Arrhythmien bei Erwachsenen mit angeborenen Herzfehlern

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• 作者：Sabine Ernst MD PhD FESC ; Siew Yen Ho…
• 刊名：Herzschrittmachertherapie und Elektrophysiologie
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：27
• 期：2
• 页码：122-130
• 全文大小：1,468 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Cardiology
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1435-1544
• 卷排序：27

文摘

Atrial arrhythmias are frequently encountered in patients with congenital heart disease (CHD) with or without corrective surgery and respond to pharmacological therapies with only limited success. This review describes the technologies currently available for performing successful ablation procedures in this very complex patient cohort. In addition to an understanding of the underlying anatomy, which can be supplemented by 3D imaging with the aid of magnetic resonance imaging (MRI) or computed tomography (CT), the choice between the different 3D mapping systems (sequential versus simultaneous) is presented. Finally, conventional manual navigation is compared with magnetic navigation and then discussed with regard to the respective arrhythmias encountered with the different forms of CHD.KeywordsDiagnostic imagingComputer-assisted image interpretationCatheter ablationCross-sectional anatomyThree-dimensional imaging