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Low Exposure Radiation with Conventional Guided Radiofrequency Catheter Ablation in Pregnant Women
Author(s) -
BERRUEZO ANTONIO,
DÍEZ GERARDO RODRÍGUEZ,
BERNE PAOLA,
ESTEBAN MARIANA,
MONT LLUIS,
BRUGADA JOSEP
Publication year - 2007
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2007.00858.x
Subject(s) - medicine , catheter ablation , radiation exposure , ablation , radiofrequency ablation , catheter , pregnancy , obstetrics , radiology , nuclear medicine , genetics , biology
Cardiac arrhythmias in pregnant women are a common entity and often drug‐refractory. The major concern about using radiofrequency (RF) catheter ablation guided by fluoroscopy to treat arrhythmias during pregnancy is the potential consequences of exposing the fetus to radiation. We present two pregnant patients with incessant and life‐threatening supraventricular tachycardias successfully treated by conventional RF ablation under strict radioactive dosimeter surveillance. The availability of better fluoroscopy and lead shielding techniques allows to perform RF ablation of drug‐refractory and poorly tolerated supraventricular arrhythmias at any stage of pregnancy, with an appropriate tracking of the radiation dose received by both mother and fetus.