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Study shows success and less risk in treating kids with heart rhythm problems

DALLAS -- A University of Michigan Cardiovascular Center team today is reporting high levels of success, and lowered risk and radiation dose, from a new approach to treating children with rapid heartbeats and other heart rhythm conditions.

In a presentation at the American Heart Association's Scientific Sessions meeting, members of the Michigan Congenital Heart Center will present new data from a study of a treatment called RF catheter ablation in children using a three-dimensional computer assisted navigation system.

They show that by adding the 3-D navigation system to a conventional X-ray based method to visualize electrophysiological catheters inside the heart, they were able to successfully treat 99.1 percent of 113 patients included in the study.

While the procedural success rate was very high, the most significant finding was that the patients who were treated using the 3-D computer navigation system were spared almost half the radiation dose received by 108 comparable patients treated immediately before the new system was available.

"The goal of reducing radiation dose is especially important in children, because of the risk it can pose to their health and fertility later in life," says Peter Fischbach, M.D., M.A.., senior author of the new study. "Radiation exposure is very different for children and adults due to their small body mass as well as their longer life expectancy, which allows for a greater likelihood of the radiation to cause adverse effects. This system allows us to see multiple catheters in real time and guide their movements in three dimensions. We can record electrical activity in specific locations to help plan and deliver RF treatment."

RF (radiofrequency) catheter ablation treatment uses electrical current transmitted at very high frequencies through a tiny thin probe called a catheter that is steered through the blood vessels and into the heart. The electricity is passed through the tip of th
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Contact: Kara Gavin
kegavin@umich.edu
734-764-2220
University of Michigan Health System
15-Nov-2005


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