Busacca Paolo
Italy
Review Article
Electroanatomical mapping systems and cardiac arrhythmias: avoiding radiations in pediatric patients
Author(s): Casale Matteo, Mezzetti Maurizio, Tulino Viviana, Morelli Marco, Ciccarelli Iacopo, Maffei Simone, Giovagnoli Andrea, Busacca Paolo and Dattilo GiuseppeCasale Matteo, Mezzetti Maurizio, Tulino Viviana, Morelli Marco, Ciccarelli Iacopo, Maffei Simone, Giovagnoli Andrea, Busacca Paolo and Dattilo Giuseppe
Introduction. Cardiac arrhythmias are challenging conditions in pediatric patients, especially in the case of newborns. Most of the tachyarrhythmias in children (90,24%) are atrioventricular reentrant tachycardias (AVRT) and atrioventricular nodal reentrant tachycardias (AVNRT). Although the standard 12-lead ECG maintains high diagnostic value, an invasive electrophysiological study and a catheter ablation are often required. Unfortunately these procedures are burdened by the use of radiations. Materials and Methods. We performed a systematic research in PubMed and Embase. We found 257 articles of interest but we selected only 36 as the most representative. Discussion: The main concerns linked to electrophysiological procedures are the need of fluoroscopy and thus the risk of malignancy as well as dermatitis, cataracts, thyroid diseases and birth defects. Children and especially newbo.. View More»
DOI:
10.4172/2167-0897.1000245