Management of patients with interrupted inferior vena cava requiring electrophysiology procedures. (13th March 2020)

• Record Type: Journal Article
• Authors: Hanley, Alan; Bode, Weeranun D.; Heist, E. Kevin; Leyton‐Mange, Jordan; Chatterjee, Neal; Chokshi, Moulin; Ha, Grace; Ruskin, Jeremy; Mela, Theofanie; Yamada, Kei; Mansour, Moussa
• Is Part Of: Journal of cardiovascular electrophysiology. Volume 31:Number 5(2020)
• Page Start: 1083
• Page End: 1090
• Publication Date: 2020-03-13
• Subjects: ablation -- arrhythmia -- atrial fibrillation -- interrupted IVC -- WATCHMAN; Blood vessels -- Physiology -- Periodicals; Electrophysiology -- Periodicals; Heart -- Physiology -- Periodicals; 612.1
• DOI: 10.1111/jce.14421
• Languages: English
• ISSNs: 1045-3873

Abstract

Abstract: Background: Interrupted inferior vena cava (IVC) is a rare venous anomaly that complicates the treatment of patients who require electrophysiology (EP) procedures. Methods: We describe five consecutive cases of patients with interrupted IVC who presented to the EP laboratory requiring interventional procedures including catheter ablation for atrial fibrillation and supraventricular tachycardia and left atrial appendage closure. All cases were successfully completed utilizing a variety of approaches to vascular access including transseptal puncture via transhepatic and internal jugular approaches. Conclusion: Procedures in the EP lab can be performed successfully in patients with interrupted IVC.