Arrhythmias & electrophysiology

Epicardial ablation of refractory focal atrial tachycardia after a failed endocardial approach

Heart RhythmPublished Retrospective case series

Authors' conclusion

Epicardial mapping and ablation can be considered as an effective and safe option for FAT resistant to endocardial ablation.

Study context

Population
Patients with focal atrial tachycardia refractory to endocardial ablationof 186 consecutive ablation patients
Participants
10 patients
Outcome
Elimination of FAT by epicardial ablation
Methodological detailsconsecutive patients, percutaneous subxiphoid approach
  • Consecutive patients
  • Percutaneous subxiphoid approach

Main finding

As reported in the abstract

Origin: epicardial junction of right atrial appendage and superior vena cava
3
Origin: epicardial left atrial insertion of Bachmann bundle
3
Origin: epicardial right atrial free wall
2
Origin: epicardial right atrial appendage
1
Origin: epicardial region of the vein of Marshall
1

Observational data: associations, not effects.

Original publication

Epicardial ablation of refractory focal atrial tachycardia after a failed endocardial approach. Heart Rhythm. Published 19 November 2022. doi:10.1016/j.hrthm.2022.11.007

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