Clinical Importance of Koch's Triangle Size in Children : A Study Using 3-Dimensional Electroanatomical Mapping
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概要
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Background Catheter ablation inside the Koch's triangle has a risk for complete atrioventricular block. Methods and Results The anatomic size of the coronary sinus (CS) and His bundle (HB) in children and the distance between them was studied using a 3-dimensional electroanatomical mapping system (CARTO). Fifty-three children (mean age, 11.8±3.7 years) without congenital heart disease (ie, 24 with atrioventricular re-entrant tachycardia, 18 with atrioventricular nodal re-entrant tachycardia, 7 with atrial tachycardia, 2 with ventricular tachycardia and 2 with atrial flutter) were studied. The size of the HB recording area was 148±97mm^2 and the size of the CS was 66±44mm^2. The size of the CS and the distance between the HB and CS (18±7mm) were proportional to body weight, body length and body surface area. All patients underwent catheter ablation, including 25 ablations inside Koch's triangle. Catheter ablation was successful in 52 patients without any atrioventricular nodal injury. Conclusions The CS size and the distance between the HB and CS increased proportionally with children's growth. To know the distance from the HB to the ablation point is useful in avoiding atrioventricular node injury, and information about the length of Koch's triangle may provide supportive information when applying radio-frequency energy inside Koch's triangle without needing to use the CARTO system in children, but this merits further investigation.
- 社団法人日本循環器学会の論文
- 2007-11-20
著者
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HARADA Kensuke
Department of Pediatrics and Child Health, Nihon University School of Medicine
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MUGISHIMA Hideo
Department of Division of Cell Regeneration and Transplantation, Nihon University School of Medicine
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Harada Kensuke
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Mugishima Hideo
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Minato Michiyoshi
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Taniguchi Kazuo
Department of Pediatrics, Nihon University School of Medicine
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Sumitomo Naokata
Department of Pediatrics, Nihon University School of Medicine
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Fukuhara Junji
Department of Pediatrics, Nihon University School of Medicine
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Ichikawa Rie
Department of Pediatrics, Nihon University School of Medicine
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Abe Osamu
Department of Pediatrics, Nihon University School of Medicine
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Miyashita Michio
Department of Pediatrics, Nihon University School of Medicine
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Kanamaru Hiroshi
Department of Pediatrics, Nihon University School of Medicine
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Ayusawa Mamoru
Department of Pediatrics, Nihon University School of Medicine
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Tateno Shigeru
Department of Pediatrics, Chiba Cardiovascular Center
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Ushinohama Hiroya
Department of Cardiology, Fukuoka Childrens Hospital
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Nakamura Yoshihide
Second Department of Pediatrics, Wakayama Red Cross Hospital
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Ayusawa Mamoru
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Ayusawa Mamoru
Department Of Pediatrics Nihon University School Of Medicine
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Ichikawa Rie
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Miyashita Michio
Department Of Applied Chemistry Nagoya Institute Of Technology
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Sumitomo Naokata
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Taniguchi Kazuo
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Tateno Shigeru
Department Of Adult Chd Chiba Cardiovascular Center
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Tateno Shigeru
Department Of Pediatrics Chiba Cardiovascular Center
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Ushinohama Hiroya
Department Of Cardiology Fukuoka Childrens Hospital
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Kanamaru Hiroshi
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Fukuhara Junji
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Miyashita Michio
Department Of Pediatrics Nihon University School Of Medicine
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Sumitomo Naokata
Nihon University School Of Medicine Department Of Pediatrics
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Tateno Shigeru
Department Of Adult Congenital Heart Disease And Pediatrics
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Harada Kensuke
Department Of General Pediatrics Nerima-hikarigaoka Nihon University Hospital Nihon University Schoo
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Abe Osamu
Department Of Pediatrics And Pediatric Health Nihon University School Of Medicine
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Nakamura Yoshihide
Second Department Of Pediatrics Wakayama Red Cross Hospital
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Taniguchi Kazuo
Department Of A Nesthesiology Oita Medical University
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Taniguchi Kazuo
Department Of Pediatrics Nihon University School Of Medicine
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Harada Kennsuke
Department Of Pediatrics School Of Medicine Nihon University
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Abe Osamu
Department Of General Pediatrics Nihon University Nerima Hikarigaoka Hospital Nihon University Schoo
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Ayusawa Mamoru
Department Of Pediatrics School Of Medicine Nihon University
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Kanamaru Hiroshi
Department Of Life Environment And Material Science Fukuoka Institute Of Technology
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Mugishima Hideo
Department of Pediatrics and Child Health, Nihon University, School of Medicine
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Ayusawa Mamoru
Department of Pediatrics and Child Health, Nihon University, School of Medicine
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SUMITOMO Naokata
Department of Pediateics and Child Health, Nihon University School of Medicine
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