Paracardioscopy provides totally endoscopic access to the heart via a transabdominal, transdiaphragmatic approach. Structures such as the pulmonary veins, inferior vena cava, left and right atrial appendage, and posterior left atrium can be visualized. Epicardial cardiac procedures, such as ablation procedures for atrial fibrillation, can be successfully performed using this development. This report describes paracardioscopy.
From the Brody School of Medicine, East Carolina University, FirstHealth of the Carolinas, Pinehurst, NC, USA.
Accepted for publication March 6, 2009.
Dr. Kiser is a consultant and stock holder of nContact Surgical. He received no financial support for the preparation of this article.
Address correspondence and reprint requests to Andy C. Kiser, MD, Arrhythmia Center of the Carolinas, FirstHealth Moore Regional Hospital, P.O. Box 3000, Pinehurst, NC, USA 28374. E-mail: firstname.lastname@example.org.
Presented at the Annual Meeting of the International Society for Minimally Invasive Cardiothoracic Surgery, Boston, MA, June 11–14, 2008.