Abstract
Transpericardial access is an important procedure in clinical cardiac electrophysiology. The ability to access the pericardial space is critical for rapid drainage in acute cardiac tamponade and is also increasingly used to perform epicardial mapping and ablation of a range of ventricular and atrial arrhythmias.1–3 The seminal description of this technique by Sosa described the use of the left anterior oblique fluoroscopic projection.4 After performing trials, we now prefer the left lateral fluoroscopic projection because it more clearly defines the desired needle pathway and maximally separates the mediastinal, …
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