The Transjugular Approach: An Alternative Route to Improve Ablation Success in Right Anteriorly and Anterolaterally-Located Supraventricular Tachycardia Substrates in Children

Ergül, Yakup; Özgür, Senem; Celebi, Sinem B.; Bay, Başol; Güzeltaş, Alper

doi:10.1007/s00246-018-1987-4

Cited by 7 publications

(4 citation statements)

References 14 publications

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“…Ablation through the superior route eventually offers an advantage for approaching arrhythmogenic substrates related to the TA, such as in the right accessory pathways 2 . In VE related to the TA, the superior approach is usually used when the femoral vein approach fails in eliminating the arrhythmia or in redo procedures.…”

Section: Discussionmentioning

confidence: 99%

Transjugular Approach in Catheter Ablation of Ventricular Ectopy Originating from the Superior Tricuspid Annulus: An Effective Alternative to the Unsuccessful Transfemoral Approach

Cardoso

2023

J Cardiac Arrhtythmias

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Ventricular premature complexes originating from the tricuspid valve can be a major challenge for the electrophysiologist. Anatomical features of the tricuspid valve impose limitations for mapping and catheter ablation through the femoral vein (inferior approach). In this case, we report the elimination of a ventricular ectopy by radiofrequency catheter ablation through the transjugular approach after three unsuccessful attempts through the inferior approach.

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Section: Discussionmentioning

confidence: 99%

Transjugular Approach in Catheter Ablation of Ventricular Ectopy Originating from the Superior Tricuspid Annulus: An Effective Alternative to the Unsuccessful Transfemoral Approach

Cardoso

2023

J Cardiac Arrhtythmias

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“…The AVP II was originally developed for the occlusion of high-flow peripheral vessels such as arteriovenous malformations in human patients [36][37][38][39], but it has also been successfully used for interventional PDA closure in humans and dogs mainly using a transfemoral venous approach [22,23,40,41]. The transjugular approach is widely used in humans and dogs for minimally invasive procedures necessitating right heart catheterization, such as pulmonary balloon valvuloplasty, pacemaker implantation and radiofrequency ablations [25,27,29], however, it has been rarely reported for ACDO release in dogs with PDA [42,43]. Among the venous approaches, the larger size of the vessel and the ease of isolation make the trans-jugular approach more accessible than the femoral one, and this reduces surgical or procedure times [22,26,34,44,45].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the British Cardiac Society recommends that the right internal jugular vein is the best route in most human patients, particularly during procedures conducted by inexperienced operators. This is because it provides the most direct route to the right ventricle, a high success rate, a shorter procedure duration, and few complications [28,29].…”

Section: Introductionmentioning

confidence: 99%

Transjugular Patent Ductus Arteriosus Occlusion in Seven Dogs Using the Amplatzer Vascular Plug II

Bagardi

Domenech

Vezzosi

et al. 2022

Veterinary Sciences

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Although vascular plugs for the closure of patent ductus arteriosus (PDA) have been validated in dogs, studies are lacking on its use as a first-choice device with a transjugular approach. The present case series describes the transvenous right jugular embolization of PDA using an Amplatzer Vascular Plug II in seven dogs of different ages, breeds, and body weights. Complete closure of the PDA was demonstrated in all cases. All dogs showed significant hemodynamic reduction of pulmonary overcirculation and left heart size after the procedure and at following echocardiographic check-ups. Transjugular PDA occlusion using an Amplatzer Vascular Plug II can thus be considered as a safe alternative to the arterial or venous femoral approach using an Amplatzer canine ductal occluder (ACDO), particularly in puppies with small femoral vessels.

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“…To some extent, when using transfemoral approach, catheter instability can be overcome with mapping the atrial insertion during ongoing orthodromic AVRT or ventricular pacing using the 3D EAM or a linear multipolar catheter positioned around the tricuspid annulus [6][7][8]. According to recent reports, the fluoroscopy-guided transjugular approach can help with stabilization of the ablation catheter tip in case of right anteroseptal, anterior and anterolateral accessory pathways, resulting in high procedural success rates and no recurrences [16,17]. In our study we introduce a novel "loop" manoeuvre, which enabled transfemoral mapping of the ventricular aspect of the tricuspid annulus, which was mainly performed during sinus rhythm (ante-grade activation of the accessory pathway).…”

Section: Discussionmentioning

confidence: 99%

Intra-cardiac ultrasound guided approach for catheter ablation of typical right free wall accessory pathways

Jan

Kalinšek

Štublar

et al. 2020

BMC Cardiovasc Disord

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Background: Right free wall accessory pathways (AP) are difficult to treat with catheter ablation as ablation catheter (AC) instability at the tricuspid annulus often precludes successful procedure. The aim of our study was to test a novel intra-cardiac echocardiography (ICE) guided technique for AC placement. Feasibility and success rates were observed. Methods: Eight consecutive patients (aged 29 ± 21 years, 4 female) with Wolff-Parkinson-White syndrome and a right free wall AP were included in the study. ICE, three-dimensional (3D) electro-anatomic mapping (EAM) system, and a steerable long sheath were used together with either an irrigated or a non-irrigated tip radio-frequency AC to achieve a "loop" manoeuvre which provided AC tip stability at the ventricular aspect of the tricuspid annulus. Xray fluoroscopy was not used. Results: Three patients had an anterior and five had a lateral location of the right free wall AP. Procedures were successful in all patients, without recurrences during the mean follow-up of 397 ± 363 days. Average procedural duration was 90 ± 31 min. On average, 6.6 ± 5.7 ablations were needed. Average time to terminate AP conduction after the start of ablation was 4.8 ± 4.2 s. In five patients (62%) AP conduction was successfully terminated with the first ablation. There were no procedural complications. Conclusions: The novel ICE-guided approach with concomitant use of the steerable sheath and the 3D EAM system for zero-fluoroscopy mapping and ablation of the right free wall APs proved feasible and resulted in excellent acute and long-term outcomes.

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The Transjugular Approach: An Alternative Route to Improve Ablation Success in Right Anteriorly and Anterolaterally-Located Supraventricular Tachycardia Substrates in Children

Cited by 7 publications

References 14 publications

Transjugular Approach in Catheter Ablation of Ventricular Ectopy Originating from the Superior Tricuspid Annulus: An Effective Alternative to the Unsuccessful Transfemoral Approach

Transjugular Approach in Catheter Ablation of Ventricular Ectopy Originating from the Superior Tricuspid Annulus: An Effective Alternative to the Unsuccessful Transfemoral Approach

Transjugular Patent Ductus Arteriosus Occlusion in Seven Dogs Using the Amplatzer Vascular Plug II

Intra-cardiac ultrasound guided approach for catheter ablation of typical right free wall accessory pathways

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