Successful transcatheter ablation of fascicular potential in pediatric patients with left posterior fascicular tachycardia

OBJECTIVE: To simplify the methods of transcatheter mapping and ablation in the pediatric patients with left posterior fascicular tachycardia

Bibliographische Detailangaben
Veröffentlicht in:Zhonghua er ke za zhi = Chinese journal of pediatrics. - 1960. - 48(2010), 8 vom: 15. Aug., Seite 621-4
1. Verfasser: Zeng, Shao-ying (VerfasserIn)
Weitere Verfasser: Shi, Ji-jun, Li, Hong, Zhang, Zhi-wei, Li, Yu-fen
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2010
Zugriff auf das übergeordnete Werk:Zhonghua er ke za zhi = Chinese journal of pediatrics
Schlagworte:Evaluation Study Journal Article Research Support, Non-U.S. Gov't
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245 1 0 |a Successful transcatheter ablation of fascicular potential in pediatric patients with left posterior fascicular tachycardia 
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520 |a OBJECTIVE: To simplify the methods of transcatheter mapping and ablation in the pediatric patients with left posterior fascicular tachycardia 
520 |a METHOD: While in sinus rhythm, the fascicular potential can be mapped at the posterior septal region (1 - 2 cm below inferior margin of orifice of coronary sinus vein), which display a biphasic wave before ventricular wave, and exist equipotential lines between them. When the fascicular potential occurs 20 ms later than the bundle of His' potential, radiofrequency was applied. Before applying radiofrequency, catheter position must be observed using double angle viewing (LAO 45°RAO 30°), and it should be made sure that the catheter is not at His' bundle. If the electrocardiogram displays left posterior fascicular block, the correct region is identified and ablation can continue for 60 s. Electrocardiogram monitoring should continue for 24 - 48 hours after operation, and notice abnormal repolarization after termination of ventricular tachycardia. Aspirin [2 - 3 mg/(kg·d)] was used for 3 months, and antiarrhythmic drug was discontinued. Surface electrocardiogram, chest X-ray and ultrasound cardiography were rechecked 1 d after operation. Follow-up was made at 1 month and 3 months post-discharge. Recheck was made half-yearly or follow-up was done by phone from then on 
520 |a RESULT: Fifteen pediatric patients were ablated successfully, and their electrocardiograms all displayed left posterior fascicular block after ablation. None of the patients had recurrences during the 3 to 12 months follow-up period. In one case, the electrocardiogram did not change after applying radiofrequency ablation and the ventricular tachycardia remained; however, on second attempt after remapping, the electrocardiogram did change. The radiofrequency lasted for 90 seconds and ablation was successful. This case had no recurrences at 6 months follow-up 
520 |a CONCLUSION: Transcatheter ablation of the fascicular potential in pediatric patients with left posterior fascicular tachycardia can simplify mapping, reduce operative difficulty and produce a distinct endpoint for ablation 
650 4 |a Evaluation Study 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
700 1 |a Shi, Ji-jun  |e verfasserin  |4 aut 
700 1 |a Li, Hong  |e verfasserin  |4 aut 
700 1 |a Zhang, Zhi-wei  |e verfasserin  |4 aut 
700 1 |a Li, Yu-fen  |e verfasserin  |4 aut 
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