Acute outcomes of three-dimensional mapping for fluoroscopy reduction in paediatric catheter ablation for supraventricular tachycardia

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dc.authorid0000-0001-9008-4997
dc.contributor.authorAnderson, Chris
dc.contributor.authorRahman, Maryam
dc.contributor.authorBradley, David J.
dc.contributor.authorBreedlove, Kristen
dc.contributor.authorDick, Macdonald
dc.contributor.authorLapage, Martin J.
dc.contributor.authorMartinez, Alaina R.
dc.contributor.authorMcNinch, Neil L.
dc.contributor.authorMoore, Jeremy P.
dc.contributor.authorPapagiannis, John
dc.contributor.authorRazminia, Mansour
dc.contributor.authorShannon, Kevin M.
dc.contributor.authorShauver, Lisa M.
dc.contributor.authorTuzcu, Volkan
dc.contributor.authorClark, John M.
dc.date.accessioned2022-09-05T10:18:36Z
dc.date.available2022-09-05T10:18:36Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: Catheter ablation is a safe and effective therapy for the treatment of supraventricular tachycardia in children. Current improvements in technology have allowed progressive reduction in radiation exposure associated with the procedure. To assess the impact of three-dimensional mapping, we compared acute procedural results collected from the Catheter Ablation with Reduction or Elimination of Fluoroscopy registry to published results from the Prospective Assessment after Pediatric Cardiac Ablation study. Methods: Inclusion and exclusion criteria from the Prospective Assessment after Pediatric Cardiac Ablation study were used as guidelines to select patient data from the Catheter Ablation with Reduction or Elimination of Fluoroscopy registry to compare acute procedural outcomes between cohorts. Outcomes assessed include procedural and fluoroscopy exposure times, success rates of procedure, and complications. Results: In 786 ablation procedures, targeting 498 accessory pathways and 288 atrioventricular nodal reentrant tachycardia substrates, average procedural time (156.5 versus 206.7 minutes, p < 0.01), and fluoroscopy time (1.2 versus 38.3 minutes, p < 0.01) were significantly shorter in the study group. Success rates for the various substrates were similar except for manifest accessory pathways which had a significantly higher success rate in the study group (96.4% versus 93.0%, p < 0.01). Major complication rates were significantly lower in the study group (0.3% versus 1.6%, p < 0.01). Conclusions: In a large, multicentre study, three-dimensional systems show favourable improvements in clinical outcomes in children undergoing catheter ablation of supraventricular tachycardia compared to the traditional fluoroscopic approach. Further improvements are anticipated as technology advances.
dc.identifier.citationAnderson, C., Rahman, M., Bradley, D. J., Breedlove, K., Dick, M., Lapage, M. J. ... Clark, J. M. (2021). Acute outcomes of three-dimensional mapping for fluoroscopy reduction in paediatric catheter ablation for supraventricular tachycardia. Cardiology in the Young, 31(12), 1923-1928. http://doi.org/10.1017/S1047951121001086
dc.identifier.doi10.1017/S1047951121001086
dc.identifier.endpage1928
dc.identifier.issn1047-9511
dc.identifier.issn1467-1107
dc.identifier.issue12
dc.identifier.pmid33766172
dc.identifier.scopus2-s2.0-85103315677
dc.identifier.scopusqualityQ3
dc.identifier.startpage1923
dc.identifier.urihttp://doi.org/10.1017/S1047951121001086
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9687
dc.identifier.volume31
dc.identifier.wos000840613900006en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTuzcu, Volkan
dc.language.isoen
dc.publisherCambridge University Press
dc.relation.ispartofCardiology in the Youngen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCatheter Ablation
dc.subjectFluoroscopy
dc.subjectPaediatric
dc.subjectRadiation
dc.subjectSupraventricular Tachycardia
dc.subjectThree-Dimensional Mapping
dc.titleAcute outcomes of three-dimensional mapping for fluoroscopy reduction in paediatric catheter ablation for supraventricular tachycardia
dc.typeArticle

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