The Future of Percutaneous Epicardial Interventions

Roshan Karki, Paul A. Friedman, Ammar M. Killu

Research output: Contribution to journalReview articlepeer-review


The pericardial space provides a unique vantage point to access different cardiac structures for diagnosis and treatment of arrhythmias and other nonelectrophysiologic conditions, such as heart failure. There have been notable innovations to improve safety of percutaneous pericardial access and its use for various procedures. Percutaneous pericardial device therapies for pacing and defibrillation have been in development, success of which will be a significant advance in treatment of bradyarrhythmias, cardiac resynchronization therapy, and prevention of arrhythmic deaths. There is need for continued efforts in development and expansion of this technique and a systematic approach to monitor efficacy and safety outcomes.

Original languageEnglish (US)
Pages (from-to)419-430
Number of pages12
JournalCardiac Electrophysiology Clinics
Issue number3
StatePublished - Sep 2020


  • Epicardial
  • Innovation
  • Percutaneous
  • Pericardial

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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