Catheter ablation of idiopathic right ventricular arrhythmias in children with limited fluoroscopy

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dc.authorid0000-0002-4375-2881
dc.authorid0000-0001-9008-4997
dc.contributor.authorAkdeniz, Celal
dc.contributor.authorGül, Enes Elvin
dc.contributor.authorÇelik, Nida
dc.contributor.authorKaracan, Mehmet
dc.contributor.authorTuzcu, Volkan
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:21Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:21Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000387109800019
dc.descriptionPubMed ID: 27184808
dc.description.abstractIntroduction Definitive therapy of idiopathic right ventricular arrhythmias (VA) remains a challenge in interventional electrophysiology. The aim of this study was to evaluate the utility of EnSite Velocity system in the catheter ablation of RV tachycardia in children. Methods Thirty-five children with idiopathic right VA underwent catheter ablation procedure using the EnSite Velocity system guidance. Results The mean patient age was 12.0 +/- 3.7 years and the mean patient weight was 43.6 +/- 18.7 kg. The origin of right VA was divided into right ventricular outflow tract (RVOT) (30 patients) and other right ventricular localizations (five patients). The mean procedure and fluoroscopy times were 175 +/- 67 min and 2.35 +/- 1.89 min, respectively. No fluoroscopy was used in 19 patients. Acute success was achieved in 29 patients (83 %). The focus of VA was epicardial in three failed procedures. Cryocatheter (6-mm or 8-mm tip) was used in six patients, radiofrequency ablation (RFA) (4-mm or 8-mm tip) in 26 patients, and 4-mm tip irrigated RFA in three patients. During a mean follow-up of 15.9 +/- 7.1 months, ventricular tachycardia recurred in six patients (20 %). There were three complications (transient atrioventricular block developed in one patient during parahissian cryoablation and two patients developed transient complete right bundle branch block). Conclusions Catheter ablation of idiopathic right VA in children can be performed safely and effectively with limited fluoroscopy using the EnSite Velocity system.
dc.identifier.citationAkdeniz, C., Gül, E. E., Çelik, N., Karacan, M. ve Tuzcu, V. (2016). Catheter ablation of idiopathic right ventricular arrhythmias in children with limited fluoroscopy. Journal of Interventional Cardiac Electrophysiology, 46(3), 355-360. https://dx.doi.org/10.1007/s10840-016-0133-6
dc.identifier.doi10.1007/s10840-016-0133-6
dc.identifier.endpage360
dc.identifier.issn1383-875X
dc.identifier.issn1572-8595
dc.identifier.issue3
dc.identifier.scopusqualityQ1
dc.identifier.startpage355
dc.identifier.urihttps://dx.doi.org/10.1007/s10840-016-0133-6
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3155
dc.identifier.volume46
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofJournal of Interventional Cardiac Electrophysiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectVentricular Arrhythmia
dc.subjectEnSite Velocity
dc.subjectCatheter Ablation
dc.subjectChildren
dc.titleCatheter ablation of idiopathic right ventricular arrhythmias in children with limited fluoroscopy
dc.typeArticle

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