Role of low kilovoltage electrocardiographic-gated multidetector CT in electrophysiological procedures in the paediatric age group

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Although we still in need for multicenter study to verify this protocols we recommend 1-MDCT can give normal unavailable measurements of Cardiac Structures in pediatric age group. 2-In arrhythmic patients: MDCT can evaluate and Compare different measurements in both adult and pediatric population & their Prognostic Indices. 3-Further more studies; comparing degree of accuracy in Conventional Catheter, Echocardiography, MRI and Cardiac CT ;are highly recommended in pediatric age group. 4-Studies that calculate Percentage of Complications in EP procedures in pediatric age group is highly recommended and is to be compared with adult population. 5-In complex CHDs induced arrhythmias; before a final corrective surgery; could we use pediatric EP procedures forearly assessment and treatment of different causes of arrhythmias ? 6-Higher transparency & clarity from different CT manufactures (regarding dose in mSv / patient) is highly recommended to increase awareness as regard post radiation complications especially cancers.

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