Percutaneous epicardial mapping and ablation of the ventricular tachycardia substrate in a patient after pericardiotomy: case report
K. A. Simonova,
M. A. Naymushin,
A. V. Kamenev,
T. A. Lyubimtseva,
V. S. Orshanskaya,
Yu. V. Miller,
D. S. Lebedev,
E. N. Mikhaylov https://doi.org/10.35336/VA-2022-1-7
Abstract
We present a case of successful percutaneous epicardial access in patients with non-ischemic cardiomyopathy with limited mapping and ablation of the ventricular tachycardia substrate on the epicardial surface.
Keywords
ventricular tachycardia,
epicardial mapping,
epicardial ablation,
pericardiotomy,
pericardial adhesions
Supporting agencies: This work was supported by the Ministry of Healthcare of the Russian Federation (registration number 121031100306-6).
About the Authors
K. A. Simonova
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
M. A. Naymushin
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
A. V. Kamenev
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
T. A. Lyubimtseva
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
V. S. Orshanskaya
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
Yu. V. Miller
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
D. S. Lebedev
Almazov National Medical Research Centre;
Saint-Petersburg Electrotechnical University
Russian Federation
Russian Federation
Saint-Petersburg, 2 Akkuratova str.;
Saint-Petersburg, 5 Professor Popov str.
E. N. Mikhaylov
Almazov National Medical Research Centre;
Saint-Petersburg Electrotechnical University
Russian Federation
Russian Federation
Saint-Petersburg, 2 Akkuratova str.;
Saint-Petersburg, 5 Professor Popov str.
References
1. Condori Leandro HI, Lebedev DS, Mikhaylov EN. Discrimination of ventricular tachycardia and localization of its exit site using surface electrocardiography. J Geriatr Cardiol. 2019;16(4): 362-377. https://doi.org/10.11909/j.issn.1671-5411.2019.04.008.
2. Simonova KA, Lebedev DS, Mikhaylov EN. Epicardial mapping and ablation in management of ventricular tachycardia. Complex Issues of Cardiovascular Diseases. 2017;6(4): 138-145. (In Russ.) https://doi.org/у10.17802/2306-1278-2017-6-4-138-145.
3. Killu AM, Asirvatham SJ. Percutaneous pericardial access for electrophysiological studies in patients with prior cardiac surgery: approach and understanding the risks. Expert Review of Cardiovascular Therapy. 2018;17(2): 143- 150. https://doi.org/:10.1080/14779072.2019.1561276.
4. Yamada T. Transthoracic Epicardial Catheter Ablation. Circulation Journal. 2013;77(7): 1672-1680. https://doi.org/:10.1253/circj.cj-13-0510.
5. Sosa E, Scanavacca M, D’Avila A, et al. Nonsurgical transthoracic epicardial approach in patients with ventricular tachycardia and previous cardiac surgery. Journal of Interventional Cardiac Electrophysiology. 2004;10(3): 281-288. https://doi.org/:10.1023/B:JICE.0000026925.41543.7c.
6. Tschabrunn CM, Haqqani HM, Cooper JM, et al. Percutaneous epicardial ventricular tachycardia ablation after noncoronary cardiac surgery or pericarditis. Heart Rhythm. 2013;10(2): 165-169. https://doi.org/:10.1016/j.hrthm.2012.10.012
7. Verrier RL, Waxman S, Lovett EG, et al. Transatrial Access to the Normal Pericardial Space A Novel Approach for Diagnostic Sampling, Pericardiocentesis, and Therapeutic Interventions. Circulation. 1998;98: 2331-2333. https://doi.org/:10.1161/01.cir.98.21.2331.
8. Rogers T, Ratnayaka K, Schenke WH, et al. Intentional Right Atrial Exit for Microcatheter Infusion of Pericardial Carbon Dioxide or Iodinated Contrast to Facilitate SubXiphoid Access. Catheterization and Cardiovascular Interventions. 2015;86: E111-E118. https://doi.org/:10.1002/ccd.25698.
9. Leyton-Mange JS, Sze EY, Conley C, et al. Epicardial access facilitated by carbon dioxide insufflation for redo ventricular tachycardia ablation in a patient with arrhythmogenic right ventricular dysplasia and dense adhesions. Heart Rhythm. 2021;7 (4): 197-202. https://doi.org/:10.1016/j.hrcr.2020.12.008.
Review
For citations:
Simonova K.A., Naymushin M.A., Kamenev A.V., Lyubimtseva T.A., Orshanskaya V.S., Miller Yu.V., Lebedev D.S., Mikhaylov E.N. Percutaneous epicardial mapping and ablation of the ventricular tachycardia substrate in a patient after pericardiotomy: case report. Journal of Arrhythmology. 2022;29(1):45-49. https://doi.org/10.35336/VA-2022-1-7
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