1016/j.hrcr.2018.01.012) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 3 A: Avitene collagen plug used to embolize the hepatic tract. B: Avitene collagen plug visualized under ultrasonography. C: Avitene collagen plug visualized under fluoroscopy. HeartRhythm Case Reports 2018 4, 332-335DOI: (10.1016/j.hrcr.2018.01.012) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Supplemental Figure S1 HeartRhythm Case Reports 2018 4, 332-335DOI: (10.1016/j.hrcr.2018.01.012) Copyright © 2018 Heart Rhythm Society Terms and Conditions