Catheter ablation in adults with congenital heart disease: A 15-year perspective from a tertiary centre

Waldmann, Victor; Amet, Denis; Zhao, Alexandre; Ladouceur, Magalie; Otmani, Akli; Karsenty, Clément; Maltret, Alice; Ollitrault, J.; Pontnau, Florence; Legendre, Antoine; Florens, Emmanuelle; Munte, Laura; Soulat, Gilles; Mousseaux, Élie; Puy-Montbrun, Léonora du; Lavergne, Thomas; Bonnet, Damien; Vouhé, Pascal; Jouven, Xavier; Marijon, Éloi; Iserin, Laurence

doi:10.1016/j.acvd.2020.12.005

Cited by 7 publications

(1 citation statement)

References 34 publications

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“…The advent of three-dimensional electroanatomic mapping systems and advances in ablative techniques have resulted in significant improvement in outcomes (Figure 2) [47,48]. Target sites for ablation are selected by combining voltage mapping, which localizes areas of scar tissue, activation mapping and pacing maneuvers to elucidate arrhythmia mechanisms and localize critical components of the arrhythmia substrate.…”

Section: Current Approaches and Outcomesmentioning

confidence: 99%

Tachyarrhythmias in Congenital Heart Diseases: From Ion Channels to Catheter Ablation

Waldmann

Guichard

Marijon

et al. 2022

JCDD

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Major advances in pediatric cardiology in recent decades, especially surgical techniques, have resulted in an increasing number of patients with congenital heart disease (CHD) surviving to adulthood. This has generated new challenges, particularly with regards to the late onset of complex arrhythmias. Abnormal anatomy, surgical scarring, chronic hypoxemia, hemodynamic compromise, neuro-hormonal abnormalities, and genetic factors can all contribute to creating a unique substrate for arrhythmia development. This review attempts to synthesize the current state of knowledge spanning the spectrum from underlying mechanisms of arrhythmias in patients with congenital heart disease to current ablative strategies. We discuss existing knowledge gaps and highlight important areas for future research.

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Section: Current Approaches and Outcomesmentioning

confidence: 99%