| Autor: |
John, Silberbauer, John, Gomes, Sean, O'Nunain, Senthil, Kirubakaran, David, Hildick-Smith, James, McCready |
| Rok vydání: |
2016 |
| Předmět: |
|
| Zdroj: |
JACC. Clinical electrophysiology. 3(5) |
| ISSN: |
2405-5018 |
| Popis: |
This study assessed the feasibility of intentional coronary venous perforation and exit with subsequent pericardial carbon dioxide (COWidespread adoption of first-line endoepicardial ventricular tachycardia ablation has not been taken up because of the risk of lacerating coronary vessels and puncturing the right ventricle with direct subxiphoid puncture.A lateral branch of the coronary sinus was subselected using a diagnostic JR4 coronary catheter inside a steerable sheath, via femoral access, and a distal branch then perforated intentionally using a high tip load 0.014-inch angioplasty wire. Either a microcatheter or over-the-wire balloon was then passed over this into the pericardial space, allowing up to 150 ml of pericardial COIntentional coronary vein exit was achieved in all 12 patients. In 1 patient, this confirmed widespread pericardial adhesions and therefore only endocardial VT ablation was undertaken. The other patients underwent successful pericardial COWe report the first human transcoronary vein exit procedure. Coronary vein exit and subsequent percutaneous subxiphoid anterior access using a microneedle puncture after CO |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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