Catheter mapping and ablation during pregnancy

Greyling, Adèle; Vlachou, Caterina; Ailoaei, Ștefan; Buchholz, Tina; Tóth, Bettina; Ernst, Sabine

doi:10.1007/s00399-021-00756-5

Cited by 5 publications

(2 citation statements)

References 32 publications

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“…Careful assessment of the pregnant patient and fetus is mandatory. Sufficient preparation with a complete understanding of both cardiac anatomy and physiology and multidisciplinary consultation reaching the consensus of management strategies is a prerequisite of success of interventional therapy [ 62 ]. The pregnancy heart team, i.e., the cardio-obstetrics team, aims to provide specialized multidisciplinary care in the antepartum, peripartum, and postpartum periods to reduce risk by following a collaborative care plan to manage the high-risk cardiovascular patient during pregnancy, delivery and the postpartum period [ 63 ].…”

Section: Discussionmentioning

confidence: 99%

Catheter ablation for tachyarrhythmias during pregnancy

Yuan¹

2022

pwki

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Introduction: Refractory arrhythmias during pregnancy pose challenges to physicians. Aim: To give an overview of catheter ablation for tachyarrhythmias during pregnancy, and to discuss the indications of the procedure and the outcomes of both mother and fetus.Material and methods: The study materials were based on comprehensive literature retrieval of the pertinent articles published since 2000.Results: The indications for catheter ablation were refractory arrhythmias unresponsive to drug therapy in most of the cases followed by requirement of cardioversion. Atrioventricular nodal reentrant tachycardia was the most common arrhythmia developed during pregnancy. Pregnancy complications were present in 2.4% of the cases. There was no mortality among the pregnant patients. Fetal adverse events occurred in 3.1% of the cases, more in the fluoroscopy than in the zero-fluoroscopy group. The patient cohort with a radiation dose of > 50 mGy in one-third of the cases had a 14.3% fetal adverse event rate. Fetal adverse events occurred only in the second trimester, not in the other two trimesters.Conclusions: Drug-refractory and poorly tolerated tachycardias in pregnant patients warrant catheter ablation. Zero-fluoroscopy technique under guidance with three-dimensional mapping systems is preferred and strict minimal fluoroscopy is only used in extreme necessity. As ablation in the second trimester was associated with a probable higher fetal adverse event rate, it is suggested that ablation is preferably performed in the third trimester.

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Section: Discussionmentioning

confidence: 99%

Catheter ablation for tachyarrhythmias during pregnancy

Yuan¹

2022

pwki

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“…Cardiac electrophysiology procedures during pregnancy should be avoided as much as possible; however, clinically significant and refractory arrhythmias should be treated via this method if there is a need. A careful individual evaluation must be conducted, reviewing not only the risk of the invasive procedure, but also the risk of hemodynamic deterioration due to the arrhythmia and its progression during the gestation (6).…”

Section: Discussionmentioning

confidence: 99%

Zero-fluoroscopy approach for ablation in Wolf -Parkinson – White syndrome during pregnancy

Rojel¹,

Lopez²,

Fuente³

et al. 2022

HVT

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Paroxysmal supraventricular tachycardias during pregnancy are rare; however, it can be a therapeutic challenge because of limitations about use of antiarrhythmic drug therapy and catheter ablation indication, due to the risk of radiation exposure to the fetus and the mother. We present the case of a pregnant woman with Wolf-Parkinson-White syndrome with recurrent episodes of tachycardia, refractory to antiarrhythmic drug therapy, who underwent catheter ablation of a left lateral accessory pathway without the use of fluoroscopy.

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Arrhythmien in der Schwangerschaft

Israel

Ravens

2021

Herzschr Elektrophys

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Catheter mapping and ablation during pregnancy

Cited by 5 publications

References 32 publications

Catheter ablation for tachyarrhythmias during pregnancy

Catheter ablation for tachyarrhythmias during pregnancy

Zero-fluoroscopy approach for ablation in Wolf -Parkinson – White syndrome during pregnancy

Arrhythmien in der Schwangerschaft

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