Retrograde aortic access during ventricular tachycardia ablation: Indications, techniques, and challenges
| Autor: | Suneil Aggarwal, Saagar Mahida, Ahmed M. Adlan, Timothy A. Fairbairn, Diana Penha, Omar Nawaytou, Derick Todd, Timothy Campbell |
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| Rok vydání: | 2019 |
| Předmět: |
Aortic valve
medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Ventricular tachycardia Arrhythmogenic substrate Electrocardiography 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine Ventricular tachycardia ablation Monitoring Intraoperative Physiology (medical) Internal medicine Humans Medicine In patient 030212 general & internal medicine Access route business.industry Body Surface Potential Mapping Ablation medicine.disease Comorbidity medicine.anatomical_structure Catheter Ablation Tachycardia Ventricular cardiovascular system Cardiology Electrophysiologic Techniques Cardiac Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiovascular Electrophysiology. 30:2629-2639 |
| ISSN: | 1540-8167 1045-3873 |
| DOI: | 10.1111/jce.14163 |
| Popis: | The retrograde aortic (RA) route is a widely used access route for mapping and ablation of ventricular tachycardias (VT) arising from the left ventricular endocardium. With the expanding role of VT ablation in patients with significant comorbidity, the choice between the RA and transseptal access routes is an increasingly important consideration. An individualized decision based on the location of the arrhythmogenic substrate, vascular anatomy, aortic valve morphology, and operator experience is necessary when deciding on the optimal access route. Among patients with challenging vascular anatomy, growing experience from structural interventions such as transcatheter aortic valve replacements and peripheral vascular interventions has provided valuable insights into techniques for safe retrograde access. The present review focuses on patient selection for RA access, potential complications associated with the technique, and optimal approaches for access in patients with challenging vascular or aortic valve anatomy. |
| Databáze: | OpenAIRE |
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