Cryoablation with an 8-mm-Tip -catheter for right-sided accessory pathways in children

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dc.authorid0000-0002-8647-6055
dc.authorid0000-0001-9008-4997
dc.contributor.authorTanıdır, İbrahim Cansaran
dc.contributor.authorErgül, Yakup
dc.contributor.authorÖztürk, Erkut
dc.contributor.authorDalgıç, Fuheda
dc.contributor.authorKıplapınar, Neslihan
dc.contributor.authorTola, Hasan Tahsin
dc.contributor.authorAkdeniz, Celal
dc.contributor.authorTuzcu, Volkan
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:02:19Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:02:19Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000380902800003
dc.descriptionPubMed ID: 27197083
dc.description.abstractBackgroundCryoablation is increasingly utilized in children because of its safety profile. Recently, larger catheter tips have been more widely used to improve long-term success rates. The aim of this study was to assess the safety and efficacy of 8-mm-tip catheters for cryoablation of right-sided accessory pathways (APs) in children. MethodsElectrophysiological procedures were performed using the EnSite system (St. Jude Medical Inc., St. Paul, MN, USA). ResultsBetween July 2010 and July 2014, 54 patients (mean age: 13.1 3.7 years) underwent cryoablation using an 8-mm-tip catheter. In 18 of 54 (33%) patients where an 8-mm-tip catheter was the first-choice catheter, the success rate was 18 of 18 (100%). There was a history of previous failed attempts or recurrence with radiofrequency ablation and/or 6-mm-tip cryoablation in 36 of 54 (67%) patients. The success rate in these patients was 24 of 36 (67%). No fluoroscopy was used in 34 of 54 procedures. The recurrence rate was six of 42 (14%) during a mean follow-up period of 32 +/- 15 months. In one patient, transient atrioventricular block occurred. ConclusionsCryoablation with an 8-mm-tip catheter for right-sided APs in children who weigh over 40 kg appears to be safe and acutely effective in cases where conventional ablation methods fail and also as a first choice for ablation procedure. However, the recurrence rate still seems to be high.
dc.identifier.citationTanıdır, İ. C., Ergül, Y., Öztürk, E., Dalgıç, F., Kıplapınar, N., Tola, H. T. ... Tuzcu, V. (2016). Cryoablation with an 8-mm-Tip -catheter for right-sided accessory pathways in children. Pace-Pacing And Clinical Electrophysiology, 39(8), 797-804. https://dx.doi.org/10.1111/pace.12892
dc.identifier.doi10.1111/pace.12892
dc.identifier.endpage804
dc.identifier.issn0147-8389
dc.identifier.issn1540-8159
dc.identifier.issue8
dc.identifier.scopusqualityQ2
dc.identifier.startpage797
dc.identifier.urihttps://dx.doi.org/10.1111/pace.12892
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3616
dc.identifier.volume39
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley-Blackwell
dc.relation.ispartofPace-Pacing And Clinical Electrophysiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectChildren
dc.subjectCryoablation
dc.subjectCatheter Ablation
dc.subjectAccessory Pathway
dc.subjectAtrioventricular Reentrant Tachycardia
dc.titleCryoablation with an 8-mm-Tip -catheter for right-sided accessory pathways in children
dc.typeArticle

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