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Pericardial access via wire-guided puncture without contrast: The feasibility and safety of a modified approach.

Authors
  • Long, De-Yong1
  • Sun, Li-Ping2
  • Sang, Cai-Hua1
  • Jiang, Chen-Xi1
  • Guo, Xue-Yuan1
  • Li, Meng-Meng1
  • Li, Song-Nan1
  • Zhao, Xin1
  • Wang, Wei1
  • Tang, Ri-Bo1
  • Dong, Jian-Zeng1
  • Du, Xin1
  • Ma, Chang-Sheng1
  • 1 Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. , (China)
  • 2 Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. , (China)
Type
Published Article
Journal
Journal of Cardiovascular Electrophysiology
Publisher
Wiley (Blackwell Publishing)
Publication Date
Jan 01, 2020
Volume
31
Issue
1
Pages
30–37
Identifiers
DOI: 10.1111/jce.14237
PMID: 31626367
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To investigate the feasibility and safety of wire-guided pericardial access without contrast. From January 2014 to February 2019, patients who received epicardial mapping and ablation of ventricular tachycardia in the Beijing Anzhen Hospital were entered into the current study. They were divided into contrast-guided access group or wire-guided access group according to the pericardial puncture technique used. The baseline variables, procedure parameters, complications were collected and compared. During the study period, a consecutive of 73 patients received epicardial access. The initial 32 patients received contrast-guided puncture with success achieved in 30 patients, the remaining 41 patients underwent wire-guided puncture with success achieved in 40 patients (30/32 and 40/41, P = .581). Fluoroscopy time (4.45 ± 0.52 and 4.38 ± 0.46 minutes, P = .891) and access time (5.14 ± 0.58 and 5.34 ± 0.50 minutes, P = .657) were comparable between the two groups. Inadvertent right ventricular puncture occurred more commonly in the contrast-guided group (5/32 and 1/41, P = .038). Though more pericardial effusions (2/32 and 1/41, P = .575), tamponade (2/32 and 1/41, P = .575), and surgical repair (1/32 and 0/41, P = .432) occurred in the contrast-guided group, they reached no statistical difference. Wire-guided pericardial puncture exhibits better safety and similar success rates to contrast-guided technique with a trend towards less complications. © 2019 Wiley Periodicals, Inc.

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