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Remote magnetic catheter mapping and ablation of permanent junctional reciprocating tachycardia in a seven-year-old child
Authors:Pflaumer Andreas  Hessling Gabriele  Luik Armin  Wu Jinjin  Zrenner Bernhard
Affiliation:From the Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum Muenchen, Technische Universitaet Muenchen, Munich, Germany;;and Department of Cardiology, Deutsches Herzzentrum Muenchen, Technische Universitaet Muenchen, Munich, Germany
Abstract:Background: Mapping and catheter ablation of permanent junctional reciprocating tachycardia (PJRT) in children can be challenging. Remote magnetic navigation may improve precise mapping and catheter stability during ablation, as well as reduce fluoroscopy time, especially in conjunction with a non-fluoroscopic mapping system.
Objective: We report a case of PJRT ablation in a 7-year-old child using remote magnetic navigation.
Methods and Results: Mapping of the right atrium (RA) and the coronary sinus (CS) and catheter ablation were performed using remote magnetic navigation in conjunction with a non-fluoroscopic mapping system (NavX®). We observed excellent catheter steering abilities and constant wall contact during ablation, allowing a short and safe procedure.
Conclusions: Remote magnetic navigation may be used for mapping and ablation of PJRT in children.
Keywords:ablation    supraventricular tachycardia    children    remote magnetic navigation    3D mapping system
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