Remote magnetic catheter mapping and ablation of permanent junctional reciprocating tachycardia in a seven-year-old child.

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.

• Authors: Andreas Pflaumer, Gabriele Hessling, Armin Luik, Jinjin Wu, Bernhard Zrenner
• Journal: Journal of cardiovascular electrophysiology (J Cardiovasc Electrophysiol) Vol. 18 Issue 8 Pg. 882-5 (Aug 2007) ISSN: 1540-8167 [Electronic] United States
• PMID: 17331103 (Publication Type: Case Reports, Journal Article)

Topics

• Body Surface Potential Mapping (methods)
• Cardiac Catheterization (methods)
• Catheter Ablation (methods)
• Child
• Humans
• Magnetics (therapeutic use)
• Male
• Tachycardia, Ectopic Junctional (diagnosis, surgery)
• Treatment Outcome