scholarly journals Transseptal puncture from the jugular vein and balloon cryoablation for atrial fibrillation in a patient with azygos continuation of an interrupted inferior vena cava

EP Europace ◽  
2015 ◽  
Vol 17 (7) ◽  
pp. 1153-1156 ◽  
Author(s):  
Artur Baszko ◽  
Piotr Kałmucki ◽  
Rafał Dankowski ◽  
Magdalena Łanocha ◽  
Tomasz Siminiak ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Jugular Vein ◽  
Vena Cava ◽  
Transseptal Puncture ◽  
Azygos Continuation

scholarly journals A case report of pulmonary vein isolation with radiofrequency catheter using superior vena cava approach in patient with paroxysmal atrial fibrillation and inferior vena cava filter

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Masatoshi Narikawa ◽  
Masayoshi Kiyokuni ◽  
Junya Hosoda ◽  
Toshiyuki Ishikawa
Keyword(s):  
Atrial Fibrillation ◽  
Inferior Vena Cava ◽  
Left Atrium ◽  
Inferior Vena ◽  
Superior Vena ◽  
Vena Cava ◽  
Ivc Filter ◽  
Transseptal Puncture ◽  
Mapping Catheter ◽  
Steerable Sheath

Abstract Background Transseptal puncture and pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF) are generally performed via the inferior vena cava (IVC). However, in cases where the IVC is inaccessible, a specific strategy may be needed. Case summary An 86-year-old woman with paroxysmal AF and an IVC filter in situ was referred to our hospital for ablation therapy. An IVC filter for pulmonary embolism and deep venous thrombosis had been implanted 15 years prior, therefore we selected a transoesophageal echocardiography (TOE)-guided transseptal puncture using a superior vena cava (SVC) approach. After the single transseptal puncture, we performed fast anatomical mapping, voltage mapping by multipolar mapping catheter, and then PVI by contact force-guided radiofrequency catheter using a steerable sheath. Following the ablation, bidirectional conduction block between the four pulmonary veins and the left atrium was confirmed by both radiofrequency and mapping catheter. No complications occurred and no recurrence of AF was documented in the 12 months after the procedure. Discussion When performing a transseptal puncture during AF ablation, an SVC approach, via access through the right internal jugular vein, enables the sheath to directly approach the left atrium without angulation and improves operability of the ablation catheter. Combining the use of general anaesthesia, TOE, a steerable sheath, and contact force-guided ablation may contribute to achieving minimally invasive PVI with a single transseptal puncture via an SVC approach.

scholarly journals Radiofrequency ablation for paroxysmal atrial fibrillation in a patient with dextrocardia and interruption of the inferior vena cava: a case report

2021 ◽  
Vol 5 (5) ◽  
Author(s):  
Xiaofeng Hu ◽  
Shaohui Wu ◽  
Mu Qin ◽  
Weifeng Jiang ◽  
Xu Liu
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Inferior Vena Cava ◽  
High Power ◽  
Inferior Vena ◽  
Femoral Vein ◽  
Vena Cava ◽  
Transseptal Puncture ◽  
Rf Ablation ◽  
Anatomical Variant

Abstract Background Dextrocardia with interruption of the inferior vena cava (I-IVC) is a very rare anatomical variant. Catheter ablation of atrial fibrillation (AF) in patients with this anatomical variant is challenging for electrophysiologists. This case report presents a safe, effective, and radiation-free approach for high-power ablation of AF via a superior transseptal approach in patients with dextrocardia and I-IVC. Case summary A 57-year-old man with paroxysmal AF with dextrocardia and I-IVC with azygos continuation was referred to our hospital for radiofrequency (RF) ablation. It was evident that transseptal puncture and pulmonary vein isolation (PVI) would be impossible using an IVC approach via the femoral vein. Therefore, we decided to perform left atrium (LA) ablation via the superior vena cava approach. A phased array intracardiac echocardiography (ICE) catheter was inserted in the right femoral vein. Three-dimensional (3D) anatomical reconstruction of LA, right atrium (RA), and coronary sinus (CS) ostium were performed using ICE with azygos vein and RA imaging. Navigation-enabled electrodes were inserted into annotated CS on cardiac 3D ICE image. The left internal jugular vein was accessed using an SL1 transseptal sheath and Brockenbrough needle. Transseptal puncture was performed under ICE with an RF-assisted approach. We accomplished ablation index guided high-power pulmonary vein isolation using a bi-directional guiding sheath with visualization capabilities and a surround flow contact force-sensing catheter. No complications occurred during or after the procedure. Discussion With the application of multitude of newer technologies, we can accomplish safe, effective, and fluoroscopy-free RF ablation of AF using the superior approach in patients with complex anomaly.

Successful cryoablation of atrial fibrillation from jugular approach in patient with interrupted inferior vena cava and azygos continuation

2018 ◽  
Vol 42 (3) ◽  
pp. 309-312 ◽  
Author(s):  
Selçuk Kanat ◽  
Hakan Çakır ◽  
Ahmet Tütüncü ◽  
Erhan Tenekecioglu
Keyword(s):  
Atrial Fibrillation ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Azygos Continuation

Atrial Septal Defect Closure via Left Subclavian Vein Approach in a Patient With Absent Inferior Vena Cava

2021 ◽  
pp. 215013512098380
Author(s):  
Yusuke Enta ◽  
Shunsuke Tatebe ◽  
Yoshikatsu Saiki ◽  
Norio Tada
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Subclavian Vein ◽  
Septal Defect ◽  
Inferior Vena ◽  
Transcatheter Closure ◽  
Vena Cava ◽  
Atrial Septal Defect Closure ◽  
Azygos Continuation ◽  
Left Subclavian Vein

Without the femoral venous approach, transcatheter closure of an atrial septal defect is challenging. We performed percutaneous closure via the left subclavian vein in a patient with absence of the inferior vena cava with azygos continuation. Considering that inferior vena cava anomalies are not extremely rare among those with congenital heart disease, the left subclavian vein approach can be an alternative to the femoral approach.

Safe ECMO femoral decannulation by placement of inferior vena cava filter via internal jugular vein

2016 ◽  
Vol 19 (3) ◽  
pp. 297-300 ◽  
Author(s):  
Luigi Castagna ◽  
Elena Maggioni ◽  
Anna Coppo ◽  
Barbara Cortinovis ◽  
Veronica Meroni ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Internal Jugular Vein ◽  
Inferior Vena Cava Filter ◽  
Inferior Vena ◽  
Jugular Vein ◽  
Vena Cava ◽  
Vena Cava Filter

scholarly journals Azygos continuation of the inferior vena cava: sonographic demonstration of the renal artery ventral to the azygos vein as a clue to diagnosis.

1999 ◽  
Vol 172 (6) ◽  
pp. 1659-1662 ◽  
Author(s):  
T E Geley ◽  
K M Unsinn ◽  
T M Auckenthaler ◽  
C J Fink ◽  
I Gassner
Keyword(s):  
Inferior Vena Cava ◽  
Renal Artery ◽  
Inferior Vena ◽  
Vena Cava ◽  
Azygos Vein ◽  
Azygos Continuation ◽  
Sonographic Demonstration

Initiation of Atrial Fibrillation by Ectopic Beats Originating from the Ostium of the Inferior Vena Cava

2002 ◽  
Vol 13 (12) ◽  
pp. 1292-1295 ◽  
Author(s):  
MOUSSA MANSOUR ◽  
JEREMY RUSKIN ◽  
DAVID KEANE
Keyword(s):  
Atrial Fibrillation ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Ectopic Beats
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