Helmsley Cardiac Arrhythmia Service-Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029, USA. andre.d'
Europace. 2012 Aug;14 Suppl 2:ii13-ii18. doi: 10.1093/europace/eus214.
Since the introduction of percutaneous epicardial access for the purpose of mapping and ablation of cardiac arrhythmias, this technique has become an important adjunct and at times the preferred approach to treat certain cardiac arrhythmias. In addition, this approach is currently also being considered for a number of other cardiovascular applications such as epicardial pacing, left atrial appendage ligature occlusion, etc. The focus of this review is to discuss relevant aspects of pericardial anatomy, and various methods of epicardial access.
自从引入经皮心外膜途径用于心律失常的标测和消融以来，该技术已成为治疗某些心律失常的重要辅助手段，有时甚至是首选方法。此外，目前还在考虑将该方法应用于其他一些心血管应用，如心外膜起搏、左心耳结扎等。本文的重点是讨论心包解剖的相关方面以及各种心外膜入路方法。
