Utilising electroanatomic mapping during ablation in patients with CHD to reduce radiation exposure

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dc.authorid0000-0001-9008-4997
dc.contributor.authorRahman, Maryam
dc.contributor.authorMoore, Jeremy P.
dc.contributor.authorPapagiannis, John
dc.contributor.authorSmith, Grace
dc.contributor.authorAnderson, Chris
dc.contributor.authorShannon, Kevin M.
dc.contributor.authorRazminia, Mansour
dc.contributor.authorTuzcu, Volkan
dc.contributor.authorMcNinch, Neil L.
dc.contributor.authorShauver, Lisa M.
dc.contributor.authorClark, John M.
dc.date.accessioned2023-02-07T11:42:23Z
dc.date.available2023-02-07T11:42:23Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: Patients with CHD can be exposed to high levels of cumulative ionising radiation. Utilisation of electroanatomic mapping during catheter ablation leads to reduced radiation exposure in the general population but has not been well studied in patients with CHD. This study evaluated the radiation sparing benefit of using three-dimensional mapping in patients with CHD. Methods: Data were retrospectively collected from the Catheter Ablation with Reduction or Elimination of Fluoroscopy multi-institutional registry. Patients with CHD were selected. Those with previous ablations, concurrent diagnostic or interventional catheterisation and unknown arrhythmogenic foci were excluded. The control cohort was matched for operating physician, arrhythmia mechanism, arrhythmia location, weight and age. The procedure time, rate of fluoroscopy use, fluoroscopy time, procedural success, complications, and distribution of procedures per year were compared between the two groups. Results: Fifty-six patients with congenital heart disease and 56 matched patients without CHD were included. The mean total procedure time was significantly higher in patients with CHD (212.6 versus 169.5 minutes, p = 0.003). Their median total fluoroscopy time was 4.4 minutes (compared to 1.8 minutes), and their rate of fluoroscopy use was 23% (compared to 13%). The acute success and minor complication rates were similar and no major complications occurred. Conclusions: With the use of electroanatomic mapping during catheter ablation, fluoroscopy use can be reduced in patients with CHD. The majority of patients with CHD received zero fluoroscopy.
dc.identifier.citationRahman, M., Moore, J. P., Papagiannis, J., Smith, G., Anderson, C., Shannon, K. M. ... Clark, J. M. (2022). Utilising electroanatomic mapping during ablation in patients with CHD to reduce radiation exposure. Cardiology in the Young, 32(10), 1580-1584. https://dx.doi.org/10.1017/S1047951121004558
dc.identifier.doi10.1017/S1047951121004558
dc.identifier.endpage1584
dc.identifier.issn1047-9511
dc.identifier.issn1467-1107
dc.identifier.issue10
dc.identifier.pmid34789361
dc.identifier.scopus2-s2.0-85120058440
dc.identifier.scopusqualityQ3
dc.identifier.startpage1580
dc.identifier.urihttps://dx.doi.org/10.1017/S1047951121004558
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10403
dc.identifier.volume32
dc.identifier.wos000752712000001en_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.subjectArrhythmia
dc.subjectCatheter Ablation
dc.subjectCHD
dc.subjectRadiation
dc.subjectThree-Dimensional Mapping
dc.subjectZero Fluoroscopy
dc.titleUtilising electroanatomic mapping during ablation in patients with CHD to reduce radiation exposure
dc.typeArticle

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