Epicardial Ventricular Tachycardia Ablation Patient Selection, Access, and Ablation Techniques and Strategies to Manage Complications

被引：4

作者：

Raad, Mohamad ^{[1
]}

Supple, Gregory E. ^{[1
,2
]}

机构：

[1] Univ Penn, Perelman Sch Med, Div Cardiovasc Med, Electrophysiol Sect, Philadelphia, PA USA

[2] Hosp Univ Penn, Cardiovasc Med Div, Electro Physiol Sect, 1 Convent Ave, Philadelphia, PA 19104 USA

来源：

JACC-CLINICAL ELECTROPHYSIOLOGY | 2023年 / 10卷 / 01期

关键词：

ablation; epicardial; ventricular tachycardia; 12-LEAD ECG FEATURES; CATHETER ABLATION; MYOCARDIAL-INFARCTION; SUBSTRATE ABLATION; CONTACT FORCE; IDENTIFY; ARRHYTHMIAS; EXPERIENCE; EFFICACY; ORIGIN;

D O I：

10.1016/j.jacep.2023.09.007

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Epicardial ventricular tachycardia ablation is an important treatment modality for refractory ventricular tachycardia. This comprehensive review guides clinicians through optimized strategies for improved procedural outcomes and patient safety during epicardial ventricular tachycardia ablation. Patient selection criteria, including cardiomyopathy type, electrocardiogram findings, and prior ablation history, are discussed. Detailed techniques for safe pericardial access are provided. Potential complications and strategies for prevention and management are explored. The review also addresses challenges and pitfalls of epicardial mapping and ablation. (J Am Coll Cardiol EP 2024;10:142-164) (c) 2024 by the American College of Cardiology Foundation.

引用

页码：142 / 164

页数：23

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