Review
作者: Supple, Gregory E ; Arya, Arash ; Hocini, Mélèze ; Meyer, Christian ; Pak, Hui-Nam ; de Chillou, Christian ; Bazán, Victor ; Porta-Sanchez, Andreu ; Zeppenfeld, Katja ; Kautzner, Josef ; Sommer, Philipp ; Di Biase, Luigi ; Shivkumar, Kalyanam ; Wilde, Arthur ; Soejima, Kyoko ; Della Bella, Paolo ; Stevenson, William G ; de Riva, Marta ; Berruezo, Antonio ; Schmidt, Boris ; Sapp, John ; d'Avila, Andrea ; Zucchelli, Giulio ; Enriquez, Andres ; Deneke, Thomas ; Sepehri Shamloo, Alireza
AbstractEpicardial access during electrophysiology procedures offers valuable insights and therapeutic options for managing ventricular arrhythmias (VAs). The current clinical consensus statement on epicardial VA ablation aims to provide clinicians with a comprehensive understanding of this complex clinical scenario. It offers structured advice and a systematic approach to patient management. Specific sections are devoted to anatomical considerations, criteria for epicardial access and mapping evaluation, methods of epicardial access, management of complications, training, and institutional requirements for epicardial VA ablation. This consensus is a joint effort of collaborating cardiac electrophysiology societies, including the European Heart Rhythm Association, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society.