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Limited fluoroscopy catheter ablation of accessory pathways in children
- Source :
- Journal of Cardiology. 70:382-386
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- 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
- Subjects :
- 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
Subjects
Details
- ISSN :
- 09145087
- Volume :
- 70
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiology
- Accession number :
- edsair.doi.dedup.....f79d6ba682148785bf539656913c4282
- Full Text :
- https://doi.org/10.1016/j.jjcc.2016.12.018