Epicardial access for VT ablation: analysis of two different puncture techniques, incidence of adhesions and complication management.
Shibu MathewSebastian FeickertThomas FinkAndreas RilligBruno ReissmannLaura RottnerNaotaka HashiguchiPeter WohlmuthTilman MaurerChristine LemesAndreas MetznerKarl-Heinz KuckFeifan OuyangPublished in: Clinical research in cardiology : official journal of the German Cardiac Society (2020)
Anterior-oriented epicardial puncture shows an observed association to a reduced incidence of pericardial tamponades and overall puncture-related complications in epicardial ablation of VA. In cases of repeated epicardial access adhesions increase significantly and may lead to ablation failure.