Nonfluoroscopic imaging systems reduce radiation exposure in children undergoing ablation of supraventricular tachycardia

Heart Rhythm

Volumn 8, Issue 4, 2011, Pages 519-525

  Miyake, Christina Y ^a   Mah, Douglas Y ^a   Atallah, Joseph ^a   Oikle, Heath P ^a   Melgar, Monica L ^a   Alexander, Mark E ^a   Berul, Charles I ^a   Cecchin, Frank ^a   Walsh, Edward P ^a   Triedman, John K ^a  

^a BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

Ablation; Arrhythmia; Electroanatomic mapping; Fluoroscopy; Intracardiac echocardiography; Nonfluoroscopic imaging; Pediatrics; Radiation; Supraventricular tachycardia

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CARDIOVASCULAR SYSTEM EXAMINATION; CHILD; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTROANATOMIC MAPPING; FEMALE; FLUOROSCOPY; HEART ELECTROPHYSIOLOGY; HUMAN; IMAGING SYSTEM; INJURY; INTRACARDIAC ECHOCARDIOGRAPHY; MALE; MECHANICAL PROBE; NONFLUROSCOPIC IMAGING; PRIORITY JOURNAL; RADIATION EXPOSURE; RADIOFREQUENCY ABLATION; RANDOMIZED CONTROLLED TRIAL; REENTRY TACHYCARDIA; SCHOOL CHILD; SUPRAVENTRICULAR TACHYCARDIA; WOLFF PARKINSON WHITE SYNDROME;

ADOLESCENT; BODY SURFACE POTENTIAL MAPPING; CHILD; DIAGNOSIS, DIFFERENTIAL; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY; ENDOSONOGRAPHY; FEMALE; FLUOROSCOPY; FOLLOW-UP STUDIES; HEART RATE; HUMANS; MALE; PROSPECTIVE STUDIES; RADIATION DOSAGE; TACHYCARDIA, SUPRAVENTRICULAR; YOUNG ADULT;

EID: 79953237915     PISSN: 15475271     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.hrthm.2010.12.022     Document Type: Article

References (20)

1. G.F. Van Hare, H. Javitz, and D. Carmelli Prospective assessment after pediatric cardiac ablation: demographics, medical profiles, and initial outcomes J Cardiovasc Electrophysiol 15 2004 759 770 (Pubitemid 38951849)
2. J.D. Kugler, D.A. Danford, K.A. Houston, and G. Felix Pediatric radiofrequency catheter ablation registry success, fluoroscopy time, and complication rate for supraventricular tachycardia: Comparison of early and recent eras J Cardiovasc Electrophysiol 13 2002 336 341 (Pubitemid 34407597)
3. E.P. Efstathopoulous, D.G. Katritsis, and S. Kottou Patient and staff radiation dosimetry during cardiac electrophysiology studies and catheter ablation procedures: a comprehensive analysis Europace 8 2006 443 448 (Pubitemid 43905722)
4. E.J. Hall Lessons we have learned from our children: cancer risks from diagnostic radiology Pediatr Radiol 120 2002 677 682
5. Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation; Nuclear and Radiation Studies Board DoEaLS, National Research Council of the National Academies Health risks from exposure to low levels of ionizing radiation: BEIR VII 2 2006 The National Academies Press Washington DC
6. L. Beels, K. Bacher, D. De Wolf, J. Werbrouck, and H. Thierens Gamma-H2AX foci as a biomarker for patient X-ray exposure in pediatric cardiac catheterization: are we underestimating radiation risks? Circulation 19 2009 1903 1909
7. M.G. Andreassi Radiation risk from pediatric cardiac catheterization: friendly fire on children with congenital heart disease Circulation 19 2009 1847 1849
8. K. Bacher, E. Bogaert, R. Lapere, D. De Wolf, and H. Thierens Patient-specific dose and radiation risk estimation in pediatric cardiac catheterization Circulation 111 2005 83 89 (Pubitemid 40070848)
9. L. Ait-Ali, M.G. Adreassi, I. Foffa, I. Spadoni, E. Vano, and E. Picano Cumulative patient effective dose and acute radiation-induced chromosomal DNA damage in children with congenital heart disease Heart 96 2010 269 274
10. F. Drago, M.S. Silvetti, A. Di Pino, G. Grutter, M. Bevilacqua, and S. Leibovich Exclusion of fluoroscopy during ablation treatment of right accessory pathway in children J Cardiovasc Electrophysiol 13 2002 778 782 (Pubitemid 34921138)
11. J. Papagiannis, A. Tsoutsinos, and G. Kirvassilis Nonfluoroscopic catheter navigation for radiofrequency catheter ablation of supraventricular tachycardia in children Pacing Clin Electrophysiol 29 2006 971 978 (Pubitemid 44392885)
12. V. Tuzcu A nonfluoroscopic approach for electrophysiology and catheter ablation procedures using a three-dimensional navigation system Pacing Clin Electrophysiol 30 2007 519 525 (Pubitemid 46596129)
13. A.L. Papez, M. al-Ahdab, M. Dick 2nd, and P.S. Fischbach Impact of a computer assisted navigation system on radiation exposure during pediatric ablation procedures J Interv Card Electrophysiol 19 2007 121 127 (Pubitemid 47315708)
14. G. Smith, and J.M. Clark Elimination of fluoroscopy use in a pediatric electrophysiology laboratory utilizing three-dimensional mapping Pacing Clin Electrophysiol 30 2007 510 518 (Pubitemid 46596128)
15. J. Clark, J.R. Bockoven, J. Lane, C.R. Patel, and G. Smith Use of three-dimensional catheter guidance and trans-esophageal echocardiography to eliminate fluoroscopy in catheter ablation of left-sided accessory pathways Pacing Clin Electrophysiol 31 2008 283 289 (Pubitemid 351328745)
16. M. Alvarez, L. Tercedor, and I. Almansa Safety and feasibility of catheter ablation for atrioventricular nodal re-entrant tachycardia without fluoroscopic guidance Heart Rhythm 6 2009 1714 1720
17. J.D. Ferguson, A. Helms, and J.M. Mangrum Catheter ablation of atrial fibrillation without fluoroscopy using intracardiac echocardiography and electroanatomic mapping Circ Arrhythm Electrophysiol 2 2009 611 619
18. L.W. Klein, D.L. Miller, and S. Balter Occupational health hazards in the interventional laboratory: time for a safer environment Heart Rhythm 6 2009 439 444
19. R.M. Campbell, M.J. Strieper, and P.A. Frias Quantifying and minimizing radiation exposure during pediatric cardiac catheterization Pediatr Cardiol 26 2005 29 33 (Pubitemid 41569557)
20. L. Venneri, F. Rossi, and N. Botto Cancer risk from professional exposure in staff working in cardiac catheterization laboratory: insights from the National Research Council's Biological Effects of Ionizing Radiation VII report Am Heart J 157 2009 118 124