Ultrasound-guided femoral vascular access in adult congenital heart disease patients undergoing catheter ablation on uninterrupted oral anticoagulation - Takeaways - MDSpire

Ultrasound-guided femoral vascular access in adult congenital heart disease patients undergoing catheter ablation on uninterrupted oral anticoagulation

  • By

  • Marta Telishevska

  • Sarah Lengauer

  • Theresa Reiter

  • Hannah Krafft

  • Miruna Popa

  • Fabian Bahlke

  • Florian Englert

  • Nico Erhard

  • Isabel Deisenhofer

  • Gabriele Hessling

  • June 2, 2026

  • 0 min

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  • 1

    Cardiac arrhythmias in adults with congenital heart disease (ACHD) have increased due to an aging population and earlier onset of arrhythmias.

  • 2

    Ultrasound-guided vascular access (UGVA) was adopted in 2020 to reduce vascular complications during catheter ablation in ACHD patients on anticoagulation.

  • 3

    A retrospective analysis of 477 ACHD patients showed a major complication rate of 1.1% and a minor complication rate of 12.5% prior to UGVA implementation.

  • 4

    The UGVA group underwent fewer ablation procedures per patient compared to the conventional approach, likely due to longer follow-up in the earlier cohort.

  • 5

    All patients received standardized treatment protocols, with UGVA allowing for direct visualization of vascular anatomy to enhance procedural safety.

Original Source(s)

Ultrasound-guided femoral vascular access in adult congenital heart disease patients undergoing catheter ablation on uninterrupted oral anticoagulation

  • by Marta Telishevska, Sarah Lengauer, Theresa Reiter, Hannah Krafft, Miruna Popa, Fabian Bahlke, Florian Englert, Nico Erhard, Isabel Deisenhofer, Gabriele Hessling

  • June 2, 2026

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