Kardiologie up2date 2008; 4(2): 112-114
DOI: 10.1055/s-2008-1077311
Hotline - Herzrhythmusstörungen

© Georg Thieme Verlag KG Stuttgart · New York

Epikardiale Ablation ventrikulärer Tachykardien

Dietmar  Bänsch, Christian  J.  Linder, Christoph  A.  Nienaber
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

    >