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Conduit Puncture for Electrophysiological Procedures in Patients with Fontan Circulation

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dc.contributor.author김남균-
dc.contributor.author엄재선-
dc.contributor.author정보영-
dc.contributor.author박희남-
dc.contributor.author이문형-
dc.date.accessioned2021-11-26T07:26:47Z-
dc.date.available2021-11-26T07:26:47Z-
dc.date.issued2015-12-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/185994-
dc.description.abstractBackground: Electrophysiological procedures are challenging in patients who have undergone lateral tunnel or extracardiac conduit Fontan operation because the caval veins are not connected to the cardiac atria and ventricles. This study describes our experience in managing a series of patients with Fontan circulation requiring catheter ablation for arrhythmias. Methods: This study included eight consecutive patients with Fontan circulation who underwent catheter ablation or pacemaker implantation via Fontan conduit puncture [median age (interquartile range), 21.5 (16.0-25.8) years; 5 men]. Lateral tunnel and extracardiac conduit were equally distributed among the eight patients. A standard technique for conduit puncture and subsequent electrophysiologic procedure was used. The time taken for conduit puncture was compared for different types of conduits. Results: The median age of patients in this series was 21.5 years (interquartile range: 16.0-25.8 years). Fontan conduit puncture via right femoral vein under intracardiac echocardiographic guidance was successfully performed without complications in seven of the eight patients. Conduit puncture failed in one patient with extracardiac conduit made of the pericardium due to interruption of both femoral veins. In three patients with Fontan conduit made of pericardium, a Bronckenbrough transseptal needle or a radiofrequency transseptal needle with a snare was used. In four patients with Fontan conduit made of Gore-tex, a radiofrequency transseptal needle with a snare, and percutaneous transluminal angioplasty balloon were used. Fontan conduit puncture time was significantly longer in patients with conduit made of Gore-tex (median time, 91 min; interquartile range, 59.8-130.5 min) than in patients with conduit made of the pericardium (median time, 11.5 min; interquartile range, 10.0-18.3 min), respectively (p=0.020). Conclusions: Conduit puncture is feasible and safe in patients with lateral tunnel and extracardiac Fontan circulation. Puncture of the Gore-tex conduit is more difficult and time consuming than puncture of the pericardium conduit.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfInternational Journal of Arrhythmia-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleConduit Puncture for Electrophysiological Procedures in Patients with Fontan Circulation-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)-
dc.contributor.googleauthorJae-Sun Uhm-
dc.contributor.googleauthorNam Kyun Kim-
dc.contributor.googleauthorBoyoung Joung-
dc.contributor.googleauthorHui-Nam Pak-
dc.contributor.googleauthorMoon-Hyoung Lee-
dc.identifier.doi10.18501/arrhythmia.2015.032-
dc.contributor.localIdA00355-
dc.contributor.localIdA02337-
dc.contributor.localIdA03609-
dc.contributor.localIdA01776-
dc.contributor.localIdA02766-
dc.subject.keywordCatheter Ablation-
dc.subject.keywordFontan Operation-
dc.subject.keywordConduit Puncture-
dc.subject.keywordTransseptal Needle-
dc.contributor.alternativeNameKim, Nam Kyun-
dc.contributor.affiliatedAuthor김남균-
dc.contributor.affiliatedAuthor엄재선-
dc.contributor.affiliatedAuthor정보영-
dc.contributor.affiliatedAuthor박희남-
dc.contributor.affiliatedAuthor이문형-
dc.citation.volume16-
dc.citation.number4-
dc.citation.startPage193-
dc.citation.endPage199-
dc.identifier.bibliographicCitationInternational Journal of Arrhythmia, Vol.16(4) : 193-199, 2015-12-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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