1. Epicardial Ablation Complications
- Author
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David Burkhardt, Rodney Horton, Domenico G. Della Rocca, Giovanni B. Forleo, Anu Sahore, Andrea Natale, Xiao Dong Zhang, Chintan Trivedi, Carlo Lavalle, Nicola Tarantino, Uğur Canpolat, Mohamed Bassiouny, Kudret Aytemir, Joseph G. Gallinghouse, Alisara Anannab, Luigi Di Biase, Hüseyin Ayhan, Jorge Romero, Michela Faggioni, Amin Al-Ahmad, Sanghamitra Mohanty, and Annahita Sarcon
- Subjects
Epicardial Mapping ,medicine.medical_specialty ,Percutaneous ,Defibrillation ,medicine.medical_treatment ,Epicardial ablation ,030204 cardiovascular system & hematology ,Ventricular tachycardia ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Risk Factors ,Physiology (medical) ,Internal medicine ,medicine ,Humans ,cardiovascular diseases ,030212 general & internal medicine ,Atrial tachycardia ,business.industry ,Cardiac arrhythmia ,Arrhythmias, Cardiac ,medicine.disease ,Ablation ,Catheter Ablation ,cardiovascular system ,Cardiology ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Heart failure with preserved ejection fraction - Abstract
The percutaneous epicardial approach has become an adjunctive tool for electrophysiologists to treat disparate cardiac arrhythmias, including accessory pathways, atrial tachycardia, and particularly ventricular tachycardia. This novel technique prompted a strong impulse to perform epicardial access as an alternative strategy for pacing and defibrillation, left atrial appendage exclusion, heart failure with preserved ejection fraction, and genetically engineered tissue delivery. However, because of the incremental risk of major complications compared with stand-alone endocardial ablation, it is still practiced in a limited number of highly experienced centers across the world.
- Published
- 2020
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