Ciriello Giovanni Domenico, Correra Anna, Russo Maria Giovanna, Sarubbi Berardo
Adult Congenital Heart Disease Unit Monaldi Hospital Naples Italy.
Pediatric Cardiology Unit "L. Vanvitelli" University, Monaldi Hospital Naples Italy.
J Arrhythm. 2023 Dec 7;40(1):150-153. doi: 10.1002/joa3.12967. eCollection 2024 Feb.
Conventional nonirrigated catheters cannot be able to create adequate lesions for effective slow pathway modulation in certain cases of pediatric atrioventricular nodal reentrant tachycardia ablation. Irrigated contact force sensing catheters may be considered in pediatric and adolescent patients to obtain a more extensive slow pathway modulation for redo ablation, avoiding dangerous radiofrequency applications close to the compact atrioventricular node or complex left-sided procedures.
在小儿房室结折返性心动过速消融的某些病例中,传统的非灌注导管无法产生足够的损伤以实现有效的慢径路改良。对于小儿和青少年患者,可考虑使用灌注接触力感知导管,以便在再次消融时获得更广泛的慢径路改良,避免在致密房室结附近进行危险的射频应用或复杂的左侧手术。