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Introduction of the Low Voltage Bridge Mapping for the AVNRT RF ablation in children -- early follow up results.
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  • Tomasz M. Książczyk,
  • Radosław Pietrzak,
  • Klaudia Obsznajczyk,
  • Magda Franke,
  • Bożena Werner
Tomasz M. Książczyk
Warszawski Uniwersytet Medyczny
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Radosław Pietrzak
Warszawski Uniwersytet Medyczny
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Klaudia Obsznajczyk
Warszawski Uniwersytet Medyczny
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Magda Franke
Warszawski Uniwersytet Medyczny
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Bożena Werner
Warszawski Uniwersytet Medyczny

Corresponding Author:bozena.werner@wum.edu.pl

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Abstract

Background: Low voltage bridge mapping (LVBM) is an approach to AVNRT ablation that has been postulated to facilitate the procedure. In our center, AVNRT ablations were performed with the traditional RF current approach using the CARTO mapping system. The use of LVBM in children has been well described with cryoablation but not with RF. LVBM was introduced in our center in April 2023 and is now routinely used for all AVNRT RF ablations. The aim of this study was to analyze how the introduction of the LVBM influenced the results of the pediatric AVNRT ablations using the RF current. Methods: We analyzed all AVNRT ablations performed between January1,2019, and June30,2024, and compared traditional and LVBM approaches. Results: The study group (LVBM) consisted of 40 and the control group of 61 children. Both groups did not differ significantly regarding age, body weight, and sex distribution. In the LVBM group, the total time of RF applications was significantly shorter, and the number of RF applications was smaller than in the control group. Total procedural time did not differ significantly between the groups. The success rate at 3 months follow-up was higher in the LVBM group but failed to differ statistically. No complications were reported in either of groups. Conclusions: The introduction of the LVBM in RF AVNRT ablations in children allows for limiting the number and time of RF applications required, without prolonging the total procedure time. Our experience shows LVBM can also be effectively used in RF ablations of AVNRT.
25 Nov 2024Submitted to Journal of Cardiovascular Electrophysiology
26 Nov 2024Submission Checks Completed
26 Nov 2024Assigned to Editor
26 Nov 2024Review(s) Completed, Editorial Evaluation Pending
29 Nov 2024Reviewer(s) Assigned
20 Dec 2024Editorial Decision: Revise Minor