caa a22 4500 445824123 CHVBK 20180317145253.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00246-011-9956-1 doi (NATIONALLICENCE)springer-10.1007/s00246-011-9956-1 Nonfluoroscopic and Radiation-Limited Ablation of Ventricular Arrhythmias in Children and Young Adults: A Case Series [Elektronische Daten] [Nicholas Von Bergen, Shalabh Bansal, Jean Gingerich, Ian Law] The purpose of this study was to report the feasibility and procedural technique of minimal or no fluoroscopy in the ablation of ventricular arrhythmias in the pediatric population. A retrospective review was performed of all patients <21years old who underwent ablation of ventricular arrhythmias using three-dimensional (3D) mapping with no or minimal fluoroscopy at a single institution. Five patients underwent electrophysiology studies for ventricular tachycardia or frequent premature ventricular complexes. Three patients had right-sided arrhythmias, and two patients had left-sided arrhythmias. Electro-anatomic mapping with the 3D EnSite NavX system and radiofrequency ablation was used in all patients. No fluoroscopy was used in the patients with right-sided arrhythmias. The two patients with left-sided arrhythmias had 1.0 and 1.9min of fluoroscopy, respectively. The mean procedure time was 168min (range 95 to 270). There has been no recurrence at mean follow-up of >1year. Three-dimensional mapping systems have allowed pediatric electrophysiologic procedures to be performed with minimal to no fluoroscopy in patients with challenging arrhythmias, including ventricular arrhythmias. The decrease in radiation exposure decreases the risk of long-term adverse sequelae resulting from radiation exposure, which is especially important in children. Springer Science+Business Media, LLC, 2011 Pediatric nationallicence Ventricular tachycardia nationallicence Nonfluoroscopic nationallicence 3D mapping nationallicence Catheter ablation nationallicence Von Bergen Nicholas The University of Iowa Children's Hospital, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 52246, Iowa City, IA, USA aut Bansal Shalabh The University of Iowa Children's Hospital, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 52246, Iowa City, IA, USA aut Gingerich Jean The University of Iowa Children's Hospital, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 52246, Iowa City, IA, USA aut Law Ian The University of Iowa Children's Hospital, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 52246, Iowa City, IA, USA aut Pediatric Cardiology Springer-Verlag 32/6(2011-08-01), 743-747 0172-0643 32:6<743 2011 32 246 https://doi.org/10.1007/s00246-011-9956-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-9956-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Von Bergen Nicholas The University of Iowa Children's Hospital, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 52246, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Bansal Shalabh The University of Iowa Children's Hospital, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 52246, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Gingerich Jean The University of Iowa Children's Hospital, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 52246, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Law Ian The University of Iowa Children's Hospital, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 52246, Iowa City, IA, USA aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/6(2011-08-01), 743-747 0172-0643 32:6<743 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer