Catheter Ablation of the Patients with Postsurgical Congenital Heart Diseases
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概要
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<B>Background:</B> Arrhythmias became one of the most interests among long time survivor of postoperative congenital heart disease patients (poCHD). <B>Methods:</B> We reviewed the result of RFCA for tachyarrhythmias in patients with poCHD from 1998 to 2011. Twenty-six patients (males:females=16:10, mean age 14.3± yearswere enrolled in this study. <B>Result:</B> The arrhythmias for RFCA were, 16 with atrial tachycardia, 8 with atrial flutter, 7 with ventricular tachycardia, 2 with atrio-ventricular reentrant tachycardia, 4 with intraatrial reentrant tachycardia. Between these 26 patients, 33 sessions were performed for 37 lesions, and 29 lesions (78%) were successfully ablated. Overall mean radiation time is 55.5 minutes and mean radiation dose was 136.8 mGy. <B>Conclusion:</B> The success rate of RFCA with poCHD is lower than without CHD, because of complex reentry circuit and multiple tachyarrhythmia mechanism. To improve the success rate of them, development of instant mapping system with the use of thin catheter should be necessary.
著者
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Ayusawa Mamoru
Department Of Pediatrics And Child Health 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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Sumitomo Naokata
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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Nakamura Takahiro
Department Of Allergy And Immunology National Research Institute For Child Health And Development Na
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Abe Yuriko
Department Of Chemistry Faculty Of Science Nara Women's University
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Matsumura Masaharu
Department Of Pediatrics And Child Health Nihon University School Of Medicine
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Kanamaru Hiroshi
Department Of Life Environment And Material Science Fukuoka Institute Of Technology
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Ichikawa Rie
Department of Pediatrics, Nihon University
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Fukuhara Junji
Department of Pediatrics, Nihon University
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SUMITOMO Naokata
Department of Pediateics and Child Health, Nihon University School of Medicine
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Sumitomo Naokata
Department of Pediatrics, Nihon University
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Kanamaru Hiroshi
Department of Pediatrics, Nihon University
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Matsumura Masaharu
Department of Pediatrics, Nihon University
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Ayusawa Mamoru
Department of Pediatrics, Nihon University
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Nakamura Takahiro
Department of Pediatrics, Nihon University
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Abe Yuriko
Department of Pediatrics, Nihon University
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