Radiofrequency catheter ablation in drug refractory maternal supraventricular tachycardias in advanced pregnancy

F. Bombelli, F. Lagona, A. Salvati, L. Catalfamo, A. G. Ferrari, C. Pappone

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Treatment of maternal tachyarrhythmias in pregnancy is a major clinical issue. Pharmacological treatment raises important concerns regarding partial efficacy and side effects. Radiofrequency ablation of arrhythmogenic substrate has rarely been performed during pregnancy because of the fetal risks related to x-ray exposure and potential fetomaternal procedural complications. CASES: Three women affected by supraventricular tachycardias refractory to pharmacological therapy underwent successful radiofrequency catheter ablation at 29 to 30 weeks' pregnancy. All patients had cesarean delivery of newborns with normal Apgar scores. CONCLUSION: Radiofrequency catheter ablation is an effective treatment of drug refractory maternal supraventricular tachycardias in advanced pregnancy. Further studies are required to establish its long-term fetal safety.

Original languageEnglish
Pages (from-to)1171-1173
Number of pages3
JournalObstetrics and Gynecology
Volume102
Issue number5 SUPPL.
DOIs
Publication statusPublished - Nov 2003

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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