Cardiac interventions in pregnant patients without fluoroscopy

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dc.authorid0000-0001-9008-4997
dc.authorid0000-0002-3105-5472
dc.authorid0000-0002-8647-6055
dc.contributor.authorTuzcu, Volkan
dc.contributor.authorGül, Enes
dc.contributor.authorErdem, Abdullah
dc.contributor.authorKamalı, Hacer
dc.contributor.authorSarıtaş, Türkay
dc.contributor.authorKaradeniz, Cem
dc.contributor.authorAkdeniz, Celal
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:02:27Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:02:27Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000357683800028
dc.descriptionPubMed ID: 25946984
dc.description.abstractCardiac interventions with fluoroscopy during pregnancy carry significant risks for the fetus. This report reviews three pregnant patients: two of them requiring pacemaker implantation and one underwent diagnostic cardiac catheterization without fluoroscopy. The cases were performed using EnSite system (St. Jude Medical Inc., MN, USA) guidance. The necessary cardiac structure geometries were reconstructed with a deflectable quadripolar electrophysiology catheter without fluoroscopy. In two cases, pacemaker leads were connected to the EnSite system for navigation and fixation of leads. In the third case, long sheaths and electrophysiology catheters were used to access the right ventricle and pulmonary artery. Transthoracic echocardiography was also used in all three cases. A 31-year-old woman at 8-week pregnancy was admitted with ventricular septal defect and significant pulmonary hypertension. The patient underwent catheterization to assess for the risk of continuation of pregnancy. There was partial reactivity, it was decided not to terminate the pregnancy, and an uneventful delivery was succeeded at 35 weeks of gestation without complications. The rest of the two pregnant patients were a 28-year-old pregnant woman at 14 weeks of gestation and a 40-year-old woman at 12-week gestation. Both of them presented with symptomatic complete AV block. A single-chamber pacemaker was implanted in the first one, and a dual-chamber pacemaker was implanted in the latter. Pregnancy continued in both without complications. Successful cardiac catheterization and pacemaker implantation can be performed safely in selected pregnant patients using an electroanatomic mapping system guidance without fluoroscopy.
dc.identifier.citationTuzcu, V., Gül, E., Erdem, A., Kamalı, H., Sarıtaş, T., Karadeniz, C. ve Akdeniz, C. (2015). Cardiac interventions in pregnant patients without fluoroscopy. Pediatric Cardiology, 36(6), 1304-1307. https://dx.doi.org/10.1007/s00246-015-1181-x
dc.identifier.doi10.1007/s00246-015-1181-x
dc.identifier.endpage1307
dc.identifier.issn0172-0643
dc.identifier.issn1432-1971
dc.identifier.issue6
dc.identifier.scopusqualityQ2
dc.identifier.startpage1304
dc.identifier.urihttps://dx.doi.org/10.1007/s00246-015-1181-x
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3649
dc.identifier.volume36
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofPediatric Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectPregnancy
dc.subjectPacemaker
dc.subjectNon-fluoroscopic Approach
dc.subjectRadiation
dc.titleCardiac interventions in pregnant patients without fluoroscopy
dc.typeArticle

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