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Ablation of a left-sided accessory pathway with near-zero fluoroscopy in a 9-year-old boy
Author(s) -
Gabriel Cismaru,
Lucian Mureşan,
Mihai Puiu,
Radu Roşu,
Gabriel Guşetu,
Dana Pop,
Dumitru Zdrenghea
Publication year - 2017
Publication title -
oxford medical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.169
H-Index - 9
ISSN - 2053-8855
DOI - 10.1093/omcr/omx052
Subject(s) - medicine , fluoroscopy , ablation , catheter , catheter ablation , ionizing radiation , radiation exposure , accessory pathway , radiology , population , nuclear medicine , surgery , cardiology , irradiation , environmental health , physics , nuclear physics
Catheter ablation of cardiac arrhythmias in pediatric population is associated with the risk of ionizing radiation on the child. Due to a greater radiation sensitivity in children and a longer life expectancy newer techniques try to reduce the radiation exposure. A new technique for zero-fluoroscopy catheter ablation is described in a 9-year-old boy who had a left-sided concealed accessory pathway. The NAVX Ensite 3D mapping system permits catheter placement inside the venous system and movement inside the heart chambers without the use of X-rays. The success rate is similar to the techniques requiring X-rays.

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