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March 12, 2026Journal of Cardiovascular Electrophysiology0 citations

Novel Use of Helium Insufflation to Facilitate Epicardial Access in Ventricular Tachycardia Ablation

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EAEngin AlgülYÖYunus ÖzHŞHaluk Furkan Şahan

Key Result

Helium insufflation facilitated safe and effective epicardial access in patients with complex anatomy during ventricular tachycardia ablation procedures.

Key Points

  • To evaluate the use of helium insufflation for safe epicardial access during ventricular tachycardia ablation in patients with complex pericardial anatomy.
  • Utilized helium insufflation via IABP console
  • Targeted patients with complex pericardial anatomy
  • Conducted VT ablation procedures
  • Enabled safe and effective epicardial access
  • Provided a practical alternative to CO₂
  • Demonstrated effectiveness in patients with history of prior cardiac surgery

Structured PICO

Does helium insufflation using an IABP console enable safe and effective epicardial access in patients with complex pericardial anatomy undergoing VT ablation?

P
Population
Patients with complex pericardial anatomy and prior cardiac surgery undergoing epicardial ventricular tachycardia (VT) ablation
I
Intervention
Helium insufflation using an intra-aortic balloon pump (IABP) console
O
Outcome
Safe and effective epicardial access

Helium insufflation via an IABP console represents a practical and safe alternative to CO2 for achieving epicardial access during challenging VT ablation procedures.

Limitations

  • Requires further evaluation in larger studies

Abstract

Helium insufflation using an IABP console enabled safe and effective epicardial access in patients with complex pericardial anatomy and prior cardiac surgery. As a physiologically inert, low-viscosity, and widely available gas, helium represents a practical alternative to CO₂ for challenging epicardial VT ablation procedures and merits further evaluation in larger studies.

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Cite This Study

Algül et al. (2026) studied this question. Helium insufflation facilitated safe and effective epicardial access in patients with complex anatomy during ventricular tachycardia ablation procedures.

synapsesocial.com/papers/69b25b2b96eeacc4fcec99e2https://doi.org/10.1111/jce.70313
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