关键词: Catheter ablation Coronary venous system Epicardial ablation Idiopathic ventricular arrhythmias

Mesh : Catheter Ablation Epicardial Mapping Humans Pericardium / diagnostic imaging surgery Tachycardia, Ventricular / diagnostic imaging surgery

来  源:   DOI:10.1016/j.ccep.2020.04.005   PDF(Sci-hub)

Abstract:
Ventricular arrhythmias (VAs) occurring in the absence of structural heart disease or ion channelopathies are referred to as idiopathic. They can clinically present with frequent monomorphic premature ventricular contractions, nonsustained ventricular tachycardia (VT), or sustained VT, and generally share a benign prognosis. Approximately 4% to 10% of idiopathic VAs have an epicardial site of origin, represented in most cases by the left ventricular summit and, less frequently, by the cardiac crux. Epicardial foci can be addressed by catheter ablation via the coronary venous system tributaries. In rarer instances, a direct epicardial access from a subxiphoid approach is needed.
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