Transbaffle Mapping and Ablation for Atrial Tachycardias After Mustard, Senning, or Fontan Operations (original) (raw)
2013, Journal of the American Heart Association
Background In Fontan and atrial switch patients, transcatheter ablation is limited by difficult access to the pulmonary venous atrium. In recent years, transbaffle access ( TBA ) has been described, but limited data document its safety and utility. Methods and Results All ablative electrophysiological study cases of this population performed between J anuary 2006 and D ecember 2010 at B oston C hildren's H ospital were reviewed. Pre‐case and follow‐up clinical characteristics were documented. Adverse events were classified by severity and attributability to the intervention. We included 118 cases performed in 90 patients. TBA was attempted in 74 cases and was successful in 96%: in 20 via baffle leak or fenestration and in 51 (94%) of 54 using standard or radiofrequency transseptal techniques. There were 10 procedures with adverse events ranked as moderate or more severe. The event rate was similar in both groups ( TBA 8% versus non‐ TBA 9%, P =1), and no events were directly att...
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International Heart Journal, 2020
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