Thorax Percutaneous Approach for Epicardial Ventricular Ablation in a Patient with Electrical Storm.

摘要: Subxiphoid puncture is considered the standard approach for epicardial ablation of ventricular arrhythmia, but in some cases this access impracticable due to patient's anatomy. We describe case a patient with electrical storm and abnormal subdiaphragmatic anatomy that precluded usual subxiphoid approach. In pericardial space was gained through direct thorax at fifth intercostals close mammary line. The tools technique utilized were similar what usually used traditional puncture. percutaneous successfully carried out without complication.