Successful transseptal puncture and cryoballoon ablation of symptomatic paroxysmal atrial fibrillation via jugular access in a patient with bilateral.

Slides:

Advertisements

Similar presentations

Date of download: 6/25/2016 Copyright © The American College of Cardiology. All rights reserved. From: Mechanism, localization and cure of atrial arrhythmias.

Advertisements

Date of download: 9/22/2017 Copyright © ASME. All rights reserved.

Video-assisted minimally invasive surgery for lone atrial fibrillation: A clinical report of 81 cases Yong-qiang Cui, MD, PhD, Yan Li, MD, Feng Gao,

Functional permanent 2:1 atrioventricular block treated with cardioneuroablation: Case report Tolga Aksu, MD, Sukriye Ebru Golcuk, MD, Tümer Erdem Guler,

Isolation of an arrhythmogenic roof vein with the guide of a circular mapping catheter in a case with paroxysmal atrial fibrillation Shin-ichi Tanigawa,

Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy

Volume 12, Issue 7, Pages (July 2015)

Video-assisted minimally invasive surgery for lone atrial fibrillation: A clinical report of 81 cases Yong-qiang Cui, MD, PhD, Yan Li, MD, Feng Gao,

Volume 12, Issue 9, Pages (September 2015)

Volume 12, Issue 2, Pages (February 2015)

Long-standing persistent atrial fibrillation ablation without use of fluoroscopy in a patient with cor triatriatum Saumil R. Shah, MD, Guru P. Mohanty,

Pulmonary vein isolation and autonomic denervation for the management of paroxysmal atrial fibrillation by a minimally invasive surgical approach James.

Cardioneuroablation in ictal asystole—New treatment method

HeartRhythm Case Reports

HeartRhythm Case Reports

Jayasheel Eshcol, MD, Alan P. Wimmer, MD, FHRS

Killing two gaps with a single activation map—Visualization of the precise macroreentrant circuit including the pulmonary vein and left atrium Hiro Yamasaki,

A novel mapping technique to detect non–pulmonary vein triggers: A case report of self- reference mapping technique Yasuharu Matsunaga-Lee, MD, Yuzuru.

Intraatrial reentrant tachycardia originating from the prior suture line of the baffle in a patient who underwent the Mustard operation: Ultra-high-density.

A pseudo-sinus rhythm due to bigeminal ectopy with the focus in the right superior pulmonary vein Marina Arai, MD, Seiji Fukamizu, MD, PhD, Rintaro Hojo,

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

Transhepatic radiofrequency ablation of a cavotricuspid isthmus–dependent atrial flutter Zahra Jehan Iqbal, MD, Long Cao, MD, Karl Chiang, MD, Sundeep.

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

Induction of tachycardia confined within a pulmonary vein by electrical cardioversion of atrial fibrillation: Is it proof of reentry? Mauro Toniolo,

Common veins, common freezes

Radiofrequency catheter ablation for drug-refractory paroxysmal atrial fibrillation in a patient with Ebstein’s anomaly Yong-Giun Kim, MD, Shin-Jae Kim,

Single-shot antral isolation of a common pulmonary vein by the hot balloon Yuji Wakamatsu, MD, Koichi Nagashima, MD, PhD, Ryuta Watanabe, MD, Masaru Arai,

Functional permanent 2:1 atrioventricular block treated with cardioneuroablation: Case report Tolga Aksu, MD, Sukriye Ebru Golcuk, MD, Tümer Erdem Guler,

Percutaneous lead extraction for patients with large vegetations using an unusual technique Nobuhiro Nishii, MD, PhD, Akihito Miyoshi, MD, PhD, Yoshimasa.

First confirmation of histologic changes in the human heart after cryoballoon ablation Tatsuhiko Hirao, MD, Junichi Nitta, MD, PhD, Akiko Adachi, MD,

Direct visualization of an atrial transseptal left ventricular endocardial lead implantation within an isolated heart Zhongping Yang, PhD, Michael D.

Fracture and retrieval of an Achieve circular mapping catheter in and from a pulmonary vein during cryoballoon ablation for atrial fibrillation Richard.

A rare variant of pulmonary vein drainage

Swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity Koji Higuchi, MD, PhD,

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

Volume 14, Issue 8, Pages (August 2017)

HeartRhythm Case Reports

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

Protecting the right phrenic nerve during catheter ablation: Techniques and anatomical considerations Stephen Stark, MD, David K. Roberts, MD, Thomas.

Percutaneous electrosurgical technique for treatment of subclavian vein occlusion: Application of transcaval techniques Jason R. Foerst, MD, David Kim,

Focal atrial fibrillation presenting in the origin of atrial tachycardia Chin-Yu Lin, MD, Yenn-Jiang Lin, MD, Fa-Po Chung, MD, Shih-Ann Chen, MD HeartRhythm.

An atypical journey during a “typical” EP case

Mindy Vroomen, MD, Mark La Meir, MD, Harry J

An unusual approach to intractable AVNRT in a pediatric patient

Stephen A. Howard, PhD, Ryan P. Goff, PhD, David G

Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy

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

A novel mapping and ablation strategy of the mitral isthmus using intracardiac echocardiography in the left atrium Thomas J. Flautt, DO, Alison L. Spangler,

A simple method to ablate left-sided accessory pathways in a patient with coronary sinus ostial atresia and persistent left superior vena cava: A case.

Progressive modification of rotors in persistent atrial fibrillation by stepwise linear ablation Jichao Zhao, PhD, Yan Yao, MD, PhD, Rui Shi, MD, PhD,

Pericardial adhesions as a consequence of cryoballoon ablation detected during the hybrid AF ablation procedure Vedran Velagic, MD, Carlo de Asmundis,

Circular mapping recordings in a persistent left superior vena cava during atrial tachycardia: Was isolation achieved? Sandrine Venier, MD, Jason G.

Utility of entrainment pacing to clarify the circuit of macroreentrant tachycardia with dual early sites on activation maps Koichi Nagashima, MD, PhD,

Adam J. Small, MD, Eric F. Buch, MD, FHRS, FACC, Daniel R

Spastic occlusion of coronary artery during cryoballoon pulmonary vein isolation Takashi Kaneshiro, MD, Yoshiyuki Matsumoto, MD, Minoru Nodera, MD, Masashi.

Clinical and electrophysiological features of respiratory cycle–dependent atrial tachycardia: An analysis of three cases Osamu Inaba, MD, Junichi Nitta,

Simultaneous isolation of the four pulmonary veins by single-sided antral ablation Andres Enriquez, MD, Usama Boles, MD, Adrian Baranchuk, MD, Damian.

The multi–purse string maze procedure: A new surgical technique to perform the full maze procedure without atriotomies Niv Ad, MD The Journal of Thoracic.

Atrial fibrillation resulting from superior vena cava drivers addressed with cryoballoon ablation: Late reconnection at the site of phrenic nerve pacing.

An atrial flutter in a 40-year-old woman with situs inversus, transposition of the great arteries, atrial switch, and interruption of the inferior vena.

Pulmonary vein stenosis after second-generation cryoballoon ablation for atrial fibrillation Kenichi Tokutake, MD, Michifumi Tokuda, MD, PhD, Takayuki.

CT-fusion–guided transseptal puncture in a patient with atrial fibrillation and absent right superior vena cava Felix Bourier, MD, Sonia Ammar, MD, Tilko.

Successful interventional management of catastrophic coronary arterial air embolism during atrial fibrillation ablation Khurram Ahmad, MD, Samuel Asirvatham,

Getting to the right left atrium: Catheter ablation of atrial fibrillation and mitral annular flutter in cor triatriatum Ryan T. Borne, MD, Jaime Gonzalez,

Periesophageal vagal nerve injury following catheter ablation of atrial fibrillation: A case report and review of the literature Sandeep A. Saha, MD,

Usefulness of a 2-F catheter electrode in a case with successful electrical isolation of remarkably hypoplastic right inferior pulmonary vein Takeshi.

Hepatic vein access for pulmonary vein isolation in patients without femoral vein access Ijeoma A. Ekeruo, MD, FHRS, Saumya Sharma, MD, Allan Cohen, MD,

Atrial fibrillation ablation with persistent left superior vena cava detected during intracardiac echocardiography Victor A. Abrich, MD, Jeffrey Munro,

Atrial flutter following ethanol infusion in the vein of Marshall

Pulmonary vein isolation in a patient with achalasia and megaesophagus

Presentation transcript:

Successful transseptal puncture and cryoballoon ablation of symptomatic paroxysmal atrial fibrillation via jugular access in a patient with bilateral thrombotic femoral vein occlusion Thomas Kox, MD, Florin Laubenthal, MD, PhD, Guram Imnadze, MD HeartRhythm Case Reports DOI: 10.1016/j.hrcr.2019.02.008 Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 1 A: The decapolar diagnostic catheter placed in the coronary sinus, and the deflectable (Agilis-L, Abbott, Chicago, IL) sheath placed in the inferior vena cava over the wire (the shadow below the coronary sinus catheter is the tissue on the surface). B: Under transesophageal echocardiography the sheath was deflected and pulled back until the tenting of the interatrial septum occurred. C: Transseptal punction with the long XS BRK1 needle (Abbott). D, E: Positioning of the sheath in the left inferior pulmonary vein for the angiography (shown in Figure 2) and for the cryo-sheath exchange. F: The cryo-sheath placed in the left superior pulmonary vein. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.02.008) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 2 A: The diagnostic catheter placed in the right ventricle for the rapid pacing (S1 300 ms). The angiography was performed manually using the 50 mL syringe with the pure contrast medium. B: Schematic illustration of the left atrium and the ostia of the pulmonary veins in this case. LIPV = left inferior pulmonary vein; LSPV = left superior pulmonary vein; RIPV = right inferior pulmonary vein; RSPV = right superior pulmonary vein. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.02.008) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 3 The angiographic and schematic illustration of the cryoballoon position during the application in all pulmonary veins (PV). A: The cryoballoon is placed in the right superior PV using the loop technique. B: The cryoballoon placed in the left superior PV. C: The cryoballoon is placed in the right inferior PV using the loop technique. D: The cryoballoon is placed into the left inferior PV (the “pull up” maneuver was used during this application). HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.02.008) Copyright © 2019 Heart Rhythm Society Terms and Conditions