作者
Anthony Li, Justin Hayase, Duc Do, Eric Buch, Marmar Vaseghi, Olujimi A Ajijola, Carlos Macias, Yuliya Krokhaleva, Houman Khakpour, Noel G Boyle, Peyman Benharash, Reshma Biniwale, Kalyanam Shivkumar, Jason S Bradfield
发表日期
2018/4/1
期刊
Heart Rhythm
卷号
15
期号
4
页码范围
512-519
出版商
Elsevier
简介
Background
There is limited experience of surgical epicardial access in the contemporary era of ventricular tachycardia ablation after cardiac surgery.
Objectives
The purpose of this study was to describe our institutional experience with surgical epicardial access and the influence of surgical approach and compare outcomes with those of a propensity-matched percutaneous epicardial access control group.
Methods
We performed a retrospective study of consecutive surgical epicardial ventricular tachycardia (VT) ablation cases from a single center. Surgical cases were propensity-matched to percutaneous epicardial ablation controls and short-term and long-term outcomes were compared.
Results
Between 2004 and 2016, 38 patients underwent 40 surgical epicardial access procedures (subxiphoid, n = 22; thoracotomy, n = 18). The commonest indication was prior coronary artery bypass grafting (45%), valve surgery …
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A Li, J Hayase, D Do, E Buch, M Vaseghi, OA Ajijola… - Heart Rhythm, 2018