Abstract
Fluoroscopic catheter ablation of cardiac arrhythmias in pediatric patients exposes the patients to the potential risk of radiation considering the sensitivity of this population and its longer life expectancy. We evaluated the feasibility, safety, and efficacy of accessory pathway (AP) ablation guided by CARTO3 electroanatomic mapping (EAM) system with both cryoenergy and radiofrequency (RF) energy in order to avoid x-ray exposure in pediatric patients. We included 44 patients (mean age: 13.1 ± 3.3 years); nine of 44 presented concealed AP. An electrophysiological study with a three-dimensional EAM reconstruction was performed in every patient with a venous transfemoral direct right atrium approach or an arterial transfemoral retrograde approach to reach the mitral annulus. In two patients with left-sided AP, the ablation was performed via a patent foramen ovale. A total of 47 APs were present, left sided in 45% (21/47) of cases (15 lateral, one anterior, three posteroseptal, and two posterolateral) and right sided in 55% (26/47; one anterior, three anterolateral, one posterolateral, three lateral, five para-Hisian, 12 posteroseptal, and one anteroseptal). Ablation without the use of fluoroscopy was successfully performed in e...Continue Reading
References
Dec 15, 1996·Circulation·M S SchafferJ D Kugler
May 30, 2002·Journal of Cardiovascular Electrophysiology·John D KuglerUNKNOWN Pediatric Radiofrequency Ablation Registry of the Pediatric Radiofrequency Ablation Registry of the Pediatric Electrophysiol
Sep 6, 2002·Journal of Cardiovascular Electrophysiology·Fabrizio DragoShoshana Leibovich
Jul 15, 2004·Journal of Cardiovascular Electrophysiology·George F Van HareUNKNOWN Pediatric Electrophysiology Society
Apr 27, 2005·Heart Rhythm : the Official Journal of the Heart Rhythm Society·George F Van HareUNKNOWN Participating Members of the Pediatric Electrophysiology Society
Jul 25, 2006·Pediatric Radiology·Henri Justino
Sep 20, 2006·Pacing and Clinical Electrophysiology : PACE·John PapagiannisSpyridon Rammos
Apr 7, 2007·Journal of the American College of Radiology : JACR·Keith J Strauss, Sue C Kaste
Apr 18, 2007·Pacing and Clinical Electrophysiology : PACE·Grace Smith, John M Clark
Mar 1, 2008·Pacing and Clinical Electrophysiology : PACE·John ClarkGrace Smith
Dec 17, 2008·American Heart Journal·Lucia VenneriEugenio Picano
Feb 4, 2009·Circulation·Thomas C GerberMichael V Yester
Aug 19, 2009·Heart·Lamia Ait-AliEugenio Picano
Nov 13, 2010·Pacing and Clinical Electrophysiology : PACE·Katja GistJohn Clark
Dec 21, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Christina Y MiyakeJohn K Triedman
Aug 20, 2011·Pacing and Clinical Electrophysiology : PACE·John PapagiannisGeorge Kirvassilis
Oct 19, 2011·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Wilson KwongJoel A Kirsh
Mar 29, 2012·Pacing and Clinical Electrophysiology : PACE·Sujatha BuddhePeter P Karpawich
May 12, 2012·Journal of the American College of Cardiology·Thomas M BashoreCarl L Tommaso
Jul 24, 2012·Pacing and Clinical Electrophysiology : PACE·Volkan Tuzcu
Aug 3, 2012·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Grace WanJeremy P Moore
Oct 12, 2012·Pediatric Cardiology·Yakup ErgulVolkan Tuzcu
Apr 23, 2013·The American Journal of Cardiology·David S SparTimothy K Knilans
May 30, 2013·Pacing and Clinical Electrophysiology : PACE·Marco ScaglioneFiorenzo Gaita
Sep 17, 2013·Pacing and Clinical Electrophysiology : PACE·Hyo Soon AnJung Yun Choi
Sep 17, 2013·Pacing and Clinical Electrophysiology : PACE·Işil YildirimSema Özer
Citations
Mar 17, 2016·Heart, Lung & Circulation·Hariharan RajuMatthew Wright
Jun 30, 2016·European Heart Journal·Fiorenzo GaitaMatteo Anselmino
Aug 6, 2016·The International Journal of Cardiovascular Imaging·Matevž JanBorut Geršak
Feb 16, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Fabrizio DragoMassimo Stefano Silvetti
Sep 13, 2017·Pacing and Clinical Electrophysiology : PACE·Bradley C ClarkJeffrey P Moak
Nov 15, 2017·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Benjamin O'BrienRichard J Schilling
Feb 19, 2020·Journal of Cardiovascular Medicine·Marco ScaglioneFiorenzo Gaita
Oct 19, 2019·Journal of Arrhythmia·Rami FogelmanMoshe Swissa
Apr 16, 2019·BioMed Research International·Massimiliano MariniRoberto Bonmassari
Jun 28, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Marzia GiaccardiMassimo Milli
Feb 9, 2017·Medicine·Yan WangDao Wen Wang
Mar 21, 2021·Revista Española De Cardiología·Javier Ramos-MaquedaLuis Tercedor-Sánchez
Mar 1, 2017·JACC. Clinical Electrophysiology·Shubhayan SanataniMichael J Ackerman