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The magnetic navigation system allows avoidance of puncturing a baffle during ablation of a postincisional macroreentrant tachycardia

Published online by Cambridge University Press:  01 April 2009

Bruno Schwagten*
Affiliation:
Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands
Judith Cuypers
Affiliation:
Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands
Tamas Szili-Torok
Affiliation:
Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands
*
Correspondence to: B. Schwagten, MD, Department of Electrophysiology, Thoraxcenter, Erasmus Medical Center, ‘s Gravendijkwal 230, 3000 CA, Rotterdam, The Netherlands. Tel: +31 10 704 0 704; Fax: +31 10 703 44 20; E-mail: b.schwagten@erasmusmc.nl

Abstract

An 18-year-old female patient with tricuspid atresia, discordant ventriculo-arterial connections, a total cavo-pulmonary connection, and a Damus-Kaye-Stansel suffered with atrial tachycardia. Use of a magnetically navigated catheter made it possible to create an electro-anatomical map of both atriums using a retrograde approach. It then proved possible to ablate successfully the tachycardia in the left atrium thanks to the unique capabilities of the magnetic navigation system.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2009

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References

1.Hahn, K, Gal, R, Sarnoski, J, Kubota, J, Schmidt, DH, Bajwa, TK. Transoesophageal echocardiographically guided atrial transseptal catheterisation in patients with normal-sized atria: incidence of complications. Clin Cardiol 1995; 18: 217220.CrossRefGoogle ScholarPubMed
2.El-Said, HG, Ing, FF, Grifka, RG, et al. 18-year experience with transseptal procedures through baffles, conduits, and other intra-atrial patches. Catheter Cardiovasc Interv 2000; 50: 434439.Google Scholar
3.Szili-Torok, T, Kimman, G, Theuns, D, Res, J, Roelandt, JR, Jordaens, LJ. Transseptal left heart catheterisation guided by intracardiac echocardiography. Heart 2001; 86: e11e15.CrossRefGoogle ScholarPubMed
4.Tucker, KJ, Curtis, AB, Murphy, J, et al. Transoesophageal echocardiographic guidance of transseptal left heart catheterization during radiofrequency ablation of left-sided accessory pathways in humans. Pacing Clin Electrophysiol 1996; 19: 272281.CrossRefGoogle ScholarPubMed
5.Brockenbrough, E, Braunwald, E. A new technique for left ventricular angiography and transseptal left heart catheterization. Am J Cardiol 1960; 6: 10621067.CrossRefGoogle Scholar
6.Thornton, AS, Janse, P, Theuns, DA, Scholten, MF, Jordaens, LJ. Magnetic navigation in AV nodal re-entranttachycardia study: early results of ablation with one- and three-magnet catheters. Europace 2006; 8: 225230.CrossRefGoogle ScholarPubMed
7.Ernst, S, Ouyang, F, Linder, C, et al. Initial experience with remote catheter ablation using a novel magnetic navigation system. Circulation 2004; 109: 14721475.Google Scholar