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Demonstration of RV perforation with attempted epicardial needle access in a patient with difficult pericardial access due to adhesions. CT fusion with RV EAM with voltage points removed in the LAO view is shown. The access point crosses heart border (green circle with red halo). The red halo demonstrates component initially crossing RV wall. Path of wire as advanced into the RV outflow is shown (purple tract). green=right atrium, yellow=aorta, red=left atrium. aqua=liver.
