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Non-fluoroscopic cardiac ablation of neonates with CHD*

Published online by Cambridge University Press:  21 October 2016

Amee M. Bigelow Open the ORCID record for Amee M. Bigelow [Opens in a new window] ,
Brandon S. Arnold ,
Gregory C. Padrutt  and
John M. Clark
Amee M. Bigelow*
Affiliation:
Department of Cardiology, Akron Children’s Hospital, The Heart Center, Akron, Ohio, United States of America
Brandon S. Arnold
Affiliation:
Department of Cardiology, Akron Children’s Hospital, The Heart Center, Akron, Ohio, United States of America
Gregory C. Padrutt
Affiliation:
Department of Cardiology, Akron Children’s Hospital, The Heart Center, Akron, Ohio, United States of America
John M. Clark
Affiliation:
Department of Cardiology, Akron Children’s Hospital, The Heart Center, Akron, Ohio, United States of America
*
Correspondence to: A. Bigelow, MD, Department of Cardiology, Akron Children’s Hospital, The Heart Center, One Perkins Square, Akron, OH 44308, United States of America. Tel: 330 543 1000; Fax: 330 543 3850; E-mail: abigelow@mcw.edu
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Abstract

In current practice, children with anatomically normal hearts routinely undergo fluoroscopy-free ablations. Infants and children with congenital heart disease (CHD) represent the most difficult population to perform catheter ablation without fluoroscopy. We report two neonatal patients with CHD in whom cardiac ablations were performed without fluoroscopy. The first infant had pulmonary atresia with intact ventricular septum with refractory supraventricular tachycardia, and the second infant presented with Ebstein’s anomaly of the tricuspid valve along with persistent supraventricular tachycardia. Both patients underwent uncomplicated, successful ablation without recurrence of arrhythmias. These cases suggest that current approaches to minimising fluoroscopy may be useful even in challenging patients such as neonates with CHD.

Keywords

No fluoroscopyneonatalCHDablation
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 3 , March 2017 , pp. 592 - 596
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Copyright
© Cambridge University Press 2016 

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Footnotes

*

A.B. presented this abstract at the 2014 Cardiostim Congress in Nice, France.

References

1. Tripathi, A, Black, GB, Park, YM, Jerrell, JM. Factors associated with the occurrence and treatment of supraventricular tachycardia in a pediatric congenital heart disease cohort. Pediatr Cardiol 2014; 35: 368–373.Google Scholar
2. Kanter, RJ. Pearls for ablation in congenital heart disease. J Cardiovasc Electrophysiol 2010; 21: 223–230.Google Scholar
3. Van Hare, GF, Javitz, H, Carmelli, D, et al. Prospective Assessment after Pediatric Cardiac Ablation: demographics, medical profiles, and initial outcomes. J Cardiovasc Electrophysiol 2004; 15: 759–770.Google Scholar
4. Blaufox, AD, Felix, GL, Saul, JP, Pediatric Catheter Ablation Registry. Radiofrequency catheter ablation in infants </=18 months old: when is it done and how do they fare?: short-term data from the pediatric ablation registry. Circulation 2001; 104: 2803–2808.Google Scholar
5. Blaufox, AD, Paul, T, Saul, JP. Radiofrequency catheter ablation in small children: relationship of complications to application dose. Pacing Clin Electrophysiol 2004; 27: 224–229.CrossRefGoogle ScholarPubMed
6. Erickson, CC, Walsh, EP, Triedman, JK, Saul, JP. Efficacy and safety of radiofrequency ablation in infants and young children <18 months of age. Am J Cardiol 1994; 74: 944–947.Google Scholar
7. Smith, G, Clark, JM. Elimination of fluoroscopy use in a pediatric electrophysiology laboratory utilizing three-dimensional mapping. Pacing Clin Electrophysiol 2007; 30: 510–518.Google Scholar
8. Tuzcu, V. A nonfluoroscopic approach for electrophysiology and catheter ablation procedures using a three-dimensional navigation system. Pacing Clin Electrophysiol 2007; 30: 519–525.CrossRefGoogle ScholarPubMed
9. Kugler, JD, Danford, DA, Houston, KA, Felix, G, Pediatric Radiofrequency Ablation Registry of the Pediatric Radiofrequency Ablation Registry of the Pediatric Electrophysiology Society. Pediatric radiofrequency catheter ablation registry success, fluoroscopy time, and complication rate for supraventricular tachycardia: comparison of early and recent eras. J Cardiovasc Electrophysiol 2002; 13: 336–341.CrossRefGoogle ScholarPubMed
10. Leonelli, FM, Tomassoni, G, Richey, M, Natale, A. Ablation of incisional atrial tachycardias using a three-dimensional nonfluoroscopic mapping system. Pacing Clin Electrophysiol. 2001; 24: 1653–1659.Google Scholar
11. Peichl, P, Kautzner, J, Cihak, R, Vancura, V, Bytesnik, J. Clinical application of electroanatomical mapping in the characterization of “incisional” atrial tachycardias. Pacing Clin Electrophysiol. 2003; 26 (Pt 2): 420–425.CrossRefGoogle ScholarPubMed
12. Ferguson, JD, Helms, A, Mangrum, JM, DiMarco, JP. Ablation of incessant left atrial tachycardia without fluoroscopy in a pregnant woman. J Cardiovasc Electrophysiol 2011; 22: 346–349.Google Scholar