{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:24:20Z","timestamp":1731043460417,"version":"3.28.0"},"reference-count":11,"publisher":"Texas Heart Institute Journal","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:p>Adults who underwent complex atrial baffling as children via Mustard or Senning procedures are at heightened risk for atrial arrhythmias. Antiarrhythmic therapies are typically ineffective in this population. Accordingly, our team of pediatric and adult electrophysiologists investigated the effectiveness of early invasive transbaffle-access techniques to perform early radiofrequency ablation at the source of these clinically significant arrhythmias.<\/jats:p>\n        <jats:p>For this retrospective study, we selected 11 adult survivors of atrial baffling (mean age, 34 \u00b1 9 yr) who underwent clinically indicated electrophysiologic study after no more than one trial of antiarrhythmic therapy. Using transbaffle-access techniques and 3-dimensional mapping of the venous atria, we found 12 inducible arrhythmias in 10 patients: intra-atrial reentrant tachycardia (n=6), atrioventricular nodal reentrant tachycardia (n=3), focal atrial tachycardia (n=2), and repetitive double firing of the atrioventricular node (n=1). Defining success as short- and midterm freedom from arrhythmia, we analyzed outcomes of radiofrequency ablation at 1 and 6 months.<\/jats:p>\n        <jats:p>At 1 month, ablation was 100% successful. At 6 months, after 11 ablations in 9 patients, 5 patients had no clinical recurrence, 2 had improved arrhythmia control from minimal medical therapy, and 2 were to undergo repeat study for recurrent tachycardia. In the recurrence-free patients, arrhythmias during electrophysiology study matched the types found clinically before the study.<\/jats:p>\n        <jats:p>To our knowledge, this is the largest one-year cohort of adult survivors of atrial baffling to have undergone study by a combined pediatric\u2013adult electrophysiology team. We conclude that early invasive transbaffle access for ablating diverse atrial tachyarrhythmias was effective in these patients.<\/jats:p>","DOI":"10.14503\/thij-15-5470","type":"journal-article","created":{"date-parts":[[2017,2,17]],"date-time":"2017-02-17T22:25:30Z","timestamp":1487370330000},"page":"16-21","source":"Crossref","is-referenced-by-count":2,"title":["Effectiveness of Early Invasive Therapy for Atrial Tachycardia in Adult Atrial-Baffle Survivors"],"prefix":"10.14503","volume":"44","author":[{"given":"Elisa A.","family":"Bradley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali N.","family":"Zaidi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Morrison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Curt J.","family":"Daniels","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Kalbfleisch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi J.","family":"Kertesz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"1","key":"i1526-6702-44-1-16-b1","series-title":"J Am Coll Cardiol","first-page":"194","article-title":"Arrhythmia and mortality after the Mustard procedure: a 30-year single-center experience","volume":"29","year":"1997","unstructured":"Gelatt\n              M\n            , HamiltonRM, McCrindleBW, ConnellyM, DavisA, HarrisL, \n          et al. Arrhythmia and mortality after the Mustard procedure: a 30-year single-center experience. J Am Coll Cardiol1997;29(1):194\u2013201."},{"issue":"3","key":"i1526-6702-44-1-16-b2","series-title":"J Thorac Cardiovasc Surg","first-page":"364","article-title":"Anatomic correction of transposition of the great vessels","volume":"72","year":"1976","unstructured":"Jatene\n              AD\n            , FontesVF, PaulistaPP, SouzaLC, NegerF, GalantierM, SousaJE. \n          Anatomic correction of transposition of the great vessels. J Thorac Cardiovasc Surg1976;72(3):364\u201370."},{"issue":"6","key":"i1526-6702-44-1-16-b3","series-title":"Cardiol Young","first-page":"611","article-title":"The electrophysiology of atrioventricular nodal reentry tachycardia following the Mustard or Senning procedure and its radiofrequency ablation","volume":"15","year":"2005","unstructured":"Greene\n              AE\n            , SkinnerJR, DubinAM, CollinsKK, Van HareGF. \n          The electrophysiology of atrioventricular nodal reentry tachycardia following the Mustard or Senning procedure and its radiofrequency ablation. Cardiol Young2005;15(6):611\u20136."},{"issue":"2","key":"i1526-6702-44-1-16-b4","series-title":"Heart Rhythm","first-page":"283","article-title":"Catheter ablation in transposition of the great arteries with Mustard or Senning baffles","volume":"6","year":"2009","unstructured":"Khairy\n              P\n            , Van HareGF. \n          Catheter ablation in transposition of the great arteries with Mustard or Senning baffles. Heart Rhythm2009;6(2):283\u20139."},{"issue":"2","key":"i1526-6702-44-1-16-b5","series-title":"J Am Coll Cardiol","first-page":"428","article-title":"Radiofrequency catheter ablation of supraventricular tachycardia substrates after Mustard and Senning operations for d-transposition of the great arteries","volume":"35","year":"2000","unstructured":"Kanter\n              RJ\n            , PapagiannisJ, CarboniMP, UngerleiderRM, SandersWE, WhartonJM. \n          Radiofrequency catheter ablation of supraventricular tachycardia substrates after Mustard and Senning operations for d-transposition of the great arteries. J Am Coll Cardiol2000;35(2):428\u201341."},{"issue":"5","key":"i1526-6702-44-1-16-b6","series-title":"J Am Heart Assoc","first-page":"e000325","article-title":"Transbaffle mapping and ablation for atrial tachycardias after Mustard, Senning, or Fontan operations","volume":"2","year":"2013","unstructured":"Correa\n              R\n            , WalshEP, AlexanderME, MahDY, CecchinF, AbramsDJ, TriedmanJK. \n          Transbaffle mapping and ablation for atrial tachycardias after Mustard, Senning, or Fontan operations. J Am Heart Assoc2013;2(5):e000325."},{"issue":"5","key":"i1526-6702-44-1-16-b7","series-title":"Pacing Clin Electrophysiol","first-page":"607","article-title":"Radiofrequency-assisted transseptal perforation for electrophysiology procedures in children and adults with repaired congenital heart disease","volume":"36","year":"2013","unstructured":"Esch\n              JJ\n            , TriedmanJK, CecchinF, AlexanderME, WalshEP. \n          Radiofrequency-assisted transseptal perforation for electrophysiology procedures in children and adults with repaired congenital heart disease. Pacing Clin Electrophysiol2013;36(5):607\u201311."},{"issue":"16","key":"i1526-6702-44-1-16-b8","series-title":"Circulation","first-page":"1934","article-title":"Characterization of reentrant circuits in left atrial macroreentrant tachycardia: critical isthmus block can prevent atrial tachycardia recurrence","volume":"105","year":"2002","unstructured":"Ouyang\n              F\n            , ErnstS, VogtmannT, GoyaM, VolkmerM, SchaumannA, \n          et al. Characterization of reentrant circuits in left atrial macroreentrant tachycardia: critical isthmus block can prevent atrial tachycardia recurrence. Circulation2002; 105(16):1934\u201342."},{"issue":"4","key":"i1526-6702-44-1-16-b9","series-title":"Heart Rhythm","first-page":"469","article-title":"Characteristics of atrial tachycardia due to small vs large reentrant circuits after ablation of persistent atrial fibrillation","volume":"10","year":"2013","unstructured":"Yokokawa\n              M\n            , LatchamsettyR, GhanbariH, BelardiD, MakkarA, RobertsB, \n          et al. Characteristics of atrial tachycardia due to small vs large reentrant circuits after ablation of persistent atrial fibrillation. Heart Rhythm2013;10(4):469\u201376."},{"issue":"6","key":"i1526-6702-44-1-16-b10","series-title":"Europace","first-page":"886","article-title":"Acute and long-term outcome after catheter ablation of supraventricular tachycardia in patients after the Mustard or Senning operation for D-transposition of the great arteries","volume":"15","year":"2013","unstructured":"Wu\n              J\n            , DeisenhoferI, AmmarS, FichtnerS, ReentsT, ZhuP, \n          et al. Acute and long-term outcome after catheter ablation of supraventricular tachycardia in patients after the Mustard or Senning operation for D-transposition of the great arteries. Europace2013;15(6):886\u201391."},{"issue":"19","key":"i1526-6702-44-1-16-b11","series-title":"J Am Coll Cardiol","first-page":"1589","article-title":"Outcome of intra-atrial re-entrant tachycardia catheter ablation in adults with congenital heart disease: negative impact of age and complex atrial surgery","volume":"56","year":"2010","unstructured":"Yap\n              SC\n            , HarrisL, SilversidesCK, DownarE, ChauhanVS. \n          Outcome of intra-atrial re-entrant tachycardia catheter ablation in adults with congenital heart disease: negative impact of age and complex atrial surgery. J Am Coll Cardiol2010;56(19):1589\u201396."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/44\/1\/article-p16.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/44\/1\/16\/1969355\/thij-15-5470.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/44\/1\/article-p16.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/44\/1\/article-p16.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:33:06Z","timestamp":1730993586000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/44\/1\/article-p16.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":11,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.14503\/thij-15-5470","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"type":"print","value":"0730-2347"},{"type":"electronic","value":"1526-6702"}],"subject":[],"published":{"date-parts":[[2017,2]]}}}