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The International Journal of Cardiovascular Imaging

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04.08.2016 | Original Paper

Fluoroless catheter ablation of various right and left sided supra-ventricular tachycardias in children and adolescents

verfasst von: Matevž Jan, David Žižek, Katja Rupar, Uroš Mazić, Dimitrij Kuhelj, Nikola Lakič, Borut Geršak

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 11/2016

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Abstract

Electrophysiology study (EPS) and catheter ablation (CA) in children and adolescents carries a potentially harmful effect of radiation exposure when performed with the use of fluoroscopy. Our aim was to evaluate the feasibility, safety and effectiveness of fluoroless EPS and CA of various supra-ventricular tachycardias (SVTs) with the use of the 3D mapping system and intracardiac echocardiography (ICE). Forty-three consecutive children and adolescents (age 13 ± 3 years) underwent fluoroless EPS and CA for various supra-ventricular tachycardias. A three-dimensional (3D) mapping system NavX™ was used for guidance of diagnostic and ablation catheters in the heart. ICE was used as a fundamental imaging tool for transseptal punctures. Acute procedural success rate was 100 %. There were no procedure related complications and short-term follow up (10 ± 3 months) revealed 93 % arrhythmia free survival rate. Fluoroless CA of various SVTs in the paediatric population is feasible, safe and can be performed successfully with 3D mapping system and ICE.

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Titel: Fluoroless catheter ablation of various right and left sided supra-ventricular tachycardias in children and adolescents
verfasst von: Matevž Jan
David Žižek
Katja Rupar
Uroš Mazić
Dimitrij Kuhelj
Nikola Lakič
Borut Geršak
Publikationsdatum: 04.08.2016
Verlag: Springer Netherlands
Erschienen in: The International Journal of Cardiovascular Imaging / Ausgabe 11/2016
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI: https://doi.org/10.1007/s10554-016-0952-7

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Fluoroless catheter ablation of various right and left sided supra-ventricular tachycardias in children and adolescents

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