Miniseries 2-Septal and paraseptal accessory pathways-Part IV : Inferior paraseptal accessory pathways-lessons from surgical and catheter ablation
Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2022. For permissions, please email: journals.permissionsoup.com..
Surgeons and electrophysiologists performing accessory pathway ablation procedures have used the term 'posteroseptal' region. This area, however, is neither septal nor posterior, but paraseptal and inferior; paraseptal because it includes the fibro-adipose tissues filling the pyramidal space and not the muscular septum itself and inferior because it is part of the heart adjacent to the diaphragm. It should properly be described, therefore, as being inferior and paraseptal. Pathways in this region can be ablated at three areas, which we term right inferior, mid-inferior, and left inferior paraseptal. The right- and left inferior paraseptal pathways connect the right and left atrial vestibules with the right and left paraseptal segments of the parietal ventricular walls. The mid-inferior paraseptal pathways take a subepicardial course from the myocardial sleeves surrounding the coronary sinus and its tributaries. Our review addresses the evolution of the anatomical concept of the inferior paraseptal region derived from surgical and catheter ablation procedures. We also highlight the limitations of the 12-lead electrocardiogram in identifying, without catheter electrode mapping, which are the pathways that can be ablated without a coronary sinus, or left heart approach.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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| Enthalten in: |
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology - 24(2022), 4 vom: 05. Apr., Seite 676-690 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Farré, Jerónimo [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 07.04.2022 Date Revised 26.05.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.1093/europace/euab295 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM335350518 |
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| 245 | 1 | 0 | |a Miniseries 2-Septal and paraseptal accessory pathways-Part IV |b Inferior paraseptal accessory pathways-lessons from surgical and catheter ablation |
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| 520 | |a Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2022. For permissions, please email: journals.permissionsoup.com. | ||
| 520 | |a Surgeons and electrophysiologists performing accessory pathway ablation procedures have used the term 'posteroseptal' region. This area, however, is neither septal nor posterior, but paraseptal and inferior; paraseptal because it includes the fibro-adipose tissues filling the pyramidal space and not the muscular septum itself and inferior because it is part of the heart adjacent to the diaphragm. It should properly be described, therefore, as being inferior and paraseptal. Pathways in this region can be ablated at three areas, which we term right inferior, mid-inferior, and left inferior paraseptal. The right- and left inferior paraseptal pathways connect the right and left atrial vestibules with the right and left paraseptal segments of the parietal ventricular walls. The mid-inferior paraseptal pathways take a subepicardial course from the myocardial sleeves surrounding the coronary sinus and its tributaries. Our review addresses the evolution of the anatomical concept of the inferior paraseptal region derived from surgical and catheter ablation procedures. We also highlight the limitations of the 12-lead electrocardiogram in identifying, without catheter electrode mapping, which are the pathways that can be ablated without a coronary sinus, or left heart approach | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Accessory pathway | |
| 650 | 4 | |a Electrocardiogram | |
| 650 | 4 | |a Inferior paraseptal pathways | |
| 650 | 4 | |a Mid-paraseptal pathways | |
| 650 | 4 | |a Posterior septal pathways | |
| 650 | 4 | |a Posteroseptal pathways | |
| 650 | 4 | |a Pre-excitation | |
| 650 | 4 | |a Pyramidal space | |
| 650 | 4 | |a Triangle of Koch | |
| 700 | 1 | |a Anderson, Robert H |e verfasserin |4 aut | |
| 700 | 1 | |a Rubio, José-Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Tretter, Justin T |e verfasserin |4 aut | |
| 700 | 1 | |a Sánchez-Quintana, Damián |e verfasserin |4 aut | |
| 700 | 1 | |a García-Talavera, Camila |e verfasserin |4 aut | |
| 700 | 1 | |a Bansal, Raghav |e verfasserin |4 aut | |
| 700 | 1 | |a Lokhandwala, Yash Yahya |e verfasserin |4 aut | |
| 700 | 1 | |a Cabrera, José-Angel |e verfasserin |4 aut | |
| 700 | 1 | |a Wellens, Hein J J |e verfasserin |4 aut | |
| 700 | 1 | |a Back Sternick, Eduardo |e verfasserin |4 aut | |
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