Epicardial ventricular arrhythmia ablation: a clinical consensus statement of the European Heart Rhythm Association of the European Society of Cardiology and the Heart Rhythm Society, the Asian Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society
EP Europace, vol. 27
Abstract
Epicardial access during electrophysiology procedures offers valuable insights and therapeutic options for managing ventricular arrhythmias (VAs). The current clinical consensus statement on epicardial VA ablation aims to provide clinicians with a comprehensive understanding of this complex clinical scenario. It offers structured advice and a systematic approach to patient management. Specific sections are devoted to anatomical considerations, criteria for epicardial access and mapping evaluation, methods of epicardial access, management of complications, training, and institutional requirements for epicardial VA ablation. This consensus is a joint effort of collaborating cardiac electrophysiology societies, including the European Heart Rhythm Association, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society.
Authors 26
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University Hospital in Halle · Martin Luther University Halle-Wittenberg
Affiliation as printed
Department of Cardiology, University Hospital Halle, Martin-Luther University Halle-Wittenberg , Ernst-Grube-Str. 40, 06120 Halle (Saale) ,
Department of Cardiology, University Hospital Halle, Martin-Luther University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle (Saale), Germany
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Albert Einstein College of Medicine · Montefiore Health System
Affiliation as printed
Cardiac Arrhythmia Center, Division of Cardiology at Montefiore-Health System, Albert Einstein College of Medicine , New York ,
Cardiac Arrhythmia Center, Division of Cardiology at Montefiore-Health System, Albert Einstein College of Medicine, New York, USA
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Hospital Universitari Germans Trias i Pujol
Affiliation as printed
Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario Germans Trias i Pujol , Badalona, Barcelona ,
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Affiliation as printed
Arrhythmia Department, Teknon Heart Institute, Teknon Medical Center , Barcelona ,
Arrhythmia Department, Teknon Heart Institute, Teknon Medical Center, Barcelona, Spain
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Beth Israel Deaconess Medical Center · Harvard University
Affiliation as printed
Harvard-Thorndike Arrhythmia Institute and Division of Cardiovascular Diseases, Beth Israel Deaconess Medical Center and Harvard Medical School , Boston, MA ,
Harvard-Thorndike Arrhythmia Institute and Division of Cardiovascular Diseases, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA
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Affiliation as printed
Department of Cardiac Arrhythmia and Electrophysiology, San Raffaele University-Hospital , Milan ,
Department of Cardiac Arrhythmia and Electrophysiology, San Raffaele University-Hospital, Milan, Italy
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Queen's University · Hospital of the University of Pennsylvania · University of Pennsylvania
Affiliation as printed
Division of Cardiology, Queen’s University , Kingston, Ontario ,
Section of Cardiac Electrophysiology, Hospital of the University of Pennsylvania , Philadelphia, PA ,
Division of Cardiology, Queen's University, Kingston, Ontario, Canada
Section of Cardiac Electrophysiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
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Centre Hospitalier Universitaire de Bordeaux · Electrophysiology and Heart Modeling Institute
Affiliation as printed
IHU LIRYC, Electrophysiology and Heart Modeling Institute, Cardiac Electrophysiology and Stimulation Department Fondation Bordeaux Université and Bordeaux University Hospital (CHU) , Pessac-Bordeaux ,
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Institute of Clinical and Experimental Medicine
Affiliation as printed
Department of Cardiology, Institute for Clinical and Experimental Medicine , Prague ,
Department of Cardiology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic
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Yonsei University · Yonsei University Health System
Affiliation as printed
Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine and Yonsei University Health System , Seoul ,
Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine and Yonsei University Health System, Seoul, Republic of Korea
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Vanderbilt University · Vanderbilt University Medical Center
Affiliation as printed
Department of Cardiology, Vanderbilt Heart and Vascular Institute , Nashville, TN ,
Department of Cardiology, Vanderbilt Heart and Vascular Institute, Nashville, TN, USA
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Leiden University Medical Center
Affiliation as printed
Department of Cardiology, Leiden University Medical Center , Leiden ,
Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
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Deutsches Herzzentrum der Charité
Affiliation as printed
Department of Cardiology, Deutsches Herzzentrum der Charité-Medical Heart Center of Charité, German Heart Institute Berlin , Berlin ,
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Evangelisches Krankenhaus Düsseldorf
Affiliation as printed
Division of Cardiology, Angiology, Intensive Care Medicine, EVK Düsseldorf, cNEP, cardiac Neuro- and Electrophysiology Research Consortium , Düsseldorf ,
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Inserm · Centre Hospitalier Régional et Universitaire de Nancy · Imagerie Adaptative Diagnostique et Interventionnelle · Université de Lorraine
Affiliation as printed
Department of Cardiology, CHRU-Nancy, Université de Lorraine , Nancy ,
IADI, INSERM U1254, Université de Lorraine , Nancy ,
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Affiliation as printed
Clinic for Arrhythmology, University Heart Center Nuremberg, University Hospital Nuremberg, South Campus , Nuremberg ,
Clinic for Arrhythmology, University Heart Center Nuremberg, University Hospital Nuremberg, South Campus, Nuremberg, Germany
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Marta Riva Aachen Department of Cardiology Willem Einthoven Center of Arrhythmia Research and Management
Leiden University Medical Center
Affiliation as printed
Department of Cardiology, Willem Einthoven Center of Arrhythmia Research and Management, Leiden University Medical Center , Leiden ,
Department of Cardiology, Willem Einthoven Center of Arrhythmia Research and Management, Leiden University Medical Center, Leiden, The Netherlands
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Hospital Clínic de Barcelona · Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · Universitat de Barcelona
Affiliation as printed
Hospital Clínic de Barcelona, Universitat de Barcelona, Institut d’Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia ,
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Dalhousie University · Queen Elizabeth II Health Sciences Centre
Affiliation as printed
QEII Health Sciences Centre, Dalhousie University , Halifax ,
QEII Health Sciences Centre, Dalhousie University, Halifax, Canada
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Affiliation as printed
Cardionagiologisches Centrum Bethanien, Agaplesion Markus Krankenhaus , Frankfurt/Main ,
Cardionagiologisches Centrum Bethanien, Agaplesion Markus Krankenhaus, Frankfurt/Main, Germany
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University of California, Los Angeles · UCLA Health
Affiliation as printed
Cardiac Arrhythmia Center, UCLA Health System , Los Angeles, CA ,
Center for Interventional Programs, University of California , Los Angeles, CA ,
Cardiac Arrhythmia Center, UCLA Health System, Los Angeles, CA, USA
Center for Interventional Programs, University of California, Los Angeles, CA, USA
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Heart and Diabetes Center North Rhine-Westphalia · Ruhr University Bochum
Affiliation as printed
Clinic of Electrophysiology, Heart- and Diabetes Center NRW, Ruhr University Bochum , Bad Oeynhausen ,
Clinic of Electrophysiology, Heart- and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany
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Affiliation as printed
Department of Cardiovascular Medicine, Kyorin University , Tokyo ,
Department of Cardiovascular Medicine, Kyorin University, Tokyo, Japan
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Affiliation as printed
Cardiac Electrophysiology Section, University of Pennsylvania Perelman School of Medicine , Philadelphia, PA ,
Cardiac Electrophysiology Section, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
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Amsterdam UMC Location University of Amsterdam · Amsterdam Cardiovascular Sciences
Affiliation as printed
Amsterdam Cardiovascular Sciences, Heart Failure and Arrhythmias , Amsterdam ,
Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Meibergdreef 9, Amsterdam ,
Amsterdam Cardiovascular Sciences, Heart Failure and Arrhythmias, Amsterdam, The Netherlands
Department of Cardiology, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands
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Azienda Ospedaliera Universitaria Pisana
Affiliation as printed
Second Division of Cardiology, Cardiothoracic and Vascular Department, Pisa University Hospital , Pisa ,
Second Division of Cardiology, Cardiothoracic and Vascular Department, Pisa University Hospital, Pisa, Italy
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