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Techniques for Percutaneous Access
- Source :
- Cardiac Electrophysiology Clinics. 12:271-280
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Percutaneous epicardial access continues to have a growing role within cardiac electrophysiology. The classic approach has typically been with a Tuohy needle via a subxiphoid approach guided by fluoroscopic landmarks and tactile feedback. Recent developments have highlighted the role of the micropuncture needle, electroanatomic mapping, and real-time pressure sensors to reduce complications. Further, different access sites, such as the right atrial appendage, have been described and may offer a novel approach to percutaneous epicardial access. In addition, future directions of percutaneous access may involve direct visualization, near-field impedance monitoring, and real-time virtual imaging.
- Subjects :
- Electroanatomic mapping
Percutaneous
Heart Diseases
Cardiac electrophysiology
business.industry
medicine.medical_treatment
Endovascular Procedures
Tuohy needle
Catheter ablation
030204 cardiovascular system & hematology
Subxiphoid approach
03 medical and health sciences
0302 clinical medicine
Physiology (medical)
Catheter Ablation
medicine
Humans
030212 general & internal medicine
Electrophysiologic Techniques, Cardiac
Cardiology and Cardiovascular Medicine
business
Pericardium
Right Atrial Appendage
Virtual imaging
Biomedical engineering
Subjects
Details
- ISSN :
- 18779182
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- Cardiac Electrophysiology Clinics
- Accession number :
- edsair.doi.dedup.....4681c019d1a28b0bb0531f2a8aff44f5