Ablation in aortic cusps could be necessary in up to 15% of the patients, especially in para‐Hisian atrial tachycardia and ventricular arrhythmias arising from outflow tracts. Risk of coronary damage… Click to show full abstract
Ablation in aortic cusps could be necessary in up to 15% of the patients, especially in para‐Hisian atrial tachycardia and ventricular arrhythmias arising from outflow tracts. Risk of coronary damage has led to recommendation of systematic coronary angiography (CA) during the procedure. Other image tests as intravascular (ICE) or transesophageal echocardiography (TEE) have been proposed. Both methods have limitations: additional vascular access for ICE and need for additional CA in some patients in case of TEE. We describe an alternative method to assess relation of catheter tip and coronary ostia during ablation in aortic cusps without additional vascular accesses by performing selective angiography with the ablation catheter.
Journal Title: Journal of Cardiovascular Electrophysiology
Year Published: 2017
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