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Kardiologie up2date 2008; 4(2): 112-114
DOI: 10.1055/s-2008-1077311
DOI: 10.1055/s-2008-1077311
Hotline - Herzrhythmusstörungen
© Georg Thieme Verlag KG Stuttgart · New York
Epikardiale Ablation ventrikulärer Tachykardien
Further Information
Publication History
Publication Date:
06 June 2008 (online)
Abstract
The transcutane epicardial approach for the HFS-ablation of ventricular tachycardias (VT) was introduced in 1996 by E. Sosa. It is a promising approach for a three dimensional substrate, if the endocardial approach fails or is impossible. The success rate ranges between 39 and 80 %, if the endocardial approach has failed. The complication rate has been reported to be between 0 and 9.5 % and is dependent on the individual patient and the physician's experience.
Literatur
- 1 Sosa E, Scanavacca M, D’Avila A. et al . A new technique to perform epicardial mapping in the electrophysiology laboratory. J Cardiovasc Electrophysiol. 1996; 7 531-536
- 2 Sosa E, Scanavacca M, D’Avila A. et al . Endocardial and epicardial ablation guided by nonsurgical transthoracic epicardial mapping to treat recurrent ventricular tachycardia. J Cardiovasc Electrophysiol. 1998; 9 229-239
- 3 Sosa E, Scanavacca M, D’Avila A. et al . Nonsurgical transthoracic epicardial catheter ablation to treat recurrent ventricular tachycardia occurring late after myocardial infarction. J Am Coll Cardiol. 2000; 35 1442-1449
- 4 Brugada J, Berruezo A, Cuesta A. et al . Nonsurgical transthoracic epicardial radiofrequency ablation: an alternative in incessant ventricular tachycardia. J Am Coll Cardiol. 2003; 41 2036-2043
- 5 Schweikert R A, Saliba W I, Tomassoni G. et al . Percutaneous pericardial instrumentation for endo-epicardial mapping of previously failed ablations. Circulation. 2003; 108 1329-1335
- 6 Schmidt B, Chun J, Kuck K H, Ouyang F. Epikardiale Katheterablation ventrikulärer Tachykardien. Herbsttagung der Deutschen Kardiologischen Gesellschaft. Mannheim; 2008
- 7 Soejima K, Stevenson W G, Sapp J L. et al . Endocardial and epicardial radiofrequency ablation of ventricular tachycardia associated with dilated cardiomyopathy: the importance of low-voltage scars. J Am Coll Cardiol. 2004; 43 1834-1842
- 8 Soejima K, Couper G, Cooper J M. et al . Subxiphoid surgical approach for epicardial catheter-based mapping and ablation in patients with prior cardiac surgery or difficult pericardial access. Circulation. 2004; 110 1197-1201
- 9 Krikorian J G, Hancock E W. Pericardiocentesis. Am J Med. 1978; 65 808-814
- 10 Stevenson W G, Friedman P L, Kocovic D. et al . Radiofrequency catheter ablation of ventricular tachycardia after myocardial infarction. Circulation. 1998; 98 308-314
- 11 Soejima K, Stevenson W G, Sapp J L. et al . Endocardial and epicardial radiofrequency ablation of ventricular tachycardia associated with dilated cardiomyopathy: the importance of low-voltage scars. J Am Coll Cardiol. 2004; 43 1834-1842
- 12 D’Avila A, Gutierrez P, Scanavacca M. et al . Effects of radiofrequency pulses delivered in the vicinity of the coronary arteries: implications for nonsurgical transthoracic epicardial catheter ablation to treat ventricular tachycardia. Pacing Clin Electrophysiol. 2002; 25 1488-1495
Dr. Dietmar Bänsch
Universitätsklinikum Rostock
Klinik u. Poliklinik für Innere Medizin
Ernst-Heydemann-Str. 6
18057 Rostock
Email: dietmar.baensch@med.uni-rostock.de