Introduction of the Low Voltage Bridge Mapping for the AVNRT RF ablation
in children -- early follow up results.
Abstract
Background: Low voltage bridge mapping (LVBM) is an approach to AVNRT
ablation that has been postulated to facilitate the procedure. In our
center, AVNRT ablations were performed with the traditional RF current
approach using the CARTO mapping system. The use of LVBM in children has
been well described with cryoablation but not with RF. LVBM was
introduced in our center in April 2023 and is now routinely used for all
AVNRT RF ablations. The aim of this study was to analyze how the
introduction of the LVBM influenced the results of the pediatric AVNRT
ablations using the RF current. Methods: We analyzed all AVNRT ablations
performed between January1,2019, and June30,2024, and compared
traditional and LVBM approaches. Results: The study group (LVBM)
consisted of 40 and the control group of 61 children. Both groups did
not differ significantly regarding age, body weight, and sex
distribution. In the LVBM group, the total time of RF applications was
significantly shorter, and the number of RF applications was smaller
than in the control group. Total procedural time did not differ
significantly between the groups. The success rate at 3 months follow-up
was higher in the LVBM group but failed to differ statistically. No
complications were reported in either of groups. Conclusions: The
introduction of the LVBM in RF AVNRT ablations in children allows for
limiting the number and time of RF applications required, without
prolonging the total procedure time. Our experience shows LVBM can also
be effectively used in RF ablations of AVNRT.