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 language | English (US) |
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Pages (from-to) | 409-418 |
Number of pages | 10 |
Journal | Cardiac Electrophysiology Clinics |
Volume | 12 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2020 |
Keywords
- Cardiac arrhythmia
- Complications
- Epicardial approach
- Percutaneous
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Physiology (medical)