Cardiac disease in pregnancy cardiac ablation

Cardiac disease in pregnancy Microchapters
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Catheterization: Pulmonary artery catheterization Cardiac catheterization Cardiac Ablation
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Special Scenarios: I. Pre-existing Cardiac Disease: Congenital Heart Disease Repaired Congenital Heart Disease Pulmonary Hypertension Rheumatic Heart Disease Connective Tissue Disorders II. Valvular Heart Disease: Mitral Stenosis Mitral Regurgitation Aortic Insufficiency Aortic Stenosis Mechanical Prosthetic Valves Tissue Prosthetic Valves III. Cardiomyopathy: Dilated Cardiomyopathy Hypertrophic Cardiomyopathy Peripartum Cardiomyopathy IV. Cardiac diseases that may develop During Pregnancy: Arrhythmias Acute Myocardial Infarction Hypertension
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Catheter ablation is indicated only in rare cases of intractable arrhythmia causing cardiac decompensation. Ablation is not routinely performed because of the high radiation dose involved with catheterization (1.5 mGy).

Cardiac Ablation

Minimizing Risk to the Fetus

To minimize radiation to the pelvic and abdominal areas, the following steps may be considered:

• Radial approach rather than the femoral approach is preferred.
• Shield the gravid uterus to minimize radiation exposure
• Short fluoroscopic time minimizes radiation exposure