Ablation of supraventricular tachycardia in children using a limited fluoroscopy approach with the electro-anatomical system guidance

Basit Öğe Kaydı
dc.authorscopusid15757198100
dc.authorscopusid6507905740
dc.authorscopusid9333338100
dc.contributor.authorElkıran Ö.
dc.contributor.authorAkdeniz C.
dc.contributor.authorTuzcu V.
dc.date.accessioned2024-08-04T20:03:34Z
dc.date.available2024-08-04T20:03:34Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: Athough, catheter ablation has become established therapy for treatment of pediatric SVT, X-ray has been used during electrophysiological procedures. Recent advances in electroanatomic mapping technologies resulted in a decrease or elimination of fluoroscopy during catheter ablation. Although, radiofrequency ablation (RFA) is a common option for treatment of tachyarrhythmias, it has irreversible risk of AV block. Cryoablation is preferred for septal tachycardia substrates due its safety. In this study, we presented our results of children who underwent SVT ablation using electroanatomical system and experiences in cryoablation. Method: A total of 48 children underwent ablation of SVT. All procedures were performed using the EnSite System (St. Jude Medical, Inc., St. Paul, MN, USA). Results: Thirty patients had AVNRT, one of these had an additional atrial tachycardia and the other one had atypical AVRNT, 7 had concealed AP, 9 had manifest AP, 2 had atrial tachycardia, and one had Mahaim AP. Fluoroscopy was not used in 42 patients (87.5%). The mean fluoroscopy time in the remaining 6 (12.5%) patients was 6.0±2.28 minutes.Cryoab-lation was used in 34 (70.8%) and RFA in 14 (29.2%). Acute success was 9A5.8%. During follow-up of duration, SVT recurred in 3 patients (6.2%). These patients underwent second successful ablation procedures. Final success was 100 %. No permanent AV block was observed. An uneventful pericardial needle injury occured in one patient during transseptal puncture with minimal effusion. Conclusions: Catheter ablation of SVT can be performed effectively with limited fluoroscopy approach. Cryoablation should be preferred for ablation of septal tachycardia substrates, including AVNRT. © 2018, Logos Medical Publishing. All rights reserved.en_US
dc.identifier.doi10.5222/MMJ.2018.65982
dc.identifier.endpage313en_US
dc.identifier.issn2149-2042
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85063323918en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage307en_US
dc.identifier.trdizinid381606en_US
dc.identifier.urihttps://doi.org/10.5222/MMJ.2018.65982
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/381606
dc.identifier.urihttps://hdl.handle.net/11616/91936
dc.identifier.volume33en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isotren_US
dc.publisherLogos Medical Publishingen_US
dc.relation.ispartofMedeniyet Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCatheter ablationen_US
dc.subjectChildrenen_US
dc.subjectLimited fluoroscopyen_US
dc.subjectSupraventricular tachycardiaen_US
dc.subjectThree dimentional mappingen_US
dc.titleAblation of supraventricular tachycardia in children using a limited fluoroscopy approach with the electro-anatomical system guidanceen_US
dc.title.alternativeÇocuklarda elektroanatomik haritalama eşliğinde sınırlı floroskopi ile supraventriküler taşikardilerin ablasyonuen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
TR-Dizin İndeksli Yayınlar Koleksiyonu