Why the study?
Does remote magnetic navigation combined with non-fluoroscopic mapping allow safe and effective ablation of PJRT in children?
Does remote magnetic navigation combined with non-fluoroscopic mapping allow safe and effective ablation of PJRT in children?
Remote magnetic navigation combined with non-fluoroscopic mapping is a feasible and safe approach for catheter ablation of PJRT in pediatric patients.
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May support remote magnetic navigation for pediatric PJRT ablation; hypothesis-generating case report requiring prospective validation.
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.
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Pflaumer et al. (2007) studied this question.
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