NOVEL DOPPLER-GUIDED SUBXYPHOID APPROACH TO AVOID CORONARY ARTERY DAMAGE DURING LEFT VENTRICULAR EPICARDIAL LEAD PLACEMENT OR ABLATION

Subxyphoid active left ventricular epicardial (LVE) lead implants or VT ablation are attractive but remain a challenge due to concerns of coronary artery damage. We aimed to see if Doppler-guided positioning could permit safe epicardial LV lead placement, or VT ablation without coronary angiography