Energy Sources for Ablation in the Pericardial Space

Energy Sources for Ablation in the Pericardial Space

Catheter ablation has been widely used for the management of cardiac arrhythmias. Transvenous endocardial catheter ablation successfully eliminates or modifies the critical substrate for most arrhythmias. Most arrhythmias can be eliminated with conventional endocardial mapping and radiofrequency ene...

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Bibliographic Details
Published in:Cardiac electrophysiology clinics Vol. 2; no. 1; pp. 45 - 54
Main Authors: Ghia, Kasturi K., MD, Haines, David E., MD
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-03-2010
Subjects:
Cardiac arrhythmias
Cardiovascular
Catheter ablation
Epicardial ablation
Epicardial ablation
Cardiac arrhythmias
Catheter ablation
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Description
Summary:Catheter ablation has been widely used for the management of cardiac arrhythmias. Transvenous endocardial catheter ablation successfully eliminates or modifies the critical substrate for most arrhythmias. Most arrhythmias can be eliminated with conventional endocardial mapping and radiofrequency energy delivery, but some critical arrhythmic substrates are not accessible via endocardial access and this has led to epicardial mapping and ablation in addition to traditional endocardial mapping techniques. This article reviews current approaches to epicardial ablation and discusses the specialized tools that increase ablation efficacy and safety.
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ISSN:1877-9182
1877-9190
DOI:10.1016/j.ccep.2009.11.011