Catheter ablation of left posterior fascicular ventricular tachycardia in children with limited fluoroscopy exposure

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dc.authorid0000-0002-4080-0681
dc.authorid0000-0002-8647-6055
dc.authorid0000-0002-4375-2881
dc.authorid0000-0001-9008-4997
dc.contributor.authorKoca, Serhat
dc.contributor.authorAkdeniz, Celal
dc.contributor.authorKaracan, Mehmet
dc.contributor.authorTuzcu, Volkan
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:45Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:45Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractIntroduction:Catheter ablation of left posterior fascicular ventricular tachycardia in the pediatric population remains challenging, and most studies about this topic have been conducted on adult patients. This study aimed to assess the clinical presentation features and outcomes of catheter ablations performed using limited fluoroscopy with three-dimensional electroanatomic mapping system guidance in a pediatric left posterior fascicular ventricular tachycardia patient group.Methods:A total of 20 consecutive patients undergoing left posterior fascicular ventricular tachycardia ablation at a single tertiary centre were enrolled. All children with left posterior fascicular ventricular tachycardia underwent electrophysiological studies using the EnSite NavX system guidance. Ablations were performed during the sinus rhythm based on the Purkinje potentials in all patients.Results:The mean patient age was 12.7 years (range 2-16), and the mean patient weight was 51 kg (range 11-84). The mean procedure and median fluoroscopy times were 143.1 minutes and 3.4 minutes, respectively. No fluoroscopy was used in three patients. Acute success was achieved in 19 patients (95%). During a mean follow-up of 38.6 ± 19.35 months, left posterior fascicular ventricular tachycardia recurred in four patients (20%). Repeat ablations were performed successfully in those patients who developed recurrences. No complications were seen.Conclusions:Catheter ablation of left posterior fascicular ventricular tachycardia in children can be performed safely and effectively with low fluoroscopy exposure using a three-dimensional electroanatomic mapping system.
dc.identifier.citationKoca, S., Akdeniz, C., Karacan, M. ve Tuzcu, V. (2019). Catheter ablation of left posterior fascicular ventricular tachycardia in children with limited fluoroscopy exposure. Cardiology in the Young, 29(6), 793-799. https://dx.doi.org/10.1017/S1047951119000830
dc.identifier.doi10.1017/S1047951119000830
dc.identifier.endpage799
dc.identifier.issn1047-9511
dc.identifier.issue6
dc.identifier.scopusqualityQ3
dc.identifier.startpage793
dc.identifier.urihttps://hdl.handle.net/20.500.12511/930
dc.identifier.urihttps://dx.doi.org/10.1017/S1047951119000830
dc.identifier.volume29
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
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/embargoedAccess
dc.subjectCatheter Ablation
dc.subjectChildren
dc.subjectLeft Posterior Fascicular Ventricular Tachycardia
dc.subjectPurkinje Potentials
dc.subjectThree Dimensional Mapping
dc.titleCatheter ablation of left posterior fascicular ventricular tachycardia in children with limited fluoroscopy exposure
dc.typeArticle

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