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Left-lateral thoracotomy for catheter ablation of scar-related ventricular tachycardia in patients with inaccessible pericardial access

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Left-lateral thoracotomy for catheter ablation of scar-related ventricular tachycardia in patients with inaccessible pericardial access. / Zhang, Peng-Pai; Heeger, Christian-Hendrik; Mathew, Shibu; Fink, Thomas; Reissmann, Bruno; Lemeš, Christine; Maurer, Tilman; Santoro, Francesco; Huang, YingHao; Riedl, Johannes; Schmoeckel, Michael; Rillig, Andreas; Metzner, Andreas; Kuck, Karl-Heinz; Ouyang, Feifan.

In: CLIN RES CARDIOL, Vol. 110, No. 6, 06.2021, p. 801-809.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Zhang, P-P, Heeger, C-H, Mathew, S, Fink, T, Reissmann, B, Lemeš, C, Maurer, T, Santoro, F, Huang, Y, Riedl, J, Schmoeckel, M, Rillig, A, Metzner, A, Kuck, K-H & Ouyang, F 2021, 'Left-lateral thoracotomy for catheter ablation of scar-related ventricular tachycardia in patients with inaccessible pericardial access', CLIN RES CARDIOL, vol. 110, no. 6, pp. 801-809. https://doi.org/10.1007/s00392-020-01670-5

APA

Zhang, P-P., Heeger, C-H., Mathew, S., Fink, T., Reissmann, B., Lemeš, C., Maurer, T., Santoro, F., Huang, Y., Riedl, J., Schmoeckel, M., Rillig, A., Metzner, A., Kuck, K-H., & Ouyang, F. (2021). Left-lateral thoracotomy for catheter ablation of scar-related ventricular tachycardia in patients with inaccessible pericardial access. CLIN RES CARDIOL, 110(6), 801-809. https://doi.org/10.1007/s00392-020-01670-5

Vancouver

Zhang P-P, Heeger C-H, Mathew S, Fink T, Reissmann B, Lemeš C et al. Left-lateral thoracotomy for catheter ablation of scar-related ventricular tachycardia in patients with inaccessible pericardial access. CLIN RES CARDIOL. 2021 Jun;110(6):801-809. https://doi.org/10.1007/s00392-020-01670-5

Bibtex

@article{112d591876084371a885bbc81a7a144f,
title = "Left-lateral thoracotomy for catheter ablation of scar-related ventricular tachycardia in patients with inaccessible pericardial access",
abstract = "OBJECTIVES: We aimed to describe the feasibility of a surgical left thoracotomy for catheter ablation of scar-related ventricular tachycardia (VT) in patients with inaccessible pericardial access.BACKGROUND: Pericardial adhesion due to prior cardiac surgery or previous epicardial ablation procedures limits epicardial access in patients with drug-refractory VT originated from the epicardium.METHODS: Six patients who underwent a surgical left lateral thoracotomy epicardial access for catheter ablation of VT after failed subxiphoid percutaneous epicardial access were reviewed. Patients' baseline characteristics and procedural characteristics including epicardial access, mapping, and ablation were described. Epicardial access was successfully obtained in all patients by a surgical left lateral thoracotomy.RESULTS: The reasons of pericardial adhesion were prior cardiac surgery (n = 3, 50%) and previous epicardial ablation procedures (n = 3, 50%). Epicardial mapping of the lateral and inferior left ventricle was acquired, and a total of 15 different VTs originated from those regions were abolished. Unless one patient with ST elevation myocardial infarction due to periprocedural occlusion of the posterior descending artery no further complications occurred. All patients were discharged 10.2 ± 4 days after the procedure. VT recurred in 1 patient (17%) and was controlled with oral amiodarone therapy during follow-up (median follow-up: 479 days).CONCLUSIONS: A surgical left lateral thoracotomy is feasible and safe for selected patients. This approach provides epicardial ablation in patients with VT located at the infero-lateral left ventricle and pericardial adhesions due to previous cardiac surgery or previous ablation procedures.",
author = "Peng-Pai Zhang and Christian-Hendrik Heeger and Shibu Mathew and Thomas Fink and Bruno Reissmann and Christine Leme{\v s} and Tilman Maurer and Francesco Santoro and YingHao Huang and Johannes Riedl and Michael Schmoeckel and Andreas Rillig and Andreas Metzner and Karl-Heinz Kuck and Feifan Ouyang",
year = "2021",
month = jun,
doi = "10.1007/s00392-020-01670-5",
language = "English",
volume = "110",
pages = "801--809",
journal = "CLIN RES CARDIOL",
issn = "1861-0684",
publisher = "D. Steinkopff-Verlag",
number = "6",

}

RIS

TY - JOUR

T1 - Left-lateral thoracotomy for catheter ablation of scar-related ventricular tachycardia in patients with inaccessible pericardial access

AU - Zhang, Peng-Pai

AU - Heeger, Christian-Hendrik

AU - Mathew, Shibu

AU - Fink, Thomas

AU - Reissmann, Bruno

AU - Lemeš, Christine

AU - Maurer, Tilman

AU - Santoro, Francesco

AU - Huang, YingHao

AU - Riedl, Johannes

AU - Schmoeckel, Michael

AU - Rillig, Andreas

AU - Metzner, Andreas

AU - Kuck, Karl-Heinz

AU - Ouyang, Feifan

PY - 2021/6

Y1 - 2021/6

N2 - OBJECTIVES: We aimed to describe the feasibility of a surgical left thoracotomy for catheter ablation of scar-related ventricular tachycardia (VT) in patients with inaccessible pericardial access.BACKGROUND: Pericardial adhesion due to prior cardiac surgery or previous epicardial ablation procedures limits epicardial access in patients with drug-refractory VT originated from the epicardium.METHODS: Six patients who underwent a surgical left lateral thoracotomy epicardial access for catheter ablation of VT after failed subxiphoid percutaneous epicardial access were reviewed. Patients' baseline characteristics and procedural characteristics including epicardial access, mapping, and ablation were described. Epicardial access was successfully obtained in all patients by a surgical left lateral thoracotomy.RESULTS: The reasons of pericardial adhesion were prior cardiac surgery (n = 3, 50%) and previous epicardial ablation procedures (n = 3, 50%). Epicardial mapping of the lateral and inferior left ventricle was acquired, and a total of 15 different VTs originated from those regions were abolished. Unless one patient with ST elevation myocardial infarction due to periprocedural occlusion of the posterior descending artery no further complications occurred. All patients were discharged 10.2 ± 4 days after the procedure. VT recurred in 1 patient (17%) and was controlled with oral amiodarone therapy during follow-up (median follow-up: 479 days).CONCLUSIONS: A surgical left lateral thoracotomy is feasible and safe for selected patients. This approach provides epicardial ablation in patients with VT located at the infero-lateral left ventricle and pericardial adhesions due to previous cardiac surgery or previous ablation procedures.

AB - OBJECTIVES: We aimed to describe the feasibility of a surgical left thoracotomy for catheter ablation of scar-related ventricular tachycardia (VT) in patients with inaccessible pericardial access.BACKGROUND: Pericardial adhesion due to prior cardiac surgery or previous epicardial ablation procedures limits epicardial access in patients with drug-refractory VT originated from the epicardium.METHODS: Six patients who underwent a surgical left lateral thoracotomy epicardial access for catheter ablation of VT after failed subxiphoid percutaneous epicardial access were reviewed. Patients' baseline characteristics and procedural characteristics including epicardial access, mapping, and ablation were described. Epicardial access was successfully obtained in all patients by a surgical left lateral thoracotomy.RESULTS: The reasons of pericardial adhesion were prior cardiac surgery (n = 3, 50%) and previous epicardial ablation procedures (n = 3, 50%). Epicardial mapping of the lateral and inferior left ventricle was acquired, and a total of 15 different VTs originated from those regions were abolished. Unless one patient with ST elevation myocardial infarction due to periprocedural occlusion of the posterior descending artery no further complications occurred. All patients were discharged 10.2 ± 4 days after the procedure. VT recurred in 1 patient (17%) and was controlled with oral amiodarone therapy during follow-up (median follow-up: 479 days).CONCLUSIONS: A surgical left lateral thoracotomy is feasible and safe for selected patients. This approach provides epicardial ablation in patients with VT located at the infero-lateral left ventricle and pericardial adhesions due to previous cardiac surgery or previous ablation procedures.

U2 - 10.1007/s00392-020-01670-5

DO - 10.1007/s00392-020-01670-5

M3 - SCORING: Journal article

C2 - 32458110

VL - 110

SP - 801

EP - 809

JO - CLIN RES CARDIOL

JF - CLIN RES CARDIOL

SN - 1861-0684

IS - 6

ER -