Key result
A parasternal intercostal approach was presented as an alternative to the standard subxiphoid approach for epicardial catheter ablation in a case report.
Case Report
The parasternal intercostal approach may serve as an alternative to the standard subxiphoid approach for epicardial catheter ablation.
May warrant consideration when subxiphoid access is unsuitable; hypothesis-generating and requires validation before practice change.
The importance of an epicardial substrate for cardiac arrhythmias has been increasingly recognized. Combined endocardial and epicardial mapping and radiofrequency catheter ablation (RFCA) has become the standard strategy for treatment of ventricular tachycardia (VT).1,2 The subxiphoid approach is the standard and most frequently used method for percutaneous epicardial access.1,2 However, complications of the subxiphoid approach are not uncommon, even in experienced centers, with reported rates of 4% to 7%.
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Miyamoto et al. (2015) conducted a case report in Ventricular tachycardia. Parasternal intercostal approach vs. Subxiphoid approach was evaluated. A parasternal intercostal approach was presented as an alternative to the standard subxiphoid approach for epicardial catheter ablation in a case report.
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