Initial experience of catheter ablation for cardiac arrhythmias in children and adolescents at a newly built ablation centre

Pietrzak, Radosław; Lodziński, Piotr; Książczyk, Tomasz; Balsam, Paweł; Gawałko, Monika; Opolski, Grzegorz; Werner, Bożena

doi:10.5603/kp.a2017.0166

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Currently, catheter ablation has become a curative method that should be considered as the first choice for treating children with tachyarrhythmia, because it has few complications and high success rates ( 1 , 2 ). Electrophysiological study (EPS) and catheter ablation are generally performed under fluoroscopy.…”

Section: Introductionmentioning

confidence: 99%

Electroanatomic mapping guided pediatric catheter ablation with limited/zero fluoroscopy

Koca

Paç²,

Eriş³

et al. 2018

Anatol J Cardiol

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Objective:The use of fluoroscopy in pediatric catheter ablation has decreased because of mapping systems. In this study, we present the efficiency and reliability of the electroanatomic mapping system in nonfluoroscopic pediatric catheter ablation.Methods:The medical records of patients aged <18 years who underwent ablation between November 2016 and April 2018 were evaluated. Fluoroscopy was not used in cases involving ablation of right sided-arrhythmia foci. Fluoroscopy was used only for trans-septal puncture or retroaortic approach/coronary angiography.Results:A total of 76 patients underwent catheter ablation for 78 supraventricular and ventricular tachyarrhythmia substrates under the guidance of EnSite Velocity system. Fluoroscopy was used in only 14 (18.4%) of these substrates. The mean fluoroscopy duration in these 14 procedures was 5.4±3.15 min. No complications were noted, except a temporary right bundle branch block in one patient and pericardial effusion in another following cryoablation. The acute success rate in achieving complete elimination of arrhythmia substrates was 97.4% (76/78). The recurrence rate was 5.1% (4/78) at follow-up.Conclusion:Fluoroscopy can be completely eliminated in most pediatric catheter ablation procedures with the use of mapping systems by achieving high acute success rates and acceptable low complication rates.

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Section: Introductionmentioning

confidence: 99%

Electroanatomic mapping guided pediatric catheter ablation with limited/zero fluoroscopy

Koca

Paç²,

Eriş³

et al. 2018

Anatol J Cardiol

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show abstract

“…3D printed heart models and evaluation of a novel high resolution mapping technology [7,8] may facilitate the ablation procedure in patients with a difficult anatomy, as well as in pediatric patients in whom catheter ablation is an increasingly used therapeutic strategy for the management of cardiac arrhythmias [9].…”

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confidence: 99%

Three-dimensional print facilitated ventricular tachycardia ablation in patient with corrected congenital heart disease

et al. 2017

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Congenital heart disease is the most common type of birth defect causing significant hemodynamic and functional consequences, requiring surgical repair. An understanding of the precise surgical anatomy in such cases is often challenging and modern high resolution imaging techniques coupled with 3-dimensional (3D) printing may allow better visualization of the complex anatomy and improve planning of operations through hands-on simulation of surgical and interventional procedures [1-6].A 52-year-old woman with a history of surgical treatment for tetralogy of Fallot (ToF), was referred to this department for ventricular tachycardia (VT) ablation. She had been treated in infancy with a left sided modified Blalock-Taussig shunt for ToF

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Efficacy of radiofrequency catheter ablation for premature ventricular contractions in children

Xue

Gharbal

et al. 2020

J Interv Card Electrophysiol

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Initial experience of catheter ablation for cardiac arrhythmias in children and adolescents at a newly built ablation centre

Abstract: Catheter ablation may be effectively performed without major complications in the initial phase of the learning curve if a reasonable approach with a gradual increase of the procedural complexity is taken.

Cited by 3 publications

References 22 publications

Electroanatomic mapping guided pediatric catheter ablation with limited/zero fluoroscopy

Electroanatomic mapping guided pediatric catheter ablation with limited/zero fluoroscopy

Three-dimensional print facilitated ventricular tachycardia ablation in patient with corrected congenital heart disease

Efficacy of radiofrequency catheter ablation for premature ventricular contractions in children

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