Background: Epicardial ablation complications are more frequent in patients with preexisting pericardial adhesions. As opposed to the dry puncture technique, the coronary vein exit and carbon dioxide (CO) insufflation (EpiCO) technique allows diagnosing pericardial adhesions before subxiphoid puncture.
Objective: This study aimed to evaluate the efficacy of the EpiCO technique in diagnosing pericardial adhesions prior to subxiphoid puncture.