Limited fluoroscopy catheter ablation of accessory pathways in children
| Autor: | Tom Einbinder, Einat Birk, Tamir Dagan, Sody A. Naimer, Moshe Swissa, Elchanan Bruckheimer, Rami Fogelman, Michal Fogelman |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Time to effect Catheter ablation Accessory pathway 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Recurrence medicine Humans Fluoroscopy 030212 general & internal medicine Child medicine.diagnostic_test business.industry Ablation Accessory Atrioventricular Bundle Safety profile Child Preschool Catheter Ablation Female Wolff-Parkinson-White Syndrome Radiology Cardiology and Cardiovascular Medicine business Catheter placement Right anterior |
| Zdroj: | Journal of Cardiology. 70:382-386 |
| ISSN: | 0914-5087 |
| Popis: | Background Limited fluoroscopy ablation using 3D electro-anatomical system (3DS) has been used for arrhythmias in children, however it is not a common practice. We aimed to facilitate a fluoroscopy limited approach for ablation of accessory pathways (AP) in children. Methods Following electrophysiologic (EP) catheter placement a single dual-plane fluoroscopic image (right anterior oblique-30° and left anterior oblique-60° views) was acquired and the 3DS views were rotated to be a perfect match to the fluoroscopy. Ninety-four consecutive pediatric patients [mean age 11.8 ± 4.1 (4.2–18) years, 61.7% males] with Wolf–Parkinson–White syndrome underwent ablation of an AP. Fifty-seven had manifest AP, 54 had left-sided AP (LSAP) and 40 had right-sided AP (RSAP). Results The acute success rate was 95.7% (90/94), with a recurrence rate of 1.1% (1/90) at a mean follow-up of 13 ± 5.5 (4.4–22.9) months. Mean procedure and fluoroscopy times were 144 ± 45 (55–262) min and 1.8 ± 1.4 (0.1–5.6) min, respectively. Comparison of the first 20 procedures to the next 74 procedures demonstrated an extended procedure time (171 ± 53 min vs 135 ± 38 min, p |
| Databáze: | OpenAIRE |
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