SynthesisJournal of cardiovascular electrophysiology2022
Systematic review of electrophysiology procedures in patients with obstruction of the inferior vena cava.
Synthesis in Journal of cardiovascular electrophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Systematic review of electrophysiology procedures in patients with obstruction of the inferior vena cava.Journal of cardiovascular electrophysiology · 2022Pooled it
- Clinical value of robot-assisted catheter navigation for cardiac electrophysiology ablation: current evidence and future directions.Journal of robotic surgery · 2026Review
- Sub-Zero: A Review of the Current Evidence and Evolving Technologies Enabling Zero‑Fluoroscopy Procedures.Pacing and clinical electrophysiology : PACE · 2026Review
- [Ablation of an atrioventricular nodal reentrant tachycardia and a focal left atrial tachycardia in azygos continuation].Herzschrittmachertherapie & Elektrophysiologie · 2026Article
- Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery.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 · 2025Article
- Catheter ablation and pacemaker implantation in a patient with dextrocardia, persistent right superior vena cava, and interrupted inferior vena cava.HeartRhythm case reports · 2025Article
- Catheter ablation of atrial flutter in a patient with polysplenia and interrupted inferior vena cava.HeartRhythm case reports · 2025Article
- Azygos vein approach for radiofrequency ablation of para-Hisian atrial tachycardia in a patient with inferior vena cava interruption.HeartRhythm case reports · 2025Article
- Vascular Access and Closure Management for Electrophysiological Interventions: Small Interventions Big Impact.Current cardiology reports · 2025Review
- Successful flutter catheter ablation through the azygos continuation due to an interrupted inferior vena cava.Radiology case reports · 2024Article
- Superior approach facilitated by atrial septoplasty in a case of persistent atrial fibrillation ablation with inferior vena caval obstruction.HeartRhythm case reports · 2024Article
- Troubleshooting the challenges of transfemoral catheter ablation of atrioventricular nodal reentrant tachycardia in a patient with congenital interrupted inferior vena cava with azygos continuation.HeartRhythm case reports · 2024Article
- Atrial fibrillation ablation in a single atrium with inferior vena cava interruption.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023Article
- Left subclavian access for pentaspline pulsed field ablation system: A feasible option in bilateral femoral vein thrombosis.Indian pacing and electrophysiology journalArticle
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe objective of the study was to conduct a systematic review to describe and compare the different approaches for performing cardiac electrophysiology (EP) procedures in patients with interrupted inferior vena cava (IVC) or equivalent entities causing IVC obstruction.
methodsWe conducted a structured search to identify manuscripts reporting EP procedures with interrupted IVC or IVC obstruction of any aetiology published up until August 2020. No restrictions were applied in the search strategy. We also included seven local cases that met inclusion criteria.
resultsThe analysis included 142 patients (mean age 48.9 years; 48% female) undergoing 143 procedures. Obstruction of the IVC was not known before the index procedure in 54% of patients. Congenital interruption of IVC was the most frequent cause (80%); and, associated congenital heart disease (CHD) was observed in 43% of patients in this setting. The superior approach for ablation was the most frequently used strategy (52%), followed by inferior approach via the azygos or hemiazygos vein (24%), transhepatic approach (14%), and retroaortic approach (10%). Electroanatomical mapping (58%), use of long sheaths (41%), intracardiac echocardiography (19%), transesophageal echocardiography (15%) and remote controlled magnetic navigation (13%) were used as adjuncts to aid performance. Ablation was successful in 135 of 140 procedures in which outcomes were reported. Major complications were only reported in patients undergoing AF ablation, including two patients with pericardial effusion, one of whom required surgical repair, and another patient who died after inadvertent entry into an undiagnosed atrioesophageal fistula from a previous procedure.
conclusionThe superior approach is most frequent approach for performing EP procedures in the setting of obstructed IVC. Transhepatic approach is a feasible alternative, and may provide a "familiar approach" for transseptal access when it is required. Adjunctive use of long sheaths, intravascular echocardiography, electro-anatomical mapping and remote magnetic navigation may be helpful, especially if there is associated complex CHD. With careful planning, EP procedures can usually be successfully performed with a low risk of complications.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.