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Published in: Current Cardiology Reports 7/2016

01-07-2016 | Congenital Heart Disease (RA Krasuski, Section Editor)

Maximizing the Effectiveness of Ablation for Arrhythmias in the Congenital Heart Patients

Authors: Aruna Arujuna, Joseph de Bono

Published in: Current Cardiology Reports | Issue 7/2016

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Abstract

Arrhythmias are common in adults with congenital heart disease and account for a large proportion of hospitalizations. The complex anatomical heterogeneity, often in the presence of a delicate hemodynamic system, presents a significant electrophysiological challenge. This review outlines current clinical practice and advances in maximizing the effectiveness of ablation for arrhythmias in congenital heart patients.
Literature
2.
go back to reference Moons P, Engelfriet P, Kaemmerer H, Meijboom FJ, Oechslin E, Mulder BJ. Delivery of care for adult patients with congenital heart disease in Europe: results from the Euro Heart Survey. Eur Heart J. 2006;27(11):1324–30. doi:10.1093/eurheartj/ehi858.CrossRefPubMed Moons P, Engelfriet P, Kaemmerer H, Meijboom FJ, Oechslin E, Mulder BJ. Delivery of care for adult patients with congenital heart disease in Europe: results from the Euro Heart Survey. Eur Heart J. 2006;27(11):1324–30. doi:10.​1093/​eurheartj/​ehi858.CrossRefPubMed
6.
go back to reference Epstein MR, Saul JP, Weindling SN, Triedman JK, Walsh EP. Atrioventricular reciprocating tachycardia involving twin atrioventricular nodes in patients with complex congenital heart disease. J Cardiovasc Electrophysiol. 2001;12(6):671–9.CrossRefPubMed Epstein MR, Saul JP, Weindling SN, Triedman JK, Walsh EP. Atrioventricular reciprocating tachycardia involving twin atrioventricular nodes in patients with complex congenital heart disease. J Cardiovasc Electrophysiol. 2001;12(6):671–9.CrossRefPubMed
7.
go back to reference Khairy P, Fournier A, Dubuc M. Monckeberg’s sling. Can J Cardiol. 2003;19(6):717–8.PubMed Khairy P, Fournier A, Dubuc M. Monckeberg’s sling. Can J Cardiol. 2003;19(6):717–8.PubMed
9.
go back to reference Collins KK, Love BA, Walsh EP, Saul JP, Epstein MR, Triedman JK. Location of acutely successful radiofrequency catheter ablation of intraatrial reentrant tachycardia in patients with congenital heart disease. Am J Cardiol. 2000;86(9):969–74.CrossRefPubMed Collins KK, Love BA, Walsh EP, Saul JP, Epstein MR, Triedman JK. Location of acutely successful radiofrequency catheter ablation of intraatrial reentrant tachycardia in patients with congenital heart disease. Am J Cardiol. 2000;86(9):969–74.CrossRefPubMed
11.•
go back to reference Philip F, Muhammad KI, Agarwal S, Natale A, Krasuski RA. Pulmonary vein isolation for the treatment of drug-refractory atrial fibrillation in adults with congenital heart disease. Congenit Heart Dis. 2012;7(4):392–9. doi:10.1111/j.1747-0803.2012.00649.x. This single center study compared pulmonary vein isolation success and complications rates in patients with CHD to those with non-congenital structural heart disease over a 4 year follow-up period. CrossRefPubMed Philip F, Muhammad KI, Agarwal S, Natale A, Krasuski RA. Pulmonary vein isolation for the treatment of drug-refractory atrial fibrillation in adults with congenital heart disease. Congenit Heart Dis. 2012;7(4):392–9. doi:10.​1111/​j.​1747-0803.​2012.​00649.​x. This single center study compared pulmonary vein isolation success and complications rates in patients with CHD to those with non-congenital structural heart disease over a 4 year follow-up period. CrossRefPubMed
12.
go back to reference Kirsh JA, Walsh EP, Triedman JK. Prevalence of and risk factors for atrial fibrillation and intra-atrial reentrant tachycardia among patients with congenital heart disease. Am J Cardiol. 2002;90(3):338–40.CrossRefPubMed Kirsh JA, Walsh EP, Triedman JK. Prevalence of and risk factors for atrial fibrillation and intra-atrial reentrant tachycardia among patients with congenital heart disease. Am J Cardiol. 2002;90(3):338–40.CrossRefPubMed
14.
go back to reference John Sutton MG, Tajik AJ, McGoon DC. Atrial septal defect in patients ages 60 years or older: operative results and long-term postoperative follow-up. Circulation. 1981;64(2):402–9.CrossRefPubMed John Sutton MG, Tajik AJ, McGoon DC. Atrial septal defect in patients ages 60 years or older: operative results and long-term postoperative follow-up. Circulation. 1981;64(2):402–9.CrossRefPubMed
15.
go back to reference Go AS, Hylek EM, Phillips KA, Chang Y, Henault LE, Selby JV, et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA. 2001;285(18):2370–5.CrossRefPubMed Go AS, Hylek EM, Phillips KA, Chang Y, Henault LE, Selby JV, et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA. 2001;285(18):2370–5.CrossRefPubMed
16.••
go back to reference Nyboe C, Olsen MS, Nielsen-Kudsk JE, Hjortdal VE. Atrial fibrillation and stroke in adult patients with atrial septal defect and the long-term effect of closure. Heart. 2015;101(9):706–11. doi:10.1136/heartjnl-2014-306552. This large Danish atrial septal defect (ASD) registry involving 1168 patients with a median 9.6 year follow-up demonstrated a higher risk of new onset AF in patients undergoing ASD closure than the comparison cohort. The implications arising here include firstly that the correction of the ASD does negate the incidence of AF, secondly the procedure itself may be arrhythmogenic and thirdly the risk of stroke following ASD closure was associated with the presence of AF. Longer term follow-up post closure should be recommended to detect and treat new AF in this group. Nyboe C, Olsen MS, Nielsen-Kudsk JE, Hjortdal VE. Atrial fibrillation and stroke in adult patients with atrial septal defect and the long-term effect of closure. Heart. 2015;101(9):706–11. doi:10.​1136/​heartjnl-2014-306552. This large Danish atrial septal defect (ASD) registry involving 1168 patients with a median 9.6 year follow-up demonstrated a higher risk of new onset AF in patients undergoing ASD closure than the comparison cohort. The implications arising here include firstly that the correction of the ASD does negate the incidence of AF, secondly the procedure itself may be arrhythmogenic and thirdly the risk of stroke following ASD closure was associated with the presence of AF. Longer term follow-up post closure should be recommended to detect and treat new AF in this group.
18.••
go back to reference Khairy P, Van Hare GF, Balaji S, Berul CI, Cecchin F, Cohen MI, et al. PACES/HRS Expert Consensus Statement on the Recognition and Management of Arrhythmias in Adult Congenital Heart Disease: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology (ACC), the American Heart Association (AHA), the European Heart Rhythm Association (EHRA), the Canadian Heart Rhythm Society (CHRS), and the International Society for Adult Congenital Heart Disease (ISACHD). Heart Rhythm. 2014;11(10):e102-65. doi:10.1016/j.hrthm.2014.05.009. This recent PACES/HRS expert consensus statement provides a comprehensive outline on arrhythmia recognition and management in patients with adult congenital heart disease. This summary outlines the epidemiology and scope of arrhythmias, evaluation and diagnosis of arrhythmias, medical therapy, catheter ablation, and device and surgical treatment options. PubMed Khairy P, Van Hare GF, Balaji S, Berul CI, Cecchin F, Cohen MI, et al. PACES/HRS Expert Consensus Statement on the Recognition and Management of Arrhythmias in Adult Congenital Heart Disease: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology (ACC), the American Heart Association (AHA), the European Heart Rhythm Association (EHRA), the Canadian Heart Rhythm Society (CHRS), and the International Society for Adult Congenital Heart Disease (ISACHD). Heart Rhythm. 2014;11(10):e102-65. doi:10.​1016/​j.​hrthm.​2014.​05.​009. This recent PACES/HRS expert consensus statement provides a comprehensive outline on arrhythmia recognition and management in patients with adult congenital heart disease. This summary outlines the epidemiology and scope of arrhythmias, evaluation and diagnosis of arrhythmias, medical therapy, catheter ablation, and device and surgical treatment options. PubMed
20.
go back to reference Rosenberg MA, Samuel M, Thosani A, Zimetbaum PJ. Use of a noninvasive continuous monitoring device in the management of atrial fibrillation: a pilot study. Pacing Clin Electrophysiol. 2013;36(3):328–33. doi:10.1111/pace.12053.CrossRefPubMed Rosenberg MA, Samuel M, Thosani A, Zimetbaum PJ. Use of a noninvasive continuous monitoring device in the management of atrial fibrillation: a pilot study. Pacing Clin Electrophysiol. 2013;36(3):328–33. doi:10.​1111/​pace.​12053.CrossRefPubMed
24.
go back to reference Drago F, Russo MS, Marazzi R, Salerno-Uriarte JA, Silvetti MS, De Ponti R. Atrial tachycardias in patients with congenital heart disease: a minimally invasive simplified approach in the use of three-dimensional electroanatomic mapping. Europace. 2011;13(5):689–95. doi:10.1093/europace/eur027.CrossRefPubMed Drago F, Russo MS, Marazzi R, Salerno-Uriarte JA, Silvetti MS, De Ponti R. Atrial tachycardias in patients with congenital heart disease: a minimally invasive simplified approach in the use of three-dimensional electroanatomic mapping. Europace. 2011;13(5):689–95. doi:10.​1093/​europace/​eur027.CrossRefPubMed
25.••
go back to reference Ernst S, Babu-Narayan SV, Keegan J, Horduna I, Lyne J, Till J, et al. Remote-controlled magnetic navigation and ablation with 3D image integration as an alternative approach in patients with intra-atrial baffle anatomy. Circ Arrhythm Electrophysiol. 2012;5(1):131–9. doi:10.1161/CIRCEP.111.962993. This study describes the safe, successful, low radiation utility of remote-controlled catheter ablation by magnetic navigation in combination with accurate 3D image integration in patients after intra-atrial baffle procedures (Mustard, Senning, or total cavopulmonary connection). CrossRefPubMed Ernst S, Babu-Narayan SV, Keegan J, Horduna I, Lyne J, Till J, et al. Remote-controlled magnetic navigation and ablation with 3D image integration as an alternative approach in patients with intra-atrial baffle anatomy. Circ Arrhythm Electrophysiol. 2012;5(1):131–9. doi:10.​1161/​CIRCEP.​111.​962993. This study describes the safe, successful, low radiation utility of remote-controlled catheter ablation by magnetic navigation in combination with accurate 3D image integration in patients after intra-atrial baffle procedures (Mustard, Senning, or total cavopulmonary connection). CrossRefPubMed
28.
go back to reference Arujuna A, Karim R, Caulfield D, Knowles B, Rhode K, Schaeffter T, et al. Acute pulmonary vein isolation is achieved by a combination of reversible and irreversible atrial injury after catheter ablation: evidence from magnetic resonance imaging. Circ Arrhythm Electrophysiol. 2012;5(4):691–700. doi:10.1161/CIRCEP.111.966523.CrossRefPubMed Arujuna A, Karim R, Caulfield D, Knowles B, Rhode K, Schaeffter T, et al. Acute pulmonary vein isolation is achieved by a combination of reversible and irreversible atrial injury after catheter ablation: evidence from magnetic resonance imaging. Circ Arrhythm Electrophysiol. 2012;5(4):691–700. doi:10.​1161/​CIRCEP.​111.​966523.CrossRefPubMed
29.
go back to reference de Groot NM, Schalij MJ, Zeppenfeld K, Blom NA, Van der Velde ET, Van der Wall EE. Voltage and activation mapping: how the recording technique affects the outcome of catheter ablation procedures in patients with congenital heart disease. Circulation. 2003;108(17):2099–106. doi:10.1161/01.CIR.0000092893.11893.38.CrossRefPubMed de Groot NM, Schalij MJ, Zeppenfeld K, Blom NA, Van der Velde ET, Van der Wall EE. Voltage and activation mapping: how the recording technique affects the outcome of catheter ablation procedures in patients with congenital heart disease. Circulation. 2003;108(17):2099–106. doi:10.​1161/​01.​CIR.​0000092893.​11893.​38.CrossRefPubMed
30.••
go back to reference Correa R, Walsh EP, Alexander ME, Mah DY, Cecchin F, Abrams DJ, et al. Transbaffle mapping and ablation for atrial tachycardias after mustard, senning, or Fontan operations. J Am Heart Assoc. 2013;2(5):e000325. doi:10.1161/JAHA.113.000325. This single centre series is the largest trans-baffle access (TBA) dataset outlining procedural success clinical safety and efficacy. TBA was attempted in 74 cases and was successful in 96% either via baffle leak or fenestration or using standard or radiofrequency transseptal techniques. CrossRefPubMedPubMedCentral Correa R, Walsh EP, Alexander ME, Mah DY, Cecchin F, Abrams DJ, et al. Transbaffle mapping and ablation for atrial tachycardias after mustard, senning, or Fontan operations. J Am Heart Assoc. 2013;2(5):e000325. doi:10.​1161/​JAHA.​113.​000325. This single centre series is the largest trans-baffle access (TBA) dataset outlining procedural success clinical safety and efficacy. TBA was attempted in 74 cases and was successful in 96% either via baffle leak or fenestration or using standard or radiofrequency transseptal techniques. CrossRefPubMedPubMedCentral
31.
go back to reference Jones DG, Jarman JW, Lyne JC, Markides V, Gatzoulis MA, Wong T. The safety and efficacy of trans-baffle puncture to enable catheter ablation of atrial tachycardias following the Mustard procedure: a single centre experience and literature review. Int J Cardiol. 2013;168(2):1115–20. doi:10.1016/j.ijcard.2012.11.047.CrossRefPubMed Jones DG, Jarman JW, Lyne JC, Markides V, Gatzoulis MA, Wong T. The safety and efficacy of trans-baffle puncture to enable catheter ablation of atrial tachycardias following the Mustard procedure: a single centre experience and literature review. Int J Cardiol. 2013;168(2):1115–20. doi:10.​1016/​j.​ijcard.​2012.​11.​047.CrossRefPubMed
32.
go back to reference Perry JC, Boramanand NK, Ing FF. “Transseptal” technique through atrial baffles for 3-dimensional mapping and ablation of atrial tachycardia in patients with d-transposition of the great arteries. J Interv Card Electrophysiol. 2003;9(3):365–9.CrossRefPubMed Perry JC, Boramanand NK, Ing FF. “Transseptal” technique through atrial baffles for 3-dimensional mapping and ablation of atrial tachycardia in patients with d-transposition of the great arteries. J Interv Card Electrophysiol. 2003;9(3):365–9.CrossRefPubMed
33.
go back to reference Santangeli P, Di Biase L, Burkhardt JD, Horton R, Sanchez J, Bailey S, et al. Transseptal access and atrial fibrillation ablation guided by intracardiac echocardiography in patients with atrial septal closure devices. Heart Rhythm. 2011;8(11):1669–75. doi:10.1016/j.hrthm.2011.06.023.CrossRefPubMed Santangeli P, Di Biase L, Burkhardt JD, Horton R, Sanchez J, Bailey S, et al. Transseptal access and atrial fibrillation ablation guided by intracardiac echocardiography in patients with atrial septal closure devices. Heart Rhythm. 2011;8(11):1669–75. doi:10.​1016/​j.​hrthm.​2011.​06.​023.CrossRefPubMed
34.
35.
go back to reference Schwagten B, Jordaens L, Jessurun E, Witsenburg M, Scheffer M, Szili-Torok T. Baffle puncture guided by transoesophageal echocardiography in a patient with dextrocardia and Mustard correction. Eur J Echocardiogr. 2009;10(1):144–7. doi:10.1093/ejechocard/jen196.CrossRefPubMed Schwagten B, Jordaens L, Jessurun E, Witsenburg M, Scheffer M, Szili-Torok T. Baffle puncture guided by transoesophageal echocardiography in a patient with dextrocardia and Mustard correction. Eur J Echocardiogr. 2009;10(1):144–7. doi:10.​1093/​ejechocard/​jen196.CrossRefPubMed
37.
go back to reference Suman-Horduna I, Babu-Narayan SV, Ueda A, Mantziari L, Gujic M, Marchese P, et al. Magnetic navigation in adults with atrial isomerism (heterotaxy syndrome) and supraventricular arrhythmias. Europace. 2013;15(6):877–85. doi:10.1093/europace/eus384.CrossRefPubMed Suman-Horduna I, Babu-Narayan SV, Ueda A, Mantziari L, Gujic M, Marchese P, et al. Magnetic navigation in adults with atrial isomerism (heterotaxy syndrome) and supraventricular arrhythmias. Europace. 2013;15(6):877–85. doi:10.​1093/​europace/​eus384.CrossRefPubMed
38.
go back to reference Ueda A, Suman-Horduna I, Mantziari L, Gujic M, Marchese P, Ho SY, et al. Contemporary outcomes of supraventricular tachycardia ablation in congenital heart disease: a single-center experience in 116 patients. Circ Arrhythm Electrophysiol. 2013;6(3):606–13. doi:10.1161/CIRCEP.113.000415.CrossRefPubMed Ueda A, Suman-Horduna I, Mantziari L, Gujic M, Marchese P, Ho SY, et al. Contemporary outcomes of supraventricular tachycardia ablation in congenital heart disease: a single-center experience in 116 patients. Circ Arrhythm Electrophysiol. 2013;6(3):606–13. doi:10.​1161/​CIRCEP.​113.​000415.CrossRefPubMed
39.
go back to reference Reddy VY, Dukkipati SR, Neuzil P, Natale A, Albenque JP, Kautzner J, et al. Randomized, controlled trial of the safety and effectiveness of a contact force-sensing irrigated catheter for ablation of paroxysmal atrial fibrillation: results of the TactiCath Contact Force Ablation Catheter Study for Atrial Fibrillation (TOCCASTAR) Study. Circulation. 2015;132(10):907–15. doi:10.1161/CIRCULATIONAHA.114.014092.CrossRefPubMed Reddy VY, Dukkipati SR, Neuzil P, Natale A, Albenque JP, Kautzner J, et al. Randomized, controlled trial of the safety and effectiveness of a contact force-sensing irrigated catheter for ablation of paroxysmal atrial fibrillation: results of the TactiCath Contact Force Ablation Catheter Study for Atrial Fibrillation (TOCCASTAR) Study. Circulation. 2015;132(10):907–15. doi:10.​1161/​CIRCULATIONAHA.​114.​014092.CrossRefPubMed
41.
go back to reference Durongpisitkul K, Porter CJ, Cetta F, Offord KP, Slezak JM, Puga FJ, et al. Predictors of early- and late-onset supraventricular tachyarrhythmias after Fontan operation. Circulation. 1998;98(11):1099–107.CrossRefPubMed Durongpisitkul K, Porter CJ, Cetta F, Offord KP, Slezak JM, Puga FJ, et al. Predictors of early- and late-onset supraventricular tachyarrhythmias after Fontan operation. Circulation. 1998;98(11):1099–107.CrossRefPubMed
42.
go back to reference Fishberger SB, Wernovsky G, Gentles TL, Gauvreau K, Burnett J, Mayer Jr JE, et al. Factors that influence the development of atrial flutter after the Fontan operation. J Thorac Cardiovasc Surg. 1997;113(1):80–6.CrossRefPubMed Fishberger SB, Wernovsky G, Gentles TL, Gauvreau K, Burnett J, Mayer Jr JE, et al. Factors that influence the development of atrial flutter after the Fontan operation. J Thorac Cardiovasc Surg. 1997;113(1):80–6.CrossRefPubMed
43.
45.
go back to reference Love BA, Collins KK, Walsh EP, Triedman JK. Electroanatomic characterization of conduction barriers in sinus/atrially paced rhythm and association with intra-atrial reentrant tachycardia circuits following congenital heart disease surgery. J Cardiovasc Electrophysiol. 2001;12(1):17–25.CrossRefPubMed Love BA, Collins KK, Walsh EP, Triedman JK. Electroanatomic characterization of conduction barriers in sinus/atrially paced rhythm and association with intra-atrial reentrant tachycardia circuits following congenital heart disease surgery. J Cardiovasc Electrophysiol. 2001;12(1):17–25.CrossRefPubMed
46.
go back to reference Triedman JK, Jenkins KJ, Colan SD, Saul JP, Walsh EP. Intra-atrial reentrant tachycardia after palliation of congenital heart disease: characterization of multiple macroreentrant circuits using fluoroscopically based three-dimensional endocardial mapping. J Cardiovasc Electrophysiol. 1997;8(3):259–70.CrossRefPubMed Triedman JK, Jenkins KJ, Colan SD, Saul JP, Walsh EP. Intra-atrial reentrant tachycardia after palliation of congenital heart disease: characterization of multiple macroreentrant circuits using fluoroscopically based three-dimensional endocardial mapping. J Cardiovasc Electrophysiol. 1997;8(3):259–70.CrossRefPubMed
47.
go back to reference Garson Jr A, Bink-Boelkens M, Hesslein PS, Hordof AJ, Keane JF, Neches WH, et al. Atrial flutter in the young: a collaborative study of 380 cases. J Am Coll Cardiol. 1985;6(4):871–8.CrossRefPubMed Garson Jr A, Bink-Boelkens M, Hesslein PS, Hordof AJ, Keane JF, Neches WH, et al. Atrial flutter in the young: a collaborative study of 380 cases. J Am Coll Cardiol. 1985;6(4):871–8.CrossRefPubMed
48.
go back to reference Lukac P, Pedersen AK, Mortensen PT, Jensen HK, Hjortdal V, Hansen PS. Ablation of atrial tachycardia after surgery for congenital and acquired heart disease using an electroanatomic mapping system: which circuits to expect in which substrate? Heart Rhythm. 2005;2(1):64–72. doi:10.1016/j.hrthm.2004.10.034.CrossRefPubMed Lukac P, Pedersen AK, Mortensen PT, Jensen HK, Hjortdal V, Hansen PS. Ablation of atrial tachycardia after surgery for congenital and acquired heart disease using an electroanatomic mapping system: which circuits to expect in which substrate? Heart Rhythm. 2005;2(1):64–72. doi:10.​1016/​j.​hrthm.​2004.​10.​034.CrossRefPubMed
49.
go back to reference de Groot NM, Zeppenfeld K, Wijffels MC, Chan WK, Blom NA, Van der Wall EE, et al. Ablation of focal atrial arrhythmia in patients with congenital heart defects after surgery: role of circumscribed areas with heterogeneous conduction. Heart Rhythm. 2006;3(5):526–35. doi:10.1016/j.hrthm.2006.01.011.CrossRefPubMed de Groot NM, Zeppenfeld K, Wijffels MC, Chan WK, Blom NA, Van der Wall EE, et al. Ablation of focal atrial arrhythmia in patients with congenital heart defects after surgery: role of circumscribed areas with heterogeneous conduction. Heart Rhythm. 2006;3(5):526–35. doi:10.​1016/​j.​hrthm.​2006.​01.​011.CrossRefPubMed
50.
go back to reference Wu J, Deisenhofer I, Ammar S, Fichtner S, Reents T, Zhu P, et al. Acute and long-term outcome after catheter ablation of supraventricular tachycardia in patients after the Mustard or Senning operation for D-transposition of the great arteries. Europace. 2013;15(6):886–91. doi:10.1093/europace/eus402.CrossRefPubMed Wu J, Deisenhofer I, Ammar S, Fichtner S, Reents T, Zhu P, et al. Acute and long-term outcome after catheter ablation of supraventricular tachycardia in patients after the Mustard or Senning operation for D-transposition of the great arteries. Europace. 2013;15(6):886–91. doi:10.​1093/​europace/​eus402.CrossRefPubMed
53.
go back to reference Attenhofer Jost CH, Connolly HM, Edwards WD, Hayes D, Warnes CA, Danielson GK. Ebstein's anomaly - review of a multifaceted congenital cardiac condition. Swiss Med Wkly. 2005;135(19-20):269-81. doi: 2005/19/smw-10985. Attenhofer Jost CH, Connolly HM, Edwards WD, Hayes D, Warnes CA, Danielson GK. Ebstein's anomaly - review of a multifaceted congenital cardiac condition. Swiss Med Wkly. 2005;135(19-20):269-81. doi: 2005/19/smw-10985.
55.
56.
go back to reference Silka MJ, Hardy BG, Menashe VD, Morris CD. A population-based prospective evaluation of risk of sudden cardiac death after operation for common congenital heart defects. J Am Coll Cardiol. 1998;32(1):245–51.CrossRefPubMed Silka MJ, Hardy BG, Menashe VD, Morris CD. A population-based prospective evaluation of risk of sudden cardiac death after operation for common congenital heart defects. J Am Coll Cardiol. 1998;32(1):245–51.CrossRefPubMed
57.
go back to reference Zeppenfeld K, Schalij MJ, Bartelings MM, Tedrow UB, Koplan BA, Soejima K, et al. Catheter ablation of ventricular tachycardia after repair of congenital heart disease: electroanatomic identification of the critical right ventricular isthmus. Circulation. 2007;116(20):2241–52. doi:10.1161/CIRCULATIONAHA.107.723551.CrossRefPubMed Zeppenfeld K, Schalij MJ, Bartelings MM, Tedrow UB, Koplan BA, Soejima K, et al. Catheter ablation of ventricular tachycardia after repair of congenital heart disease: electroanatomic identification of the critical right ventricular isthmus. Circulation. 2007;116(20):2241–52. doi:10.​1161/​CIRCULATIONAHA.​107.​723551.CrossRefPubMed
59.
go back to reference Stevenson WG, Delacretaz E, Friedman PL, Ellison KE. Identification and ablation of macroreentrant ventricular tachycardia with the CARTO electroanatomical mapping system. Pacing Clin Electrophysiol. 1998;21(7):1448–56.CrossRefPubMed Stevenson WG, Delacretaz E, Friedman PL, Ellison KE. Identification and ablation of macroreentrant ventricular tachycardia with the CARTO electroanatomical mapping system. Pacing Clin Electrophysiol. 1998;21(7):1448–56.CrossRefPubMed
60.
go back to reference Marchlinski F, Callans D, Gottlieb C, Rodriguez E, Coyne R, Kleinman D. Magnetic electroanatomical mapping for ablation of focal atrial tachycardias. Pacing Clin Electrophysiol. 1998;21(8):1621–35.CrossRefPubMed Marchlinski F, Callans D, Gottlieb C, Rodriguez E, Coyne R, Kleinman D. Magnetic electroanatomical mapping for ablation of focal atrial tachycardias. Pacing Clin Electrophysiol. 1998;21(8):1621–35.CrossRefPubMed
61.
go back to reference Earley MJ, Showkathali R, Alzetani M, Kistler PM, Gupta D, Abrams DJ, et al. Radiofrequency ablation of arrhythmias guided by non-fluoroscopic catheter location: a prospective randomized trial. Eur Heart J. 2006;27(10):1223–9. doi:10.1093/eurheartj/ehi834.CrossRefPubMed Earley MJ, Showkathali R, Alzetani M, Kistler PM, Gupta D, Abrams DJ, et al. Radiofrequency ablation of arrhythmias guided by non-fluoroscopic catheter location: a prospective randomized trial. Eur Heart J. 2006;27(10):1223–9. doi:10.​1093/​eurheartj/​ehi834.CrossRefPubMed
62.
63.
go back to reference Schilling RJ, Peters NS, Davies DW. Feasibility of a noncontact catheter for endocardial mapping of human ventricular tachycardia. Circulation. 1999;99(19):2543–52.CrossRefPubMed Schilling RJ, Peters NS, Davies DW. Feasibility of a noncontact catheter for endocardial mapping of human ventricular tachycardia. Circulation. 1999;99(19):2543–52.CrossRefPubMed
64.
go back to reference De Ponti R, Verlato R, Bertaglia E, Del Greco M, Fusco A, Bottoni N, et al. Treatment of macro-re-entrant atrial tachycardia based on electroanatomic mapping: identification and ablation of the mid-diastolic isthmus. Europace. 2007;9(7):449–57. doi:10.1093/europace/eum055.CrossRefPubMed De Ponti R, Verlato R, Bertaglia E, Del Greco M, Fusco A, Bottoni N, et al. Treatment of macro-re-entrant atrial tachycardia based on electroanatomic mapping: identification and ablation of the mid-diastolic isthmus. Europace. 2007;9(7):449–57. doi:10.​1093/​europace/​eum055.CrossRefPubMed
65.
go back to reference Linton NW, Koa-Wing M, Francis DP, Kojodjojo P, Lim PB, Salukhe TV, et al. Cardiac ripple mapping: a novel three-dimensional visualization method for use with electroanatomic mapping of cardiac arrhythmias. Heart Rhythm. 2009;6(12):1754–62. doi:10.1016/j.hrthm.2009.08.038.CrossRefPubMed Linton NW, Koa-Wing M, Francis DP, Kojodjojo P, Lim PB, Salukhe TV, et al. Cardiac ripple mapping: a novel three-dimensional visualization method for use with electroanatomic mapping of cardiac arrhythmias. Heart Rhythm. 2009;6(12):1754–62. doi:10.​1016/​j.​hrthm.​2009.​08.​038.CrossRefPubMed
66.
go back to reference Jamil-Copley S, Linton N, Koa-Wing M, Kojodjojo P, Lim PB, Malcolme-Lawes L et al., editors. Ripple mapping improves the visualisation of atrial tachycardia activation sequences. Heart Rhythm Scociety 2013; Denver: HRS; 2013. Jamil-Copley S, Linton N, Koa-Wing M, Kojodjojo P, Lim PB, Malcolme-Lawes L et al., editors. Ripple mapping improves the visualisation of atrial tachycardia activation sequences. Heart Rhythm Scociety 2013; Denver: HRS; 2013.
67.
go back to reference Kovoor P, Ricciardello M, Collins L, Uther JB, Ross DL. Risk to patients from radiation associated with radiofrequency ablation for supraventricular tachycardia. Circulation. 1998;98(15):1534–40.CrossRefPubMed Kovoor P, Ricciardello M, Collins L, Uther JB, Ross DL. Risk to patients from radiation associated with radiofrequency ablation for supraventricular tachycardia. Circulation. 1998;98(15):1534–40.CrossRefPubMed
68.
go back to reference Modan B, Keinan L, Blumstein T, Sadetzki S. Cancer following cardiac catheterization in childhood. Int J Epidemiol. 2000;29(3):424–8.CrossRefPubMed Modan B, Keinan L, Blumstein T, Sadetzki S. Cancer following cardiac catheterization in childhood. Int J Epidemiol. 2000;29(3):424–8.CrossRefPubMed
69.
go back to reference Arujuna A, Housden R, Ma Y, Rajani R, Gao G, Nijhof N, et al. Novel system for real-time integration of 3-D echocardiography and fluoroscopy for image-guided cardiac interventions: preclinical validation and clinical feasibility evaluation. IEEE J Transl Eng Health Med. 2014;2:10. doi:10.1109/JTEHM.2014.2303799.CrossRef Arujuna A, Housden R, Ma Y, Rajani R, Gao G, Nijhof N, et al. Novel system for real-time integration of 3-D echocardiography and fluoroscopy for image-guided cardiac interventions: preclinical validation and clinical feasibility evaluation. IEEE J Transl Eng Health Med. 2014;2:10. doi:10.​1109/​JTEHM.​2014.​2303799.CrossRef
70.
go back to reference Gafoor S, Schulz P, Heuer L, Matic P, Franke J, Bertog S, et al. Use of EchoNavigator, a novel echocardiography-fluoroscopy overlay system, for transseptal puncture and left atrial appendage occlusion. J Interv Cardiol. 2015;28(2):215–7. doi:10.1111/joic.12170.CrossRefPubMed Gafoor S, Schulz P, Heuer L, Matic P, Franke J, Bertog S, et al. Use of EchoNavigator, a novel echocardiography-fluoroscopy overlay system, for transseptal puncture and left atrial appendage occlusion. J Interv Cardiol. 2015;28(2):215–7. doi:10.​1111/​joic.​12170.CrossRefPubMed
Metadata
Title
Maximizing the Effectiveness of Ablation for Arrhythmias in the Congenital Heart Patients
Authors
Aruna Arujuna
Joseph de Bono
Publication date
01-07-2016
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 7/2016
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-016-0736-7

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