Epicardial ventricular arrhythmia ablation: a clinical consensus statement of the European Heart Rhythm Association of the European Society of Cardiology and the Heart Rhythm Society, the Asian Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society

被引：0

作者：

Arya, Arash ^{[1
]}

Di Biase, Luigi ^{[2
]}

Bazan, Victor ^{[3
]}

Berruezo, Antonio ^{[4
]}

d'Avila, Andrea ^{[5
,6
,7
]}

Della Bella, Paolo ^{[8
]}

Enriquez, Andres ^{[9
,10
]}

Hocini, Meleze ^{[11
,12
]}

Kautzner, Josef ^{[13
]}

Pak, Hui-Nam ^{[14
,15
]}

Stevenson, William G. ^{[16
]}

Zeppenfeld, Katja ^{[17
]}

Shamloo, Alireza Sepehri ^{[18
]}

Meyer, Christian ^{[19
]}

de Chillou, Christian ^{[20
,21
]}

Deneke, Thomas ^{[22
]}

de Riva, Marta ^{[23
]}

Porta-Sanchez, Andreu ^{[24
]}

Sapp, John ^{[25
]}

Schmidt, Boris ^{[26
]}

Shivkumar, Kalyanam ^{[27
,28
]}

Sommer, Philipp ^{[29
]}

Soejima, Kyoko ^{[30
]}

Supple, Gregory E. ^{[31
]}

Wilde, Arthur ^{[32
,33
]}

Zucchelli, Giulio ^{[34
]}

机构：

[1] Martin Luther Univ Halle Wittenberg, Univ Hosp Halle, Dept Cardiol, Ernst Grube Str 40, D-06120 Halle, Saale, Germany

[2] Albert Einstein Coll Med, Cardiac Arrhythmia Ctr, Div Cardiol, Montefiore Hlth Syst, New York, NY USA

[3] Hosp Univ Germans Trias i Pujol, Serv Cardiol, Unidad Arritmias, Badalona, Barcelona, Spain

[4] Teknon Med Ctr, Teknon Heart Inst, Arrhythmia Dept, Barcelona, Spain

[5] Beth Israel Deaconess Med Ctr, Harvard Thorndike Arrhythmia Inst, Boston, MA USA

[6] Beth Israel Deaconess Med Ctr, Div Cardiovasc Dis, Boston, MA USA

[7] Harvard Med Sch, Boston, MA USA

[8] San Raffaele Univ Hosp, Dept Cardiac Arrhythmia & Electrophysiol, Milan, Italy

[9] Hosp Univ Penn, Sect Cardiac Electrophysiol, Philadelphia, PA USA

[10] Queens Univ, Div Cardiol, Kingston, ON, Canada

[11] Fdn Bordeaux Univ, Electrophysiol & Heart Modeling Inst, Cardiac Electrophysiol & Stimulat Dept, IHU LIRYC, Pessac, France

[12] Bordeaux Univ Hosp CHU, Pessac, France

[13] Inst Clin & Expt Med, Dept Cardiol, Prague, Czech Republic

[14] Yonsei Univ, Coll Med, Dept Internal Med, Div Cardiol, Seoul, South Korea

[15] Yonsei Univ Hlth Syst, Seoul, South Korea

[16] Vanderbilt Heart & Vasc Inst, Dept Cardiol, Nashville, TN USA

[17] Leiden Univ, Med Ctr, Dept Cardiol, Leiden, Netherlands

[18] Charite, Charite Med Heart Ctr, Dept Cardiol, Deutsch Herzzentrum,German Heart Inst Berlin, Berlin, Germany

[19] EVK Dusseldorf, Cardiac Neuro & Electrophysiol Res Consortium, Div Cardiol Angiol Intens Care Med, cNEP, Dusseldorf, Germany

[20] Univ Lorraine, Dept Cardiol, CHRU Nancy, Nancy, France

[21] Univ Lorraine, IADI, INSERM, U1254, Nancy, France

[22] Univ Hosp Nuremberg, Univ Heart Ctr Nuremberg, Clin Arrhythmol, South Campus, Nurnberg, Germany

[23] Leiden Univ, Med Ctr, Willem Einthoven Ctr Arrhythmia Res & Management, Dept Cardiol, Leiden, Netherlands

[24] Univ Barcelona, Hosp Clin Barcelona, Inst Invest Biomed August Pi i Sunyer IDIBAPS, Barcelona, Catalonia, Spain

[25] Dalhousie Univ, QEII Hlth Sci Ctr, Halifax, NS, Canada

[26] Agaples Markus Krankenhaus, Cardioangiol Ctr Bethanien, Frankfurt, Germany

[27] Univ Calif Los Angeles, Ctr Intervent Programs, Los Angeles, CA USA

[28] UCLA Hlth Syst, Cardiac Arrhythmia Ctr, Los Angeles, CA USA

[29] Ruhr Univ Bochum, Heart and Diabet Ctr NRW, Clin Electrophysiol, Bad Oeynhausen, Germany

[30] Kyorin Univ, Dept Cardiovasc Med, Tokyo, Japan

[31] Univ Penn, Perelman Sch Med, Cardiac Electrophysiol Sect, Philadelphia, PA USA

[32] Amsterdam UMC Locat Univ Amsterdam, Dept Cardiol, Meibergdreef 9, Amsterdam, Netherlands

[33] Amsterdam Cardiovasc Sci, Heart Failure & Arrhythmias, Amsterdam, Netherlands

[34] Pisa Univ Hosp, Cardiothorac & Vasc Dept, Div Cardiol 2, Pisa, Italy

来源：

EUROPACE | 2025年 / 27卷 / 04期

关键词：

Epicardial access; Ventricular arrhythmias; Ventricular fibrillation; Ventricular tachycardia; Cardiomyopathies; Catheter ablation; Electrophysiology procedures; Clinical consensus statement; CARDIAC MAGNETIC-RESONANCE; RADIOFREQUENCY CATHETER ABLATION; TACHYCARDIA SUBSTRATE ABLATION; CARDIOVASCULAR IMAGING EACVI; PHRENIC-NERVE DISPLACEMENT; 12-LEAD ECG FEATURES; LONG-TERM OUTCOMES; NONISCHEMIC CARDIOMYOPATHY; SINUS RHYTHM; LESION SIZE;

D O I：

10.1093/europace/euaf055

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Epicardial access during electrophysiology procedures offers valuable insights and therapeutic options for managing ventricular arrhythmias (VAs). The current clinical consensus statement on epicardial VA ablation aims to provide clinicians with a comprehensive understanding of this complex clinical scenario. It offers structured advice and a systematic approach to patient management. Specific sections are devoted to anatomical considerations, criteria for epicardial access and mapping evaluation, methods of epicardial access, management of complications, training, and institutional requirements for epicardial VA ablation. This consensus is a joint effort of collaborating cardiac electrophysiology societies, including the European Heart Rhythm Association, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society.

引用

页数：36

共 50 条

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