New developments in catheter ablation for patients with congenital heart disease.

Détails

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Accès restreint UNIL
Etat: Public
Version: Final published version
Licence: Tous droits réservés
ID Serval
serval:BIB_95AC4778EFC3
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
New developments in catheter ablation for patients with congenital heart disease.
Périodique
Expert review of cardiovascular therapy
Auteur⸱e⸱s
Le Bloa M., Abadir S., Nair K., Mondésert B., Khairy P.
ISSN
1744-8344 (Electronic)
ISSN-L
1477-9072
Statut éditorial
Publié
Date de publication
01/2021
Peer-reviewed
Oui
Volume
19
Numéro
1
Pages
15-26
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Introduction: There are numerous challenges to catheter ablation in patients with congenital heart disease (CHD), including access to cardiac chambers, distorted anatomies, displaced conduction systems, multiple and/or complex arrhythmia substrates, and excessively thickened walls, or interposed material. Areas covered: Herein, we review recent developments in catheter ablation strategies for patients with CHD that are helpful in addressing these challenges. Expert opinion: Remote magnetic navigation overcomes many challenges associated with vascular obstructions, chamber access, and catheter contact. Patients with CHD may benefit from a range of ablation catheter technologies, including irrigated-tip and contact-force radiofrequency ablation and focal and balloon cryoablation. High-density mapping, along with advances in multipolar catheters and interpolation algorithms, is contributing to new mechanistic insights into complex arrhythmias. Ripple mapping allows the activation wave front to be tracked visually without prior assignment of local activation times or window of interest, and without interpolations of unmapped regions. There is growing interest in measuring conduction velocities to identify arrhythmogenic substrates. Noninvasive mapping with a multielectrode-embedded vest allows prolonged bedside monitoring, which is of particular interest in those with non-sustained or multiple arrhythmias. Further studies are required to assess the role of radiofrequency needle catheters and stereotactic radiotherapy in patients with CHD.
Mots-clé
Arrhythmias, Cardiac/surgery, Catheter Ablation/adverse effects, Catheter Ablation/methods, Cryosurgery/methods, Heart Defects, Congenital/surgery, Humans, Treatment Outcome, Congenital heart disease, arrhythmia, catheter ablation, high-density mapping, remote magnetic navigation
Pubmed
Web of science
Création de la notice
22/11/2020 11:46
Dernière modification de la notice
09/01/2024 7:15
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