Percutaneous transhepatic venous access for atrial tachyarrhythmia ablation in patients with single ventricle and interrupted inferior vena cava Richard.

Slides:

Advertisements

Similar presentations

Isolation of an arrhythmogenic roof vein with the guide of a circular mapping catheter in a case with paroxysmal atrial fibrillation Shin-ichi Tanigawa,

Advertisements

Wolff-Parkinson-White syndrome due to a left atrial appendage–to–left ventricular connection: A case of a successful pathway elimination from inside of.

Role of intracardiac echocardiography for guiding ablation of tricuspid valve arrhythmias Andres Enriquez, MD, Carlos Tapias, MD, Diego Rodriguez, MD,

A novel mapping technique to detect non–pulmonary vein triggers: A case report of self- reference mapping technique Yasuharu Matsunaga-Lee, MD, Yuzuru.

Intraatrial reentrant tachycardia originating from the prior suture line of the baffle in a patient who underwent the Mustard operation: Ultra-high-density.

Implantation of ileofemoral stents: A novel approach for bilateral occlusions of the iliofemoral vein in a patient with a Glenn operation Takashi Kumamoto,

Radiofrequency ablation of typical atrial flutter with access through the azygos vein in a patient with heterotopia utilizing high-density electroanatomic.

HeartRhythm Case Reports

Successful atrial fibrillation ablation without pulmonary vein isolation utilizing focal impulse and rotor mapping in an atriopulmonary Fontan Madhukar.

Three-dimensional electroanatomical mapping to guide transseptal catheterization Mark R. Bowers, MS, MD, Padraig Gearoid O'Neill, MD, FHRS, Rohit Bhaskar,

Transhepatic radiofrequency ablation of a cavotricuspid isthmus–dependent atrial flutter Zahra Jehan Iqbal, MD, Long Cao, MD, Karl Chiang, MD, Sundeep.

Catheter ablation of atrial tachycardia on the non-coronary aortic cusp during pregnancy without fluoroscopy Cecília Bitaraes de Souza Barros, MD, Muhieddine.

Peri–coronary sinus atrial flutter associated with prior slow pathway ablation Mitsunori Maruyama, MD, PhD, FHRS, Shunsuke Uetake, MD, PhD, Yasushi Miyauchi,

Left ventricle penetration—A rare complication of transseptal puncture and catheter ablation for supraventricular tachycardia Nelson Chavarria, MD, Seth.

Maged F. Nageh, MD,FHRS, Kamal Kotak, MD HeartRhythm Case Reports

Resolution of the functional retrograde right bundle branch block during antidromic atrioventricular reciprocating tachycardia Keiko Takahashi, MD, PhD,

Radiofrequency catheter ablation for drug-refractory paroxysmal atrial fibrillation in a patient with Ebstein’s anomaly Yong-Giun Kim, MD, Shin-Jae Kim,

Limitations of 12-lead electrocardiogram wide complex tachycardia algorithms in a patient with left atrial flutter and large myocardial infarction Carlos.

Claudio Hadid, MD, Sergio Gonzalez, MD, Jesús Almendral, MD, PhD

Dual-loop biatrial concomitant macroreentrant tachycardia in a patient without previous history of surgery or ablation Song-Yun Chu, MD, Li-Bin Shi,

Perimitral atrial flutter associated with a protected coronary sinus after a Maze IV procedure and concomitant mitral annulus repair Gaku Kanda, MD,

Jonathan T. Jaffe, MD, Lee-Gardie Jean, MD, Richard J. Murray, MD

Fracture and retrieval of an Achieve circular mapping catheter in and from a pulmonary vein during cryoballoon ablation for atrial fibrillation Richard.

Atrial fibrillation originating from recipient left atrium after an orthotopic heart transplantation Auroa Badin, MD, Jaret Tyler, MD, FHRS, Steven J.

Pseudo typical atrial flutter occurring after cavotricuspid isthmus ablation in a patient with a prior history of Senning operation Naoki Yoshida, MD,

Bradley D. Brochu, MD, Ahmed Abdi-Ali, MD, Jeffrey Shaw, MD, F

Swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity Koji Higuchi, MD, PhD,

Percutaneous transhepatic approach for cryoballoon pulmonary vein isolation in a patient with persistent atrial fibrillation and interruption of the inferior.

Wide complex tachycardia in an elderly woman due to Ebstein’s anomaly with two accessory pathways Vlad Radulescu, MD, Joseph Donnelly, MD, Jonathan Willner,

Focal atrial tachycardia and atrial fibrillation from a pulmonary vein aneurysm Konstantinos Sotiropoulos, MD, Benjamin Berte, MD, PhD, Vanessa Weberndoerfer,

Cavotricuspid isthmus ablation using multimodality imaging in Ebstein anomaly with a mechanical tricuspid valve replacement Sang Hyun Lee, MD, Hyung.

Catheter ablation of ventricular tachycardia in the setting of electrical storm after revascularization of a chronic total occlusion of the right coronary.

Pseudo-conduction block at the mitral isthmus in a patient with epicardial impulse propagation through the vein of Marshall Rintaro Hojo, MD, Seiji Fukamizu,

Protecting the right phrenic nerve during catheter ablation: Techniques and anatomical considerations Stephen Stark, MD, David K. Roberts, MD, Thomas.

Hanney Gonna, MRCP, Alex Grimster, BSc, David Roberts, BSc, Mark M

Focal atrial fibrillation presenting in the origin of atrial tachycardia Chin-Yu Lin, MD, Yenn-Jiang Lin, MD, Fa-Po Chung, MD, Shih-Ann Chen, MD HeartRhythm.

Paroxysmal 1:1 narrow complex tachycardia: What is the mechanism?

An atypical journey during a “typical” EP case

Cryoablation of an atrioventricular nodal reentrant tachycardia in a patient with an implanted deep brain stimulator Melanie Gunawardene, MD, Christian.

Expanding the electrical phenotype of NKX2-5 mutations: Ventricular tachycardia, atrial fibrillation, and complete heart block within one family Simone.

Electroanatomical high-density mapping of different tachycardias in the right atrium after heart transplantation Alexandra Schratter, MD, Valentina Schirripa,

Successful ablation for non-pulmonary multi-foci atrial fibrillation/tachycardia in a patient with coronary sinus ostial atresia by transseptal puncture.

Subvalvular catheter ablation of the cavotricuspid isthmus in a patient with Ebstein's anomaly and tricuspid valve replacement Roberto G. Gallotti, MD,

Electroanatomic mapping of atrial tachycardia—Manual vs automated annotation Sven Knecht, ScD, Florian Spies, MSc, David Altmann, MD, Tobias Reichlin,

An unusual cause of lone atrial fibrillation in a young female subject due to a rapid- cycling focal atrial trigger Shankar Baskar, MD, Mehran Attari,

Biatrial flutter circuit involving an anomalous insertion of the Bachmann bundle into the superior vena cava Ely Gracia, MD, Roger Fan, MD, FHRS HeartRhythm.

Hiroko Asakai, MD, Laura Fenwick, BSc, Robert M. Hamilton, MD, FRCP(C)

A case of an incision-related single-loop intra-atrial reentrant tachycardia showing an eccentric atrial activation sequence and widely separate potentials.

Incremental value of electroanatomical mapping for the diagnosis of arrhythmogenic right ventricular cardiomyopathy in a patient with sustained ventricular.

Utility of entrainment pacing to clarify the circuit of macroreentrant tachycardia with dual early sites on activation maps Koichi Nagashima, MD, PhD,

Adam J. Small, MD, Eric F. Buch, MD, FHRS, FACC, Daniel R

Abnormal atrial strain with speckle-tracking echocardiography predicts the arrhythmic substrate of atypical right atrial flutter Hiroshi Kawakami, MD,

Colin Yeo, MBBS, Martin S. Green, MD, Girish M

Colin Yeo, MBBS, Martin Green, MD, Robert Lemery, MD, FHRS

Clinical and electrophysiological features of respiratory cycle–dependent atrial tachycardia: An analysis of three cases Osamu Inaba, MD, Junichi Nitta,

Peter Kabunga, MBChB, MRCP, George J. Klein, MD, FHRS, Raymond W

An atrial flutter in a 40-year-old woman with situs inversus, transposition of the great arteries, atrial switch, and interruption of the inferior vena.

Long-term follow-up of minimally invasive video-assisted thoracoscopic surgery with epicardial radiofrequency ablation for complex cases of inappropriate.

Dana B. Gal, MD, Julianne Wojciak, MS, Jennifer Perera, MD, Ronn E

Clinical problem solving: Maneuvering around a narrow complex tachycardia in a patient with Mustard repair for transposition of the great arteries Nicholas.

CT-fusion–guided transseptal puncture in a patient with atrial fibrillation and absent right superior vena cava Felix Bourier, MD, Sonia Ammar, MD, Tilko.

Late atrial tachycardia originating from donor pulmonary vein in a double lung transplant recipient Kumar Sanam, MD, Daniel Holmes, RCIS, CCT, Dipak.

Multipolar electrode spline embolization

Parsing a perplexing paroxysmal pathway

Catheter ablation for the treatment of persistent atrial fibrillation: Maintenance of sinus rhythm with left atrial appendage and coronary sinus isolation.

Hepatic vein access for pulmonary vein isolation in patients without femoral vein access Ijeoma A. Ekeruo, MD, FHRS, Saumya Sharma, MD, Allan Cohen, MD,

Radiofrequency ablation–assisted extraction of a pacing lead fragment

Jeffrey Munro, DO, Win-Kuang Shen, MD, FHRS, Komandoor Srivathsan, MD

Atrial fibrillation ablation with persistent left superior vena cava detected during intracardiac echocardiography Victor A. Abrich, MD, Jeffrey Munro,

Electrophysiological evidence of localized reentry as a trigger and driver of atrial fibrillation at the junction of the superior vena cava and right.

Presentation transcript:

Percutaneous transhepatic venous access for atrial tachyarrhythmia ablation in patients with single ventricle and interrupted inferior vena cava Richard Soto, MD, Alejandro Jimenez, MD, Fermin Garcia, MD, Luis C. Saenz, MD, Diego A. Rodriguez, MD, FHRS HeartRhythm Case Reports Volume 5, Issue 1, Pages 31-35 (January 2019) DOI: 10.1016/j.hrcr.2018.10.005 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 A: The 12-lead electrocardiogram (ECG) represents a regular usual complex tachycardia obtained in the emergency department. B: The 12-lead ECG in sinus rhythm. HeartRhythm Case Reports 2019 5, 31-35DOI: (10.1016/j.hrcr.2018.10.005) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 Percutaneous transhepatic venous access. A: Ultrasound-guided visualization of microneedle puncture to reach the middle hepatic vein. B: Access to the right atrium guided by fluoroscopy through a 5F long sheath dilator and the 0.035-inch wire. C: Once hepatic venous access is obtained, a large 8.5F deflectable sheath is advanced over a guidewire into the right atrium. D: After retrieval of the deflectable sheath, there is ultrasound evidence of an intraparenchymal tract (blue arrow). E: A vascular embolization coil is placed at the parenchymal-tract interface just outside of the vessel lumen, successfully closing the hepatic tract (blue arrow). HeartRhythm Case Reports 2019 5, 31-35DOI: (10.1016/j.hrcr.2018.10.005) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 3 Atrial tachycardia ablation guided by a 3-dimensional mapping system. A: Intra-atrial reentrant tachycardia (IART) with a tachycardia cycle length of 330 ms and concealed entrainment from the suprahepatic vein–right atrium (RA) isthmus successfully terminated with linear ablation achieving bidirectional block. B: IART with a tachycardia cycle length of 290 ms and concealed entrainment along the posterolateral RA scar successfully terminated with linear ablation and bidirectional block. C: Focal atrial tachycardia with tachycardia cycle length of 600 ms with earliest centrifugal activation just below the coronary sinus os, successfully eliminated with focal ablation lesions. HeartRhythm Case Reports 2019 5, 31-35DOI: (10.1016/j.hrcr.2018.10.005) Copyright © 2018 Heart Rhythm Society Terms and Conditions