Pulmonary damage following right ventricular outflow tachycardia ablation in a child: When electroanatomical mapping isn’t good enough
dc.contributor.author | Bansal, Neha | |
dc.contributor.author | Kobayashi, Daisuke | |
dc.contributor.author | Karpawich, Peter P. | |
dc.date.accessioned | 2018-06-11T17:59:04Z | |
dc.date.available | 2019-07-01T14:52:16Z | en |
dc.date.issued | 2018-05 | |
dc.identifier.citation | Bansal, Neha; Kobayashi, Daisuke; Karpawich, Peter P. (2018). "Pulmonary damage following right ventricular outflow tachycardia ablation in a child: When electroanatomical mapping isn’t good enough." Pacing and Clinical Electrophysiology 41(5): 561-565. | |
dc.identifier.issn | 0147-8389 | |
dc.identifier.issn | 1540-8159 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/144229 | |
dc.description.abstract | A 14‐year‐old female was referred for severe pulmonary valve insufficiency after undergoing radiofrequency ablation for a right ventricular outflow tract tachycardia that originated in the proximal pulmonary artery at 10 years of age. Clinical records indicated that ablation was guided solely by electrograms and electroanatomical mapping. Due to myocardial tissue extensions, mapping failed to identify the level of the pulmonary valve annulus, which resulted in delivery of energy on the valve proper and into the pulmonary artery. She developed severe pulmonary valve insufficiency and moderate proximal pulmonary artery stenosis necessitating intravascular stent placement 4 years later with an associated transcatheter valve. Although the nonfluoroscopic approach during ablation has gained wide acceptance for use in children, this report highlights the benefits of adjunctive imaging to identify the precise location of the pulmonary valve when ablation therapy is contemplated in the right ventricle outflow tract. | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | pulmonary artery | |
dc.subject.other | electroanatomical mapping | |
dc.subject.other | nonfluoroscopy ablation | |
dc.subject.other | radiofrequency ablation | |
dc.subject.other | right ventricular outflow tachycardia | |
dc.title | Pulmonary damage following right ventricular outflow tachycardia ablation in a child: When electroanatomical mapping isn’t good enough | |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Physiology | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/144229/1/pace13236.pdf | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/144229/2/pace13236_am.pdf | |
dc.identifier.doi | 10.1111/pace.13236 | |
dc.identifier.source | Pacing and Clinical Electrophysiology | |
dc.identifier.citedreference | Timmermans C, Rodriguez LM, Medeiros A, et al. Radiofrequency catheter ablation of idiopathic ventricular tachycardia originating in the main stem of the pulmonary artery. J Cardiovasc Electrophysiol. 2002; 13: 281 – 284. PubMed PMID. 11942598. Epub 2002/04/11. Eng. | |
dc.identifier.citedreference | Iwai S, Cantillon DJ, Kim RJ, et al. Right and left ventricular outflow tract tachycardias: evidence for a common electrophysiologic mechanism. J Cardiovasc Electrophysiol. 2006; 17: 1052 – 1058. PubMed PMID. 16800855. Epub 2006/06/28. Eng. | |
dc.identifier.citedreference | Ya J, van den Hoff MJ, de Boer PA, et al. Normal development of the outflow tract in the rat. Circ Res. 1998; 82: 464 – 472. PubMed PMID. 9506707. Epub 1998/03/20. Eng. | |
dc.identifier.citedreference | Hasdemir C, Aktas S, Govsa F, et al. Demonstration of ventricular myocardial extensions into the pulmonary artery and aorta beyond the ventriculo‐arterial junction. Pacing Clin Electrophysiol. 2007; 30: 534 – 539. PubMed PMID. 17437578. Epub 2007/04/18. Eng. | |
dc.identifier.citedreference | Liu CF, Cheung JW, Thomas G, et al. Ubiquitous myocardial extensions into the pulmonary artery demonstrated by integrated intracardiac echocardiography and electroanatomic mapping: changing the paradigm of idiopathic right ventricular outflow tract arrhythmias. Circ Arrhyth Electrophysiol. 2014; 7: 691 – 700. PubMed PMID. 24917663. Epub 2014/06/12. Eng. | |
dc.identifier.citedreference | Liao Z, Zhan X, Wu S, et al. Idiopathic ventricular arrhythmias originating from the pulmonary sinus cusp: prevalence, electrocardiographic/electrophysiological characteristics, and catheter ablation. J Am Coll Cardiol. 2015; 66: 2633 – 2644. PubMed PMID. 26670064. | |
dc.identifier.citedreference | Pfammatter JP, Paul T. Idiopathic ventricular tachycardia in infancy and childhood: a multicenter study on clinical profile and outcome. Working Group on Dysrhythmias and Electrophysiology of the Association for European Pediatric Cardiology. J Am Coll Cardiol. 1999; 33: 2067 – 2072. PubMed PMID. 10362215. Epub 1999/06/11. Eng. | |
dc.identifier.citedreference | Roggen A, Pavlovic M, Pfammatter JP. Frequency of spontaneous ventricular tachycardia in a pediatric population. Am J Cardiol. 2008; 101: 852 – 854. PubMed PMID. 18328852. Epub 2008/03/11. Eng. | |
dc.identifier.citedreference | Harris KC, Potts JE, Fournier A, et al. Right ventricular outflow tract tachycardia in children. J Pediatrics. 2006; 149: 822 – 826. PubMed PMID. 17137900. Epub 2006/12/02. Eng. | |
dc.identifier.citedreference | Tada H, Tadokoro K, Miyaji K, et al. Idiopathic ventricular arrhythmias arising from the pulmonary artery: prevalence, characteristics, and topography of the arrhythmia origin. Heart Rhythm. 2008; 5: 419 – 426. PubMed PMID. 18313601. | |
dc.identifier.citedreference | Timmermans C, Rodriguez LM, Crijns HJ, et al. Idiopathic left bundle‐branch block‐shaped ventricular tachycardia may originate above the pulmonary valve. Circulation. 2003; 108: 1960 – 1967. PubMed PMID. 14530199. | |
dc.identifier.citedreference | Sekiguchi Y, Aonuma K, Takahashi A, et al. Electrocardiographic and electrophysiologic characteristics of ventricular tachycardia originating within the pulmonary artery. J Am Coll Cardiol. 2005; 45: 887 – 895. PubMed PMID. 15766825. | |
dc.identifier.citedreference | Dixit S, Gerstenfeld EP, Callans DJ, et al. Electrocardiographic patterns of superior right ventricular outflow tract tachycardias: distinguishing septal and free‐wall sites of origin. J Cardiovasc Electrophysiol. 2003; 14: 1 – 7. PubMed PMID. 12625602. Epub 2003/03/11. Eng. | |
dc.identifier.citedreference | Acosta J, Penela D, Herczku C, et al. Impact of earliest activation site location in the septal right ventricular outflow tract for identification of left vs right outflow tract origin of idiopathic ventricular arrhythmias. Heart Rhythm. 2015; 12: 726 – 734. PubMed PMID. 25542998. Epub 2014/12/30. Eng. | |
dc.identifier.citedreference | Pass RH, Gates GG, Gellis LA, et al. Reducing patient radiation exposure during paediatric SVT ablations: use of CARTO(R) 3 in concert with ``ALARA’’ principles profoundly lowers total dose. Cardiol Young. 2015; 25: 963 – 968. PubMed PMID. 25155609. Epub 2014/08/27. Eng. | |
dc.identifier.citedreference | Yang L, Sun G, Chen X, et al. Meta‐analysis of zero or near‐zero fluoroscopy use during ablation of cardiac arrhythmias. Am J Cardiol. 2016; 118: 1511 – 1518. PubMed PMID. 27639689. Epub 2016/09/19. Eng. | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.