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https://hdl.handle.net/2440/62013
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dc.contributor.author | Szumowski, L. | - |
dc.contributor.author | Szufladowicz, E. | - |
dc.contributor.author | Orczkowski, M. | - |
dc.contributor.author | Bodalski, R. | - |
dc.contributor.author | Derejko, P. | - |
dc.contributor.author | Przybylski, A. | - |
dc.contributor.author | Urbanek, P. | - |
dc.contributor.author | Kusmierczyk, M. | - |
dc.contributor.author | Kozluk, E. | - |
dc.contributor.author | Sacher, F. | - |
dc.contributor.author | Sanders, P. | - |
dc.contributor.author | Dangel, J. | - |
dc.contributor.author | Haissaguerre, M. | - |
dc.contributor.author | Walczak, F. | - |
dc.date.issued | 2010 | - |
dc.identifier.citation | Journal of Cardiovascular Electrophysiology, 2010; 21(8):877-882 | - |
dc.identifier.issn | 1045-3873 | - |
dc.identifier.issn | 1540-8167 | - |
dc.identifier.uri | http://hdl.handle.net/2440/62013 | - |
dc.description.abstract | <h4>Aims</h4>The goal of this study was to describe mapping and ablation of severe arrhythmias during pregnancy, with minimum or no X-ray exposure. Treatment of tachyarrhythmia in pregnancy is a clinical problem. Pharmacotherapy entails a risk of adverse effects and is unsuccessful in some patients. Radiofrequency ablation has been performed rarely, because of fetal X-ray exposure and potential maternal and fetus complications. GROUP AND METHOD: Mapping and ablation was performed in 9 women (age 24-34 years) at 12-38th week of pregnancy. Three had permanent junctional reciprocating tachycardia, and 2 had incessant atrial tachycardia. Four of them had left ventricular ejection fraction < or =45%. One patient had atrioventricular nodal reciprocating tachycardia requiring cardioversion. Three patients had Wolff-Parkinson-White syndrome. Two of them had atrial fibrillation with ventricular rate 300 bpm and 1 had atrioventricular tachycardia 300 bpm. Fetal echocardiography was performed before and after the procedure.<h4>Results</h4>Three women had an electroanatomic map and ablation done without X-ray exposure. The mean fluoroscopy time in the whole group was 42 +/- 37 seconds. The mean procedure time was 56 +/- 18 minutes. After the procedure, all women and fetuses were in good condition. After a mean period of 43 +/- 23 months follow up (FU), all patients were free of arrhythmia without complications related to ablation either in the mothers or children.<h4>Conclusion</h4>Ablation can be performed safely with no or minimal radiation exposure during pregnancy. In the setting of malignant, drug-resistant arrhythmia, ablation may be considered a therapeutic option in selected cases. | - |
dc.description.statementofresponsibility | Lukasz Szumowski, Ewa Szufladowicz, Michał Orczykowski, Robert Bodalski, Paweł Derejko, Andrzej Przybylski, Piotr Urbanek, Mariusz Ku´Smierczyk, Edward Ko´Zluk, Frederic Sacher, Prashanthan Sanders, Joanna Dangel, Michel Haissaguerre, and Franciszek Walczak | - |
dc.language.iso | en | - |
dc.publisher | Futura Publ Co | - |
dc.rights | © 2010 Wiley Periodicals, Inc. | - |
dc.source.uri | http://dx.doi.org/10.1111/j.1540-8167.2010.01727.x | - |
dc.subject | ablation | - |
dc.subject | atrioventricular (AV) node reentry | - |
dc.subject | fluoroscopy | - |
dc.subject | pregnancy | - |
dc.subject | supraventricular tachycardia | - |
dc.subject | Wolff-Parkinson-White syndrome | - |
dc.title | Ablation of severe drug-resistant tachyarrhythmia during pregnancy | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1111/j.1540-8167.2010.01727.x | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Sanders, P. [0000-0003-3803-8429] | - |
Appears in Collections: | Aurora harvest 5 Medicine publications |
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