Erschienen in:
24.06.2023 | COMMENTARY
Optimal anesthesia approach during catheter ablation of premature ventricular complexes: you snooze, you lose!
verfasst von:
Muazzum M. Shah, Jackson J. Liang, Anurut Huntrakul
Erschienen in:
Journal of Interventional Cardiac Electrophysiology
|
Ausgabe 9/2023
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Excerpt
Radiofrequency catheter ablation (RFCA) is an effective treatment strategy for patients with symptomatic premature ventricular complexes (PVCs). Adequate anesthesia is important for performing RFCA to ensure a comfortable, safe, and successful procedure. However, the sedation strategy employed must balance these safety goals with the need to induce and target the arrhythmia in question. General anesthesia (GA) may be helpful in some patients such as those with pulmonary comorbidities such as severe obstructive sleep apnea, or for anticipated longer or uncomfortable procedures (e.g., epicardial ablation). However, GA and deep sedation may result in the suppression of VAs, limiting the ability to perform activation mapping and assessing endpoints, possibly affecting procedural outcomes [
1]. …