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Percutaneous access of the epicardial space for mapping ventricular and supraventricular arrhythmias in patients with and without prior cardiac surgery

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Percutaneous access of the epicardial space for mapping ventricular and supraventricular arrhythmias in patients with and without prior cardiac surgery. / Roberts-Thomson, Kurt C; Seiler, Jens; Steven, Daniel; Inada, Keiichi; Michaud, Gregory F; John, Roy M; Koplan, Bruce A; Epstein, Laurence M; Stevenson, William G; Tedrow, Usha B.

In: J CARDIOVASC ELECTR, Vol. 21, No. 4, 04.2010, p. 406-411.

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

Harvard

Roberts-Thomson, KC, Seiler, J, Steven, D, Inada, K, Michaud, GF, John, RM, Koplan, BA, Epstein, LM, Stevenson, WG & Tedrow, UB 2010, 'Percutaneous access of the epicardial space for mapping ventricular and supraventricular arrhythmias in patients with and without prior cardiac surgery', J CARDIOVASC ELECTR, vol. 21, no. 4, pp. 406-411. https://doi.org/10.1111/j.1540-8167.2009.01645.x

APA

Roberts-Thomson, K. C., Seiler, J., Steven, D., Inada, K., Michaud, G. F., John, R. M., Koplan, B. A., Epstein, L. M., Stevenson, W. G., & Tedrow, U. B. (2010). Percutaneous access of the epicardial space for mapping ventricular and supraventricular arrhythmias in patients with and without prior cardiac surgery. J CARDIOVASC ELECTR, 21(4), 406-411. https://doi.org/10.1111/j.1540-8167.2009.01645.x

Vancouver

Roberts-Thomson KC, Seiler J, Steven D, Inada K, Michaud GF, John RM et al. Percutaneous access of the epicardial space for mapping ventricular and supraventricular arrhythmias in patients with and without prior cardiac surgery. J CARDIOVASC ELECTR. 2010 Apr;21(4):406-411. https://doi.org/10.1111/j.1540-8167.2009.01645.x

Bibtex

@article{db17e64eb6684fe4a1b8c4758d370e0f,
title = "Percutaneous access of the epicardial space for mapping ventricular and supraventricular arrhythmias in patients with and without prior cardiac surgery",
abstract = "INTRODUCTION: There is a paucity of data on the success rates of achieving percutaneous epicardial access in different groups of patients.METHODS AND RESULTS: Percutaneous epicardial access was attempted in 137 patients having 149 procedures; 19 patients had supraventricular tachycardia (SVT), 25 patients had idiopathic VT and 93 patients had scar-related ventricular tachycardia (VT). Ten patients had prior cardiac surgery. Successful epicardial access was achieved in 133 of 149 (89.3%) procedures. Access was achieved in 17 of 19 (89.5%) patients with SVT, all patients with idiopathic VT, 80 of 93 (86.0%) patients with scar-related VT and in 2 (20%) patients with prior cardiac surgery. Attempted access failed in 16 patients; 8 had prior cardiac surgery and 3 had prior pericarditis. After an initial procedure, repeat access was attempted in 15 patients, 5.1 +/- 5.4 months after initial epicardial mapping and ablation. Access was successful in 13 (86.7%) and failed in 2 patients who had pericarditis after their first procedure. Only 4 patients were given intrapericardial glucocorticoid at their first epicardial procedure. Prior cardiac surgery and a history of pericarditis predicted unsuccessful access (P < 0.01). Complications (9 patients) included pericardial bleeding (80-250 mL) and intraabdominal bleeding.CONCLUSIONS: In patients without prior cardiac surgery, percutaneous epicardial access can be obtained in the majority of patients. Prior cardiac surgery precludes access in the most patients and when possible adhesions may limit catheter movement. Repeat access is possible in the majority of patients without the installation of intrapericardial glucocorticoid at the first procedure.",
keywords = "Body Surface Potential Mapping/methods, Cardiac Surgical Procedures, Female, Humans, Male, Middle Aged, Pericardium, Reproducibility of Results, Sensitivity and Specificity, Tachycardia, Supraventricular/diagnosis",
author = "Roberts-Thomson, {Kurt C} and Jens Seiler and Daniel Steven and Keiichi Inada and Michaud, {Gregory F} and John, {Roy M} and Koplan, {Bruce A} and Epstein, {Laurence M} and Stevenson, {William G} and Tedrow, {Usha B}",
year = "2010",
month = apr,
doi = "10.1111/j.1540-8167.2009.01645.x",
language = "English",
volume = "21",
pages = "406--411",
journal = "J CARDIOVASC ELECTR",
issn = "1045-3873",
publisher = "Wiley-Blackwell",
number = "4",

}

RIS

TY - JOUR

T1 - Percutaneous access of the epicardial space for mapping ventricular and supraventricular arrhythmias in patients with and without prior cardiac surgery

AU - Roberts-Thomson, Kurt C

AU - Seiler, Jens

AU - Steven, Daniel

AU - Inada, Keiichi

AU - Michaud, Gregory F

AU - John, Roy M

AU - Koplan, Bruce A

AU - Epstein, Laurence M

AU - Stevenson, William G

AU - Tedrow, Usha B

PY - 2010/4

Y1 - 2010/4

N2 - INTRODUCTION: There is a paucity of data on the success rates of achieving percutaneous epicardial access in different groups of patients.METHODS AND RESULTS: Percutaneous epicardial access was attempted in 137 patients having 149 procedures; 19 patients had supraventricular tachycardia (SVT), 25 patients had idiopathic VT and 93 patients had scar-related ventricular tachycardia (VT). Ten patients had prior cardiac surgery. Successful epicardial access was achieved in 133 of 149 (89.3%) procedures. Access was achieved in 17 of 19 (89.5%) patients with SVT, all patients with idiopathic VT, 80 of 93 (86.0%) patients with scar-related VT and in 2 (20%) patients with prior cardiac surgery. Attempted access failed in 16 patients; 8 had prior cardiac surgery and 3 had prior pericarditis. After an initial procedure, repeat access was attempted in 15 patients, 5.1 +/- 5.4 months after initial epicardial mapping and ablation. Access was successful in 13 (86.7%) and failed in 2 patients who had pericarditis after their first procedure. Only 4 patients were given intrapericardial glucocorticoid at their first epicardial procedure. Prior cardiac surgery and a history of pericarditis predicted unsuccessful access (P < 0.01). Complications (9 patients) included pericardial bleeding (80-250 mL) and intraabdominal bleeding.CONCLUSIONS: In patients without prior cardiac surgery, percutaneous epicardial access can be obtained in the majority of patients. Prior cardiac surgery precludes access in the most patients and when possible adhesions may limit catheter movement. Repeat access is possible in the majority of patients without the installation of intrapericardial glucocorticoid at the first procedure.

AB - INTRODUCTION: There is a paucity of data on the success rates of achieving percutaneous epicardial access in different groups of patients.METHODS AND RESULTS: Percutaneous epicardial access was attempted in 137 patients having 149 procedures; 19 patients had supraventricular tachycardia (SVT), 25 patients had idiopathic VT and 93 patients had scar-related ventricular tachycardia (VT). Ten patients had prior cardiac surgery. Successful epicardial access was achieved in 133 of 149 (89.3%) procedures. Access was achieved in 17 of 19 (89.5%) patients with SVT, all patients with idiopathic VT, 80 of 93 (86.0%) patients with scar-related VT and in 2 (20%) patients with prior cardiac surgery. Attempted access failed in 16 patients; 8 had prior cardiac surgery and 3 had prior pericarditis. After an initial procedure, repeat access was attempted in 15 patients, 5.1 +/- 5.4 months after initial epicardial mapping and ablation. Access was successful in 13 (86.7%) and failed in 2 patients who had pericarditis after their first procedure. Only 4 patients were given intrapericardial glucocorticoid at their first epicardial procedure. Prior cardiac surgery and a history of pericarditis predicted unsuccessful access (P < 0.01). Complications (9 patients) included pericardial bleeding (80-250 mL) and intraabdominal bleeding.CONCLUSIONS: In patients without prior cardiac surgery, percutaneous epicardial access can be obtained in the majority of patients. Prior cardiac surgery precludes access in the most patients and when possible adhesions may limit catheter movement. Repeat access is possible in the majority of patients without the installation of intrapericardial glucocorticoid at the first procedure.

KW - Body Surface Potential Mapping/methods

KW - Cardiac Surgical Procedures

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Pericardium

KW - Reproducibility of Results

KW - Sensitivity and Specificity

KW - Tachycardia, Supraventricular/diagnosis

U2 - 10.1111/j.1540-8167.2009.01645.x

DO - 10.1111/j.1540-8167.2009.01645.x

M3 - SCORING: Journal article

C2 - 19912446

VL - 21

SP - 406

EP - 411

JO - J CARDIOVASC ELECTR

JF - J CARDIOVASC ELECTR

SN - 1045-3873

IS - 4

ER -