Catheter ablation of tachyarrhythmias can be performed during pregnancy with specific accommodations and techniques to limit radiation exposure.
Supports ablation in refractory pregnancy cases using radiation-minimizing techniques; leaves open need for prospective safety data.
Cardiac arrhythmia as a complication of pregnancy can be problematic to maternal health and fetal life and development. Catheter ablation of tachyarrhythmias during pregnancy has been successfully performed in selected patients with limited experience. Techniques to limit maternal and fetal radiation exposure, including intracardiac echo and electroanatomic mapping systems, are particularly important in this setting. Specific accommodations are necessary in the care of the gravid patient during catheter ablation.
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Driver et al. (2015) studied this question.
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