| Strategies for epicardial mapping and ablation of ventricular tachycardia. | |
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MedLine Citation:
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PMID: 19207780 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Catheter ablation for ventricular tachycardia (VT) is becoming an essential component of the successful management of patients with structural heart disease and refractory ventricular arrhythmias. Despite detailed mapping and ablation from the endocardium, nearly a third of VT circuits remain inaccessible. Pericardial access has improved our ability to address these resistant VTs. Adhesions after cardiac surgery can impede access, necessitating a direct surgical approach to the pericardial space. Potential risks include risk of injury to an epicardial coronary artery, the phrenic nerve, subdiaphragmatic vessels, and right ventricle. We describe the indications for and approach to catheter ablation of VT for the pericardial space. |
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Authors:
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Usha Tedrow; William G Stevenson |
Publication Detail:
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Type: Journal Article; Review Date: 2009-02-02 |
Journal Detail:
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Title: Journal of cardiovascular electrophysiology Volume: 20 ISSN: 1540-8167 ISO Abbreviation: J. Cardiovasc. Electrophysiol. Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-07-28 Completed Date: 2009-10-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9010756 Medline TA: J Cardiovasc Electrophysiol Country: United States |
Other Details:
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Languages: eng Pagination: 710-3 Citation Subset: IM |
Affiliation:
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Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. utedrow@partners.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Body Surface Potential Mapping
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methods* Catheter Ablation / methods* Heart Conduction System / surgery* Humans Pericardium / surgery* Surgery, Computer-Assisted / methods* Tachycardia, Ventricular / diagnosis*, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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