Epicardial left ventricular mapping using subxiphoid video pericardioscopy
Epicardial left ventricular mapping using subxiphoid video pericardioscopy
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DOI：
10.1016/j.athoracsur.2007.07.032
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发表时间：
2007-12-01
影响因子：
4.6
通讯作者：
Ota, Takeyoshi
中科院分区：
文献类型：
--
作者：
Zenati, Marco A.;Shalaby, Alaa;Ota, Takeyoshi
我们报告了一种用于心外膜标测的新的剑突下视频心包镜方法，它允许在最少使用透视的情况下直接显示心外膜。Flexview系统(波士顿科学心脏外科，圣克拉拉，加利福尼亚州)，由于其灵活的颈部，能够在心脏周围自由导航，通过一个剑形下小切口被插入心包间隙。商业上可用的标测导管穿过该装置的工作端口，几乎可以在整个双室心外膜表面周围导航。采用Flexview系统的剑形下视频心包镜检查方法在减少手术侵袭性的同时，提供了足够的可视化和进入两个脑室的心外膜进行电解剖标测。
We report a novel subxiphoid video pericardioscopy approach for epicardial mapping that allows direct visualization of the epicardium with minimal use of fluoroscopy. The FLEXview system (Boston Scientific Cardiac Surgery, Santa Clara, CA), which is capable of a free navigation around the heart owing to its flexible neck, was inserted into the pericardial space through a small subxiphoid incision. A commercially available mapping catheter advanced through the working port of the device could be navigated around virtually the entire biventricular epicardial surface. The subxiphoid video pericardioscopy approach using the FLEXview system provided adequate visualization and access to the epicardium of both ventricles for electroanatomic mapping while minimizing surgical invasiveness.