CT‐guided percutaneous epicardial access for ventricular tachycardia ablation: A proof ‐of‐concept study

2021 ◽  
Author(s):  
Muthiah Subramanian ◽  
Vishnu Vardhan Ravilla ◽  
Sachin Yalagudri ◽  
Daljeet Kaur Saggu ◽  
Vickram Vignesh Rangaswamy ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Proof Of Concept ◽  
Ct Guided ◽  
Ventricular Tachycardia Ablation ◽  
Concept Study ◽  
Epicardial Access

scholarly journals A new cryoenergy for ventricular tachycardia ablation: a proof-of-concept study

EP Europace ◽  
2016 ◽  
pp. euw217 ◽  
Author(s):  
Benjamin Berte ◽  
Frédéric Sacher ◽  
Jean-Yves Wielandts ◽  
Saagar Mahida ◽  
Xavier Pillois ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Proof Of Concept ◽  
Ventricular Tachycardia Ablation ◽  
Concept Study

Epicardial Access for Ventricular Tachycardia Ablation: Experience With the Needle-in-needle Technique

2019 ◽  
Vol 72 (10) ◽  
pp. 873-874
Author(s):  
Ignasi Anguera ◽  
Marta Aceña ◽  
Zoraida Moreno-Weidmann ◽  
Paolo D. Dallaglio ◽  
Andrea Di Marco ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Ventricular Tachycardia Ablation ◽  
Needle Technique ◽  
Epicardial Access

scholarly journals Epicardial access and ventricular tachycardia ablation in a postmyocarditis patient using a nonfluoroscopic catheter visualization system

2017 ◽  
Vol 3 (9) ◽  
pp. 411-414 ◽  
Author(s):  
Akiko Ueda ◽  
Mika Nagaoka ◽  
Kyoko Soejima ◽  
Yosuke Miwa ◽  
Noriko Matsushita
Keyword(s):  
Ventricular Tachycardia ◽  
Visualization System ◽  
Ventricular Tachycardia Ablation ◽  
Epicardial Access

scholarly journals Epicardial Ventricular Tachycardia Ablation for Which Patients?

2012 ◽  
Vol 1 ◽  
pp. 39 ◽  
Author(s):  
Laurent Roten ◽  
Frédéric Sacher ◽  
Matthew Daly ◽  
Patrizio Pascale ◽  
Yuki Komatsu ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Implantable Cardioverter Defibrillators ◽  
First Line ◽  
Ventricular Tachycardia Ablation ◽  
Number Of Patients ◽  
Vt Ablation ◽  
Patients Experience ◽  
Cardioverter Defibrillators ◽  
First Line Treatment ◽  
Epicardial Access

With the widespread use of implantable cardioverter-defibrillators, an increasing number of patients present with ventricular tachycardia (VT). Large multicentre studies have shown that ablation of VT successfully reduces recurrent VT and this procedure is being performed by an increasing number of centres. However, for a number of reasons, many patients experience VT recurrence after ablation. One important reason for VT recurrence is the presence of an epicardial substrate involved in the VT circuit which is not affected by endocardial ablation. Epicardial access and ablation is now frequently performed either after failed endocardial VT ablation or as first-line treatment in selected patients. This review will focus on the available evidence for identifying VT of epicardial origin, and discuss in which patients an epicardial approach would be benefitial.

scholarly journals Damage to the left internal mammary artery during anterior epicardial access for ventricular tachycardia ablation

2018 ◽  
Vol 4 (11) ◽  
pp. 534-537 ◽  
Author(s):  
Muchtiar Khan ◽  
Astrid A. Hendriks ◽  
Sing-Chien Yap ◽  
Wouter R. Berger ◽  
Gijsbert S. de Ruiter ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Ventricular Tachycardia Ablation ◽  
Internal Mammary ◽  
Epicardial Access

scholarly journals Feasibility and Safety of Laparoscopic‐Guided Epicardial Access for Ventricular Tachycardia Ablation

2020 ◽  
Vol 9 (15) ◽  
Author(s):  
Andre A. L. Carmo ◽  
Silvia Zenobio ◽  
Bruno C. Santos ◽  
Manoel O. C. Rocha ◽  
Antonio L. P. Ribeiro
Keyword(s):  
Ventricular Tachycardia ◽  
Organ Injury ◽  
Complication Rates ◽  
Abdominal Organ ◽  
Nerve Paralysis ◽  
Phrenic Nerve Paralysis ◽  
Ventricular Tachycardia Ablation ◽  
Chagas Cardiomyopathy ◽  
Surgical Access ◽  
Epicardial Access

Background The usual approach to epicardial access in patients with Chagas cardiomyopathy and megacolon is surgical access to avoid bowel injury. However, there are concerns regarding its safety in cases of Chagas cardiomyopathy with reports of prolonged mechanical ventilation and high mortality in this clinical setting. The aim of this study was to examine feasibility and complication rates for ventricular tachycardia ablation performed with laparoscopic‐guided epicardial access. Methods and Results This single center study examined complication rates of the first 11 cases of ventricular tachycardia ablation in patients with Chagas cardiomyopathy, using laparoscopic guidance to access epicardial space. All 11 patients underwent epicardial VT ablation using laparoscopic‐guided epicardial access, and the complication rates were compared with historical medical reports. The main demographic features of our population were age, 63±13 years; men, 82%; and median ejection fraction, 31% (Q1=30% and Q3=46%). All patients were sent for ventricular tachycardia ablation because of medical therapy failure. The reason for laparoscopy was megacolon in 10 patients and massive liver enlargement in 1 patient. Epicardial access was achieved in all patients. Complications included 1 severe cardiogenic shock and 1 phrenic nerve paralysis. No intra‐abdominal organ injury occurred; only 1 death, which was caused by progressive heart failure, was reported more than 1 month after the procedure. Conclusions Laparoscopic‐guided epicardial access in the setting of ventricular tachycardia ablation and enlarged intra‐abdominal organ is a simple alternative to more complex surgical access and can be performed with low complication rates.

A Cadaveric Model for Measuring Continuous Positive Airway Pressure (CPAP) in the Nasal Cavity and Paranasal Sinuses: A Proof of Concept Study

2019 ◽  
Author(s):  
Ryan Rimmer ◽  
Chandala Chitguppi ◽  
Hermes Garcia ◽  
Ian Koszewski ◽  
Gurston Nyquist ◽  
...  
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Proof Of Concept ◽  
Concept Study ◽  
Cadaveric Model
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