Cryoballoon ablation from above, through a prosthetic patch atrial septal defect repair

Fitzgerald, John L.; May, Austin N; Mahmoodi, Ehsan; Leitch, James; Haqqani, Haris M.; Jackson, N.

doi:10.1016/j.hrcr.2020.03.004

Cited by 3 publications

(5 citation statements)

References 13 publications

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“…17,18 There was one case where the transseptal puncture was performed across prosthetic material (Dacron) following an atrial septal defect repair. 21 Transseptal access using the transhepatic approach had the inherent advantage of providing a familiar angle of approach to the IAS. SL1 sheath was utilized in five patients and steerable sheath in three patients to perform transseptal punctures.…”

Section: Transseptal Access and Ablation Of Atrial Fibrillation And L...mentioning

confidence: 99%

“…For example, the Brockenbrough needle was often manually bent to 120-150°to provide greater reach and similar angle of entry across the inter-atrial septum (IAS). 15,[17][18][19][20][21] A significant proportion of the contemporary data regarding the efficacy and safety of AF ablation in patients with obstruction of the IVC come from a single observational series that described specific techniques that are worthy of attention. 16 First, ICE was used to identify the optimal site for transseptal access, and a more superior and anterior transseptal access point appeared to improve mapping and ablation of the septal segments of the right pulmonary veins.…”

Section: Transseptal Access and Ablation Of Atrial Fibrillation And L...mentioning

confidence: 99%

“…Early reports described manual modifications to the standard transseptal equipment to achieve access. For example, the Brockenbrough needle was often manually bent to 120–150° to provide greater reach and similar angle of entry across the inter‐atrial septum (IAS) 15,17–21 …”

Section: Approaches To Ablation Of Specific Arrhythmiasmentioning

confidence: 99%

“…Once left atrial access is achieved, exchanging to a steerable sheath helped to overcome the tendency of the catheter being directed towards the mitral valve with the superior approach 17,18 . There was one case where the transseptal puncture was performed across prosthetic material (Dacron) following an atrial septal defect repair 21 …”

Section: Approaches To Ablation Of Specific Arrhythmiasmentioning

confidence: 99%

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Systematic review of electrophysiology procedures in patients with obstruction of the inferior vena cava

Al-Sinan¹,

Cardiac

Chan

et al. 2022

Cardiovasc electrophysiol

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Aims The objective of the study was to conduct a systematic review to describe and compare the different approaches for performing cardiac electrophysiology (EP) procedures in patients with interrupted inferior vena cava (IVC) or equivalent entities causing IVC obstruction. Methods We conducted a structured search to identify manuscripts reporting EP procedures with interrupted IVC or IVC obstruction of any aetiology published up until August 2020. No restrictions were applied in the search strategy. We also included seven local cases that met inclusion criteria. Results The analysis included 142 patients (mean age 48.9 years; 48% female) undergoing 143 procedures. Obstruction of the IVC was not known before the index procedure in 54% of patients. Congenital interruption of IVC was the most frequent cause (80%); and, associated congenital heart disease (CHD) was observed in 43% of patients in this setting. The superior approach for ablation was the most frequently used strategy (52%), followed by inferior approach via the azygos or hemiazygos vein (24%), transhepatic approach (14%), and retroaortic approach (10%). Electroanatomical mapping (58%), use of long sheaths (41%), intracardiac echocardiography (19%), transesophageal echocardiography (15%) and remote controlled magnetic navigation (13%) were used as adjuncts to aid performance. Ablation was successful in 135 of 140 procedures in which outcomes were reported. Major complications were only reported in patients undergoing AF ablation, including two patients with pericardial effusion, one of whom required surgical repair, and another patient who died after inadvertent entry into an undiagnosed atrioesophageal fistula from a previous procedure. Conclusion The superior approach is most frequent approach for performing EP procedures in the setting of obstructed IVC. Transhepatic approach is a feasible alternative, and may provide a “familiar approach” for transseptal access when it is required. Adjunctive use of long sheaths, intravascular echocardiography, electro‐anatomical mapping and remote magnetic navigation may be helpful, especially if there is associated complex CHD. With careful planning, EP procedures can usually be successfully performed with a low risk of complications.

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Section: Transseptal Access and Ablation Of Atrial Fibrillation And L...mentioning

confidence: 99%

Section: Transseptal Access and Ablation Of Atrial Fibrillation And L...mentioning

confidence: 99%

Section: Approaches To Ablation Of Specific Arrhythmiasmentioning

confidence: 99%

Section: Approaches To Ablation Of Specific Arrhythmiasmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of electrophysiology procedures in patients with obstruction of the inferior vena cava

Al-Sinan¹,

Cardiac

Chan

et al. 2022

Cardiovasc electrophysiol

View full text Add to dashboard Cite

show abstract

“…Ablation of left atrial arrhythmias including AF can be challenging in ASD and ventricular septal defect (VSD) patients because often the ASD patch repair must be punctured at the level of the original fossa ovalis. Transseptal access in these cases almost always involves radiofrequency [87]. Intracardiac or transesophageal ultrasound is essential.…”

Section: Transseptal Puncture Through Surgical Materialsmentioning

confidence: 99%

Treatment of arrhythmia disorders in the adult with congenital heart disease: A lesion-specific review

Knijnik

Lloyd

2022

Kardiol Pol

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There are now more adults living with a history of congenital heart disease than there are children. Modern electrophysiologists must familiarize themselves with the most common congenital lesions requiring electrophysiologic care as adults. Advancements in this field have been made most notably with high-resolution 3D imaging and electroanatomic mapping, left ventricular cannulation techniques, alternative pacing strategies, intracardiac echo, and transeptal access tools.

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Pulsed-field ablation of atrial fibrillation using the Farapulse system through the jugular vein: a case series of two patients

Scripcariu,

Boveda,

Richard-Vitton

et al. 2024

J Interv Card Electrophysiol

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Cryoballoon ablation from above, through a prosthetic patch atrial septal defect repair

Cited by 3 publications

References 13 publications

Systematic review of electrophysiology procedures in patients with obstruction of the inferior vena cava

Systematic review of electrophysiology procedures in patients with obstruction of the inferior vena cava

Treatment of arrhythmia disorders in the adult with congenital heart disease: A lesion-specific review

Pulsed-field ablation of atrial fibrillation using the Farapulse system through the jugular vein: a case series of two patients

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