| Nonfluoroscopic and Radiation-Limited Ablation of Ventricular Arrhythmias in Children and Young Adults: A Case Series. | |
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MedLine Citation:
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PMID: 21442398 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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The purpose of this study was to report the feasibility and procedural technique of minimal or no fluoroscopy in the ablation of ventricular arrhythmias in the pediatric population. A retrospective review was performed of all patients <21 years old who underwent ablation of ventricular arrhythmias using three-dimensional (3D) mapping with no or minimal fluoroscopy at a single institution. Five patients underwent electrophysiology studies for ventricular tachycardia or frequent premature ventricular complexes. Three patients had right-sided arrhythmias, and two patients had left-sided arrhythmias. Electro-anatomic mapping with the 3D EnSite NavX system and radiofrequency ablation was used in all patients. No fluoroscopy was used in the patients with right-sided arrhythmias. The two patients with left-sided arrhythmias had 1.0 and 1.9 min of fluoroscopy, respectively. The mean procedure time was 168 min (range 95 to 270). There has been no recurrence at mean follow-up of >1 year. Three-dimensional mapping systems have allowed pediatric electrophysiologic procedures to be performed with minimal to no fluoroscopy in patients with challenging arrhythmias, including ventricular arrhythmias. The decrease in radiation exposure decreases the risk of long-term adverse sequelae resulting from radiation exposure, which is especially important in children. |
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Authors:
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Nicholas H Von Bergen; Shalabh Bansal; Jean Gingerich; Ian H Law |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-27 |
Journal Detail:
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Title: Pediatric cardiology Volume: - ISSN: 1432-1971 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8003849 Medline TA: Pediatr Cardiol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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The University of Iowa Children's Hospital, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52246, USA, nicholas-vonbergen@uiowa.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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