Epicardial Interventions in Electrophysiology An Issue of Cardiac Electrophysiology Clinics
- 1st Edition, Volume 12-3 - August 13, 2020
- Imprint: Elsevier
- Editors: Jason S. Bradfield, Kalyanam Shivkumar
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 2 2 7 8 - 0
This issue of Cardiac Electrophysiology Clinics, Guest Edited by Drs. Jason Bradfield and Kalyanam Shivkumar, is dedicated to Epicardial Interventions in Electrophysiology. This is… Read more
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Request a sales quoteThis issue of Cardiac Electrophysiology Clinics, Guest Edited by Drs. Jason Bradfield and Kalyanam Shivkumar, is dedicated to Epicardial Interventions in Electrophysiology. This is one of four issues selected each year by the series Consulting Editors, Ranjan K. Thakur and Andrea Natale. Topics include, but are not limited to, Anatomy of the Pericardial Space, Techniques for Percutaneous Access, Peri-operative Imaging to Guide Epicardial Mapping and Ablation, Epicardial Ablation of Idiopathic Ventricular Tachycardia, Epicardial Ablation of Ischemic Ventricular Tachycardia, Epicardial Ablation of Non-ischemic Ventricular Tachycardia, Epicardial Ablation of Arrhythmogenic Right Ventricular Cardiomyopathy, Epicardial Ablation of Ventricular Arrhythmia secondary to Brugada Syndrome, Epicardial Ablation of Supraventricular Tachycardia, Epicardial Ablation of Atrial Fibrillation, Hybrid Surgical Epicardial Ablation, Epicardial Ablation via the Arterial and Venous System, Epicardial Ablation Biophysics and novel Radiofrequency Energy Delivery Techniques, Epicardial Ablation Complications, and The Future of Epicardial Interventions.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Foreword
- Preface
- Anatomy of the Pericardial Space
- Key points
- Introduction
- The pericardial sinuses and recesses
- Epicardial vasculature
- Neighboring structures
- Summary
- Supplementary data
- Techniques for Percutaneous Access
- Key points
- Introduction
- Classic technique
- Adjunctive strategies for pericardial access
- Future directions
- Summary
- Perioperative Imaging to Guide Epicardial Mapping and Ablation
- Key points
- Introduction
- Perioperative imaging of the epicardial space
- Other imaging modalities to guide epicardial ablations
- Future imaging technologies
- Summary
- Epicardial Ablation of Idiopathic Ventricular Tachycardia
- Key points
- Introduction
- Clinical presentation and electrocardiogram features
- Activation and pace mapping
- Catheter ablation
- Intramural origin
- Bailout catheter ablation strategies and alternative approaches
- Summary
- Epicardial Ablation of Ventricular Tachycardia in Ischemic Cardiomyopathy
- Key points
- Introduction
- Frequency of epicardial “substrate” observed in ischemic cardiomyopathy
- Predictors of epicardial substrate
- Outcomes of epicardial ablation in ischemic cardiomyopathy
- Left ventricular thrombus
- Epicardial access in the setting of prior cardiac surgery
- The authors’ approach
- Epicardial Ablation in Nonischemic Ventricular Tachyardia
- Key points
- Introduction
- Indications for epicardial ablation
- Epicardial access in patients with nonischemic cardiomyopathy
- Epicardial ablation technique
- Complications of epicardial access, mapping, and ablation
- Outcomes of epicardial ventricular tachycardia ablation
- Future directions
- Epicardial Ablation of Ventricular Tachycardia in Arrhythmogenic Right Ventricular Cardiomyopathy
- Key points
- Introduction
- Substrate of arrhythmogenic right ventricular cardiomyopathy: arrhythmogenesis and disease phenotype
- Sympathetic modulation and arrhythmogenesis in arrhythmogenic right ventricular cardiomyopathy
- Substrate distribution: patterns of scar and implications on electroanatomical mapping
- The role of endocardial mapping and ablation in arrhythmogenic right ventricular cardiomyopathy
- Pericardial access
- Pericardial space: anatomic peculiarities
- Epicardial electroanatomical mapping and ablation strategies
- Complications
- Outcomes of epicardial ablations in arrhythmogenic right ventricular cardiomyopathy
- Perspectives
- Supplementary data
- Epicardial Ablation in Brugada Syndrome
- Key points
- Introduction
- Electrophysiologic mechanisms in Brugada syndrome
- Trigger ablation using an endocardial approach
- Epicardial approach: mapping the epicardial substrate
- Clinical experience
- Potential caveats of the epicardial approach
- Future prospects
- Summary
- Supplementary data
- Epicardial Ablation of Supraventricular Tachycardias
- Key points
- Introduction
- Anatomic considerations specific to epicardial ablation of supraventricular arrhythmia
- Epicardial ablation of accessory pathways
- Epicardial ablation of atrial tachycardias
- Epicardial ablation and the phrenic nerve
- Summary
- Percutaneous Epicardial Ablation of Atrial Fibrillation
- Key points
- Background
- Rationale
- Anatomy accessible via percutaneous approach
- Epicardial structures and fibers
- Initial experience with catheter-based mapping and ablation
- Current clinical approach and future directions
- Hybrid Surgical Ablation for Ventricular Arrhythmias
- Key points
- Introduction
- Indications for epicardial and hybrid access
- Preprocedure planning
- Procedural considerations
- Complications
- Alternative strategies to surgical access
- Outcomes
- Summary
- Epicardial Ablation via Arterial and Venous Systems
- Key points
- Introduction
- Anatomy
- Mapping tools
- Confirming optimal location for intervention
- Interventional techniques
- Site-specific mapping and ablation
- Complications
- Summary
- Epicardial Ablation Biophysics and Novel Radiofrequency Energy Delivery Techniques
- Key points
- Introduction
- Understanding differences: epicardium versus endocardium
- Endocardial radiofrequency ablation biophysics: back to the basics
- Additional biophysical considerations during radiofrequency ablation
- Epicardial radiofrequency ablation
- Epicardial cryoablation
- Summary
- Epicardial Ablation Complications
- Key points
- Introduction
- Epidemiology and overview
- Access-related complications
- Catheter manipulation and ablation-related complications
- Postprocedural and follow-up complications
- Risk factors and preventive strategies
- Summary
- The Future of Percutaneous Epicardial Interventions
- Key points
- Introduction
- Percutaneous pericardial access
- Epicardial echocardiography guidance
- Pericardial approaches to treatment of atrial fibrillation
- Percutaneous pericardial pacemakers and defibrillators
- Limited anterior pericardial resection for heart failure with preserved ejection fraction
- Future directions
- Supplementary data
- Edition: 1
- Volume: 12-3
- Published: August 13, 2020
- Imprint: Elsevier
- No. of pages: 240
- Language: English
- Hardback ISBN: 9780323722780
JB
Jason S. Bradfield
Affiliations and expertise
Associate Professor of Medicine, Director, Specialized Program for Ventricular Tachycardia, UCLA Cardiac Arrhythmia Center, David Geffen School of Medicine at UCLA, Los Angeles, CaliforniaKS
Kalyanam Shivkumar
Kalyanam Shivkumar, MD, who contributed to the current edition, is a well known and distinguished professor and electrophysiologist. He has been Director of the Cardiac Arrhythmia Center and Cardiac Catheterization Lab as well as the electrophysiology fellowship program at UCLA Medical Center for many years. He is also currently editor-in-chief of JACC: Clinical Electrophysiology, a well respected Elsevier/JACC cardiology journal. Dr Shivkumar will replace John Miller, MD who will retire from this edition.
Affiliations and expertise
Professor of Cardiology, Director, UCLA Cardiac Arrhythmia Center & Electrophysiology Programs