Perhaps an alternative in selected cases? transatrial access to the pericardial space, see online at: @JACCJournals@shivkumarmd
https://t.co/eaurr7jtCd
63 yom, previous AF ablation 10 years ago, did PVI + CTI ablation. Now presents with atypical LA flutter. Try to do entrainment on the roof of LA, but the diseased myocardium showed a long PPI at that location.