Percutaneous Epicardial Interventions: A Guide for Cardiac Electrophysiologists

Edited by:
Andre d’Avila, MD, PhD
Arash Aryana, MD, PhD
Vivek Y. Reddy, MD
Francis E. Marchlinski, MD

Publication Details:
Publication Date: May 2020
ISBN: 9781942909316
eISBN: 9781942909446
Trim Size: 8.5 x 11 inches
Format: Hardcover and eBook set; eBook

A comprehensive and state-of-the-art reference on percutaneous epicardial interventions for clinical cardiac electrophysiologists.

“In Percutaneous Epicardial Interventions, Drs. d’Avila, Aryana, Reddy, and Marchlinski, bring together experts from around the world to summarize the knowledge gained and state of the art. These chapters are valuable, not only to practitioners who work in the pericardial space but also provides important anatomic, physiologic, and pathophysiologic insights valuable to all students of cardiac electrophysiology.”  

- William G. Stevenson, MD, from the Preface

“In this breakthrough textbook edited and written by the inventors and experts, the reader will appreciate the historical evolution, pertinent technical aspects and relevant anatomy, and review the growing knowledge base of epicardial substrate characteristics implicated in human VT. This is the first authoritative compilation dedicated to epicardial interventions and is a must-read for all students of cardiac anatomy, complex ablation, and interventional cardiology.” 

Roderick Tung, MD, from the Foreword

Table of Contents

SECTION 1 Historical Perspective

Chapter 1 Epicardial Interventions in Electrophysiology: Historical Perspectives
Mauricio I. Scanavacca, Francis E. Marchlinski

SECTION 2 Epicardial Anatomy

Chapter 2 Epicardial Anatomy
Arash Aryana, Francis E. Marchlinski, André d’Avila

SECTION 3 Epicardial Access

Chapter 3 Inferior and Anterior Approach Using a Touhy Needle
Arash Aryana, André d’Avila, Mauricio I. Scanavacca

Chapter 4 Micropuncture Needle for Epicardial Access
Kasun De Silva, Saurabh Kumar, Timothy Campbell, Ivana Trivi, William G. Stevenson

Chapter 5 Pressure Sensor Needle for Epicardial Access
Jorge Romero, Andrea Natale, Luigi Di Biase

Chapter 6 Different Fluoroscopic Approaches for Epicardial Access
Yosuke Nakatani, Takeshi Kitamura, Frederic Sacher, Pierre Jaïs

Chapter 7 Epicardial Access for Left Atrial Appendage Occlusion: Technique and Challenges
Sharan Prakash Sharma, Mohit K. Turagam, Dhanunjaya Lakkireddy

Chapter 8 Epicardial Access in Anticoagulated Patients
Shohreh Honarbakhsh, Richard J. Schilling

Chapter 9 Epicardial Ablation After Prior Open Chest Surgery or Percutaneous Epicardial Procedures
Sheldon M. Singh, Arash Aryana, André d’Avila

Chapter 10 Surgical Window for Epicardial Ablation
Akiko Ueda, Kyoko Soejima

Chapter 11 Totally Endoscopic Robotic Epicardial Surgical Ablation (Teresa Procedure) to Treat Arrhythmias from The LV Summit
Roderick Tung, Husam H. Balkhy

Chapter 12 Beyond Ablation: Other Potential Roles for Epicardial Access
Justin Hayase, Kalyanam Shivkumar, Jason S. Bradfield

SECTION 4 How to Identify the Epicardial Ventricular Tachycardia Anatomic Substrate

Chapter 13 Effect of Fat on Electrogram Interpretation
Kashif Chaudhry, Timm M. Dickfeld

Chapter 14 Magnetic Resonance Imaging: Role and Limitations
Hubert Cochet, Frank M. Bogun

Chapter 15 Intracardiac Echocardiography: Identification of Substrate and Role in Ablation
Andres Enriquez, Fermin C. Garcia

Chapter 16 Unipolar Identification of Scar: The Basics
Victor Bazán, Ioan Liuba, Francis E. Marchlinski

Chapter 17 Effect of Transmural Scar and Hypertrophy on Identifying Epicardial Substrate with Unipolar Endocardial Recording
Deep Chandh Raja, Prashanthan Sanders, Rajeev K. Pathak

Chapter 18 Compartmentalization of the Endocardium Versus the Epicardium
Haris M. Haqqani, Cory M. Tschabrunn, Pasquale Santangeli

SECTION 5 Electrocardiographic Criteria to Identify Epicardial Ventricular Tachycardia

Chapter 19 Electrocardiographic Criteria to Identify Epicardial Idiopathic Ventricular Tachycardia
David F. Briceño, Andres Enriquez, Fermin C. Garcia, Pasquale Santangeli

Chapter 20 Non-ischemic Ventricular Tachycardia
Victor Bazán

Chapter 21 Ischemic Ventricular Tachycardia: Limitations of the Electrocardiogram
Arvindh N. Kanagasundram, Roy M. John, William G. Stevenson

SECTION 6 Sinus Rhythm Electrocardiogram and Electroanatomic Correlates in Common Arrhythmogenic Disorders

Chapter 22 Sinus Rhythm Clues to Presence of Epicardial Substrate
Ryan Cotter, Wendy S. Tzou

Chapter 23 Depolarization Abnormalities in Arrhythmogenic Right Ventricular Cardiomyopathy
Fabrizio R. Assis, Harikrishna Tandri

Chapter 24 Endocardial and Epicardial Anatomic Correlates of Repolarization Abnormalities in Arrhythmogenic Right Ventricular Dysplasia
Maciej Kubala, Francis E. Marchlinski

Chapter 25 Endocardial and Epicardial Anatomic Correlates of Electrocardiographic Depolarization Abnormalities in Non- ischemic Cardiomyopathy
Daniel Muser, Jackson J. Liang, Pasquale Santangeli

Chapter 26 Epicardial Anatomic Correlates of Electrocardiographic Abnormalities in Brugada Syndrome
Carlo Pappone, Vincenzo Santinelli, Josep Brugada

SECTION 7 Epicardial Ablation: Techniques and Outcomes

SECTION 7A Technical Aspects

Chapter 27 Multi-electrode Epicardial Mapping
Jakub Sroubek, Elad Anter

Chapter 28 Ablation of Epicardial Substrate and Ventricular Tachycardia During Endocardial Ablation
Masateru Takigawa, Claire Martin, Pierre Jaïs, Frederic Sacher

Chapter 29 Surgical Epicardial Ablation
Jackson J. Liang, Sanjay Dixit

SECTION 7B Epicardial Mapping and Ablation of Ventricular Tachycardia Associated with Specific Disorders

Chapter 30 Chagas’ Disease
Mauricio I. Scanavacca, Cristiano Pisani

Chapter 31 Arrhythmogenic Right Ventricular Dysplasia
Cory M. Tschabrunn, Francis E. Marchlinski

Chapter 32 Do We Need Epicardial Ablation in All Patients with Arrhythmogenic Right Ventricular Dysplasia?
Antonio Berruezo, Juan Acosta, Juan Fernández-Armenta, Beatriz Jáuregui

Chapter 33 Hypertrophic Cardiomyopathy
Jalaj Garg, Srinivas R. Dukkipati, Vivek Y. Reddy

Chapter 34 Ischemic Cardiomyopathy
Caterina Bisceglia, Paolo della Bella

Chapter 35 Sarcoid and Other Granulomatous Diseases
Daljeet Kaur, Calambur Narasimhan

Chapter 36 Epicardial Catheter Ablation of Ventricular Tachycardia: Meta-analysis
Rhanderson Cardoso, Fabrizio R. Assis, André d’Avila

Chapter 37 Epicardial Mapping and Ablation of Premature Ventricular Contraction
David F. Briceño, David S. Frankel

SECTION 7C Epicardial Mapping and Ablation of Accessory Pathways

Chapter 38 Percutaneous Catheter Ablation of Epicardial Accessory Pathways
Eduardo B. Sternick, Cristiano Pisani, Mauricio I. Scanavacca

SECTION 7D Epicardial Ablation: Special Considerations

Chapter 39 Epicardial Fat
Arash Aryana, André d’Avila

Chapter 40 Impact of Irrigation Flow Rate and Intra-pericardial Fluid
Arash Aryana, Padraig Gearoid O’Neill, André d’Avila

Chapter 41 Alternate Irrigation Solutions for Radiofrequency Ablation and Alternative Energy Sources
Pierre Qian, William Sauer

SECTION 8 Procedural Complications

Chapter 42 Risk Factors for Percutaneous Epicardial Access Complications and Strategies for Management
Gregory E. Supple

Chapter 43 Hemopericardium
Jalaj Garg, Jacob Koruth

Chapter 44 Intra-abdominal Bleeding
Arash Aryana, Francis E. Marchlinski, André d’Avila

Chapter 45 Vascular and Phrenic Nerve Injury and Protection
Domenico Giovanni Della Rocca, Michela Faggioni, Ugur Canpolat, Huseyin Ayhan, Sanghamitra Mohanty, Chintan Trivedi, Carola Gianni, Mohamed Bassiouny, Amin Al-Ahmad, J. David Burkhardt, Javier E. Sanchez, G. Joseph Gallinghouse, Rodney P. Horton, Kudret Aytemir, Luigi Di Biase, Andrea Natale

Chapter 46 Esophageal Injury: Recognition and Prevention
Houman Khakpour, Noel G. Boyle

Chapter 47 Unusual Complications
Arash Aryana, Vivek Y. Reddy, André d’Avila