| Mapping of atrial tachycardia by remote magnetic navigation in postoperative patients with congenital heart disease. | |
| | |
MedLine Citation:
|
PMID: 20132396 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: The purpose of this study was to investigate if remote magnetic navigation (RMN) offers a reduction of fluoroscopy time when used for atrial tachycardia (AT) mapping in a spectrum of patients with congenital heart disease (CHD) after "simple" or "complex" atrial surgery. BACKGROUND: Data about AT mapping using RMN in larger populations of patients with CHD are scarce. METHODS: RMN in combination with electroanatomic mapping was used for AT mapping in 22 patients. According to anatomic complexity, patients were classified into 3 groups: Group 1: patients after minor atrial surgery (n = 7); Group 2: patients after the Fontan operation (n = 9); and group 3: patients after the Senning/Mustard operation (n = 6). RESULTS: Atrial mapping with a nonirrigated tip RMN catheter was completed successfully in all patients. In Group 1 no significant reduction in fluoroscopy time was noticed over time (mean fluoroscopy time 7.9 minutes). In the 15 patients of group 2 and group 3 with complex CHD, the fluoroscopy time for mapping in the last 9 patients (6.4 +/- 2.8 minutes) was significantly shorter than in the first 6 patients (29.7 +/- 10.5 minutes, P < 0.0001). Acutely successful ablation was achieved in 21 of 22 patients (97%) using the RMN catheter (n = 3) or a conventional catheter (n = 18) without procedural complications. CONCLUSIONS: RMN for AT mapping in patients with complex atrial anatomy leads to a significant reduction of fluoroscopy time. |
| | |
Authors:
|
Jinjin Wu; Andreas Pflaumer; Isabel Deisenhofer; Petra Hoppmann; John Hess; Gabriele Hessling |
Related Documents
:
|
9129896 - Conversion of atrial fibrillation to sinus rhythm and rate control by digoxin in compar... 1086266 - How to detect and treat arrhythmias in chronic lung disease. 16102546 - Actigraphy in patients with seasonal affective disorder and healthy control subjects tr... 6680596 - The use of bretylium in prehospital ventricular fibrillation. 9684626 - Ultrasound-detected hepatic periportal thickening in patients with prolonged pyrexia. 21765356 - Predictors of outcome in world federation of neurologic surgeons grade v aneurysmal sub... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-02-01 |
Journal Detail:
|
Title: Journal of cardiovascular electrophysiology Volume: 21 ISSN: 1540-8167 ISO Abbreviation: J. Cardiovasc. Electrophysiol. Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-07-26 Completed Date: 2010-11-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9010756 Medline TA: J Cardiovasc Electrophysiol Country: United States |
Other Details:
|
Languages: eng Pagination: 751-9 Citation Subset: IM |
Affiliation:
|
Deutsches Herzzentrum München, Munich, Germany. wu@dhm.mhn.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Cardiac Surgical Procedures / adverse effects* Catheter Ablation / methods* Electrophysiologic Techniques, Cardiac Female Fluoroscopy Heart Defects, Congenital / surgery* Humans Imaging, Three-Dimensional Magnetics* Male Middle Aged Predictive Value of Tests Radiography, Interventional Surgery, Computer-Assisted* Tachycardia, Supraventricular / diagnosis, physiopathology, radiography, surgery* Time Factors Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Long-Term Outcome Following Successful Catheter Ablation of Atrial Tachycardia Originating From the ...
Next Document: Optimal Timing of Implantable Cardioverter-Defibrillator Implantation After Myocardial Infarction: A...