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

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Presentation transcript:

Hepatic vein access for pulmonary vein isolation in patients without femoral vein access Ijeoma A. Ekeruo, MD, FHRS, Saumya Sharma, MD, Allan Cohen, MD, Khashayar Hematpour, MD, FHRS HeartRhythm Case Reports Volume 5, Issue 7, Pages 395-398 (July 2019) DOI: 10.1016/j.hrcr.2017.11.011 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 A: Patient with SL1 catheter (St. Jude Medical, St. Paul, MN) access via the hepatic vein. B: Fluoroscopy image showing placement of coils post procedure. HeartRhythm Case Reports 2019 5, 395-398DOI: (10.1016/j.hrcr.2017.11.011) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 Transesophageal echocardiography image: transseptal puncture. A: 45° image, showing anterior/posterior orientation. B: 135° image showing superior/inferior orientation. This transseptal puncture was posterior and mid atrial septum, a good place for transseptal puncture. HeartRhythm Case Reports 2019 5, 395-398DOI: (10.1016/j.hrcr.2017.11.011) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 3 A: Lasso catheter (Biosense Webster, Irvine, CA) in the pulmonary vein. Fluoroscopy image showing the Lasso catheter in the right inferior pulmonary vein and coronary sinus catheter placement via left subclavian vein. Single access was obtained for the ablation. B: Ablation catheter in the pulmonary vein. C: Electroanatomic map obtained during procedure. HeartRhythm Case Reports 2019 5, 395-398DOI: (10.1016/j.hrcr.2017.11.011) Copyright © 2018 Heart Rhythm Society Terms and Conditions