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Role of low kilovoltage electrocardiographic-gated multidetector CT in electrophysiological procedures in the paediatric age group

Published online by Cambridge University Press:  12 December 2016

Sameh N. K. Khalil  and
Ahmed S. Ibrahim
Sameh N. K. Khalil*
Affiliation:
Radiology Department, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt
Ahmed S. Ibrahim
Affiliation:
Radiology Department, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt
*
Correspondence to: S. N. K. Khalil, Resident of Radiology, Radiology Department, Faculty of Medicine, Ain Shams University, Abbassia, 11517 Cairo, Egypt. Tel: +201009006270; E-mail: dr_sameh_khalil@yahoo.com
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Abstract

Treatment of arrhythmias by catheter ablation targeting the anatomical foci of arrhythmias by radiofrequency has evolved dramatically in recent years. A road map for the relevant heart structures is an important asset for the success of the procedure and should be obtained before the intervention. This can be achieved by intra-cardiac echocardiography, conventional angiographic methods, multidetector CT, or MRI. The electrophysiological technique comprises a diagnostic procedure and an interventional – therapeutic – procedure. Electrocardiographic-gated multidetector CT is important in the diagnostic session to evaluate the anatomical details in combination with electric activity mapping. This combined protocol provides a unique view of the propagation of electrical activity, either normal or abnormal, over cardiac structures and allows a precise functional and anatomical evaluation to be obtained. In this review, we evaluate the role of electrocardiographic-gated multidetector CT in roadmapping arrhythmias in the paediatric age group, focussing on its strengths; we also evaluated some additional aspects that need further improvement in the future.

Keywords

ElectrophysiologyCHDarrhythmias
Type
Review Articles
Information
Cardiology in the Young , Volume 27 , Issue 4 , May 2017 , pp. 617 - 624
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Copyright
© Cambridge University Press 2016 

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