BOOK
Epicardial Interventions in Electrophysiology, An Issue of Cardiac Electrophysiology Clinics - E-Book
Kalyanam Shivkumar | Noel Boyle
(2010)
Additional Information
Book Details
Abstract
Epicardial ablation is a relatively new technique that is less invasive than traditional surgical ablation. It shows promise in certain patient populations. This issue of Cardiac Electrophysiology Clinics is one of the first collections of articles on this cutting edge technique.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Contents | vii | ||
| Cardiac Electrophysiology Clinics | xi | ||
| Foreword | xiii | ||
| Preface | xv | ||
| Chapter 1. Anatomy of the Pericardial Space and Mediastinum: Relevance to Epicardial Mapping and Ablation | 1 | ||
| THE ANATOMY OF THE PERICARDIAL SPACE | 2 | ||
| ACCESS TO THE EPICARDIUM (AS AN ELECTIVE PROCEDURE) | 3 | ||
| THE NEIGHBORHOOD: IMPORTANT CARDIAC STRUCTURES | 4 | ||
| FAT PADS AND INNERVATION | 4 | ||
| THE NEIGHBORHOOD: IMPORTANT EXTRACARDIAC STRUCTURES | 5 | ||
| SUMMARY | 7 | ||
| REFERENCES | 7 | ||
| Chapter 2. The Pericardial Space: Obtaining Access and an Approach to Fluoroscopic Anatomy | 9 | ||
| OUTLINE OF THIS ARTICLE | 9 | ||
| ANATOMY OF THE PERICARDIUM | 10 | ||
| OBTAINING ACCESS TO THE PERICARDIAL SPACE | 10 | ||
| NAVIGATING THE PERICARDIAL SPACE | 13 | ||
| RADIOGRAPHIC ANATOMY | 14 | ||
| SUMMARY | 21 | ||
| REFERENCES | 21 | ||
| Chapter 3. Electrocardiographic Recognition of Epicardial Arrhythmias | 25 | ||
| VENTRICULAR ARRHYTHMIAS | 25 | ||
| GENERAL CRITERIA | 26 | ||
| SITE-SPECIFIC CRITERIA | 27 | ||
| SUMMARY ALGORITHM | 28 | ||
| ACCESSORY PATHWAYS | 28 | ||
| ATRIAL TACHYCARDIAS | 32 | ||
| SUMMARY | 32 | ||
| ACKNOWLEDGMENTS | 32 | ||
| REFERENCES | 32 | ||
| Chapter 4. How to Learn Epicardial Intervention Techniques in Electrophysiology | 35 | ||
| INDICATIONS | 35 | ||
| INITIATING THE PROGRAM | 36 | ||
| INDIVIDUAL CASES | 36 | ||
| UNDERSTANDING PERICARDIAL ANATOMY | 38 | ||
| SPECIAL SITUATIONS | 38 | ||
| TECHNIQUES IN DEVELOPMENT | 39 | ||
| COMPLICATIONS | 41 | ||
| SUMMARY | 41 | ||
| REFERENCES | 42 | ||
| Chapter 5. Energy Sources for Ablation in the Pericardial Space | 45 | ||
| ENDOCARDIAL VERSUS EPICARDIAL ABLATION | 45 | ||
| ENERGY SOURCES FOR EPICARDIAL ABLATION | 47 | ||
| PERICARDIAL ACCESS FOR NEW ABLATION TOOLS | 51 | ||
| SUMMARY | 53 | ||
| REFERENCES | 53 | ||
| Chapter 6. Epicardial Ablation of Ventricular Tachycardia in Chagas Heart Disease | 55 | ||
| CLINICAL EVOLUTION AFTER INFECTION | 55 | ||
| CHAGAS CARDIOMYOPATHY | 56 | ||
| SUSTAINED VENTRICULAR TACHYCARDIA IN CHAGAS DISEASE | 56 | ||
| TREATMENT OF SUSTAINED VT IN CHAGAS DISEASE | 56 | ||
| CATHETER ABLATION OF CHAGAS VT | 59 | ||
| EPICARDIAL ABLATION OF CHAGAS VT | 61 | ||
| EPICARDIAL ABLATION OF MITRAL ISTHMUS CHAGAS VT | 64 | ||
| SUMMARY | 65 | ||
| REFERENCES | 65 | ||
| Chapter 7. Epicardial Ablation of Ischemic Ventricular Tachycardia | 69 | ||
| INDICATIONS FOR EPICARDIAL MAPPING AND ABLATION | 69 | ||
| EPICARDIAL ACCESS | 70 | ||
| MAPPING BASED ON THE VT MECHANISM AND SUBSTRATE | 72 | ||
| EPICARDIAL ABLATION | 73 | ||
| OUTCOMES | 76 | ||
| CONCLUSIONS AND FUTURE DIRECTIONS | 76 | ||
| REFERENCES | 77 | ||
| Chapter 8. Epicardial Ablation of Idiopathic Ventricular Tachycardia | 81 | ||
| ELECTROPHYSIOLOGICAL CHARACTERISTICS | 81 | ||
| ELECTROCARDIOGRAPHIC ANALYSIS | 81 | ||
| CATHETER ABLATION | 82 | ||
| SUMMARY | 90 | ||
| REFERENCES | 90 | ||
| Chapter 9. Epicardial Ablation of VT in Patients with Nonischemic LV Cardiomyopathy | 93 | ||
| EPIDEMIOLOGY | 93 | ||
| SUBSTRATE CHARACTERISTICS IN PATIENTS WITH VT AND NONISCHEMIC LVCM | 94 | ||
| ECG MORPHOLOGY AND MECHANISM OF VT | 95 | ||
| GENERAL PROCEDURAL CONSIDERATIONS | 97 | ||
| PERCUTANEOUS PERICARDIAL PUNCTURE | 98 | ||
| PITFALLS OF EPICARDIAL MAPPING AND ABLATION | 99 | ||
| ABLATION OUTCOMES AND COMPLICATIONS | 100 | ||
| SUMMARY | 101 | ||
| REFERENCES | 102 | ||
| Chapter 10. Epicardial Ablation of Supraventricular Tachycardia | 105 | ||
| EPICARDIAL ABLATION OF VARIOUS FORMS OF SUPRAVENTRICULAR TACHYCARDIA | 105 | ||
| NEW TECHNIQUES FOR IMPROVED EFFICACY AND SAFETY | 109 | ||
| FUTURE DIRECTIONS | 109 | ||
| SUMMARY | 110 | ||
| REFERENCES | 110 | ||
| Chapter 11. Epicardial Catheter Ablation of Atrial Fibrillation | 113 | ||
| RATIONALE FOR EPICARDIAL ABLATION OF AF | 114 | ||
| EPICARDIAL CATHETER ABLATION: DEVELOPMENT, CURRENT USES, AND ANATOMY | 114 | ||
| TECHNIQUE OF EPICARDIAL CATHETER ABLATION | 115 | ||
| SPECIAL RISKS AND CHALLENGES OF EPICARDIAL ABLATION | 117 | ||
| PRELIMINARY STUDIES ON EPICARDIAL AF ABLATION | 118 | ||
| FUTURE DIRECTIONS | 119 | ||
| REFERENCES | 119 | ||
| Chapter 12. Remote Navigation and Electroanatomic Mapping in the Pericardial Space | 121 | ||
| REFERENCES | 124 | ||
| Chapter 13. Recognition and Prevention of Complications During Epicardial Ablation | 127 | ||
| COMPLICATIONS RELATED TO THE PERICARDIAL ACCESS | 127 | ||
| COMPLICATIONS DURING MAPPING AND ABLATION | 130 | ||
| POSTPROCEDURAL COMPLICATIONS | 132 | ||
| SUMMARY | 133 | ||
| REFERENCES | 133 | ||
| Chapter 14. Future Developments in Nonsurgical Epicardial Therapies | 135 | ||
| PERCUTANEOUS PERICARDIAL ACCESS AND NOVEL THERAPIES | 135 | ||
| CARDIAC RESYNCHRONIZATION THERAPY | 136 | ||
| FUTURE DIRECTIONS | 144 | ||
| SUMMARY | 144 | ||
| REFERENCES | 144 | ||
| Index | 147 |