Catheter ablation for supraventricular tachycardia in children 20kg using an electroanatomical system

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dc.authorid0000-0002-4080-0681
dc.authorid0000-0002-8647-6055
dc.authorid0000-0001-9008-4997
dc.contributor.authorKoca, Serhat
dc.contributor.authorAkdeniz, Celal
dc.contributor.authorTuzcu, Volkan
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:49:32Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:49:32Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000471631500014
dc.descriptionPubMed ID: 30603855
dc.description.abstractPurposeCatheter ablation is the only choice of treatment in some small children with medically refractory supraventricular tachycardia (SVT). Electroanatomical mapping systems (EMS) are more commonly utilized in electrophysiological procedures in recent years, which resulted in a significant decrease in fluoroscopy exposure. The potential benefit of EMS in small children has not been studied. Therefore, we investigated the outcomes of children undergoing catheter ablation weighing 20kg using an electroanatomical mapping system.MethodsThis study evaluated the outcomes, characteristics, and follow-ups of children 20kg who underwent SVT ablations between April 2012 and April 2018 in a pediatric electrophysiology center where EMS were routinely used.ResultsIn a 6-year period, 1129 children underwent SVT catheter ablation under EMS guidance at our institution. A total of 84 of them were weighing 20kg. The acute success rate was 97.6% in 85 tachycardia substrates. No fluoroscopy was used in 58 of the patients, while a median of 5 (4-14)min of fluoroscopy was used in the remaining 26 patients. Recurrences were seen in 4 patients (4.8%) at a mean follow-up of 3.892.08years. Five patients developed non-vital complications (2 right bundle block and 3 temporary complete block that spontaneously resolved during the procedure). Conclusions The outcome of catheter ablation with the guidance of EMS for the treatment of SVT in small children is favorable. Fluoroscopy exposure can be decreased and even eliminated in most patients.
dc.identifier.citationKoca, S., Akdeniz, C. ve Tuzcu, V. (2019). Catheter ablation for supraventricular tachycardia in children 20kg using an electroanatomical system. Journal of Interventional Cardiac Electrophysiology, 55(1), 99-104. https://dx.doi.org/10.1007/s10840-018-0499-8
dc.identifier.doi10.1007/s10840-018-0499-8
dc.identifier.endpage104
dc.identifier.issn1383-875X
dc.identifier.issn1572-8595
dc.identifier.issue1
dc.identifier.scopusqualityQ2
dc.identifier.startpage99
dc.identifier.urihttps://dx.doi.org/10.1007/s10840-018-0499-8
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1630
dc.identifier.volume55
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/embargoedAccess
dc.subjectSmall Children
dc.subjectCatheter Ablation
dc.subjectElectroanatomical Mapping Systems
dc.subjectSupraventricular Tachycardia
dc.subjectFluoroscopy Exposure
dc.titleCatheter ablation for supraventricular tachycardia in children 20kg using an electroanatomical system
dc.typeArticle

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