Epicardial Ablation Complications

Nicola Tarantino, Domenico G. Della Rocca, Michela Faggioni, Xiao Dong Zhang, Sanghamitra Mohanty, Alisara Anannab, Ugur Canpolat, Huseyin Ayhan, Mohamed Bassiouny, Anu Sahore, Kudret Aytemir, Annahita Sarcon, Giovanni B. Forleo, Carlo Lavalle, Rodney P. Horton, Chintan Trivedi, Amin Al-Ahmad, Jorge Romero, David J. Burkhardt, Joseph G. GallinghouseLuigi Di Biase, Andrea Natale

Research output: Contribution to journalReview article

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.

Original languageEnglish (US)
Pages (from-to)409-418
Number of pages10
JournalCardiac Electrophysiology Clinics
Volume12
Issue number3
DOIs
StatePublished - Sep 2020

Keywords

  • Cardiac arrhythmia
  • Complications
  • Epicardial approach
  • Percutaneous

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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