Thorax Percutaneous Approach for Epicardial Ventricular Ablation in a Patient with Electrical Storm.
Pacing Clin Electrophysiol
; 40(6): 738-740, 2017 Jun.
Article
em En
| MEDLINE
| ID: mdl-28012204
ABSTRACT
Subxiphoid puncture is considered the standard approach for epicardial ablation of ventricular arrhythmia, but in some cases this access is impracticable due to the patient's anatomy. We describe the case of a patient with electrical storm and abnormal subdiaphragmatic anatomy that precluded the usual subxiphoid approach. In this patient the pericardial space was gained through a direct thorax puncture at the fifth intercostals space close to the mammary line. The tools and technique utilized in this case were similar to what is usually used for traditional subxiphoid puncture. The thorax percutaneous puncture was successfully carried out without complication.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pericárdio
/
Fibrilação Ventricular
/
Punções
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Taquicardia Ventricular
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Ablação por Cateter
/
Procedimentos Cirúrgicos Torácicos
/
Ventrículos do Coração
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Pacing Clin Electrophysiol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Itália