Radiofrequency ablation in children and adolescents: results in 154 consecutive patients

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Jens Cosedis NielsenGerhard Hindricks

Abstract

The experience of using radiofrequency ablation (RFA) for the treatment of arrhythmias in children and adolescents is still limited. This study aimed to review the most recent results of RF ablation in children and adolescents in a highly experienced centre with access to both conventional techniques and non-fluoroscopic electroanatomic mapping (CARTO). A total of 154 consecutive patients younger than 19 years treated with RFA during the period 2000-04 were included. Numbers (%) or median (quartiles) are reported. Age was 15 (12-17) years, 70 (45%) were males. Five patients (3%) had congenital heart disease. RFA was successful in 147/154 patients (95%). Arrhythmia recurrence occurred in 11 patients (7%). Procedure time was 55 (35-90) min and fluoroscopy time was 8.8 (4-19) min. Number of RF applications was 4 (2-10) and number of RF applications >20 s was 2 (1-7). One patient (0.7%) had complicating high-grade atrioventricular block. CARTO was used in 18 RF ablation procedures (11%) performed in 15 patients. RF ablation can be undertaken in children and adolescents with a high success rate, few recurrences and complications, very short procedure times, and acceptable fluoroscopy times. Non-fluoroscopic electroanatomic mapping i...Continue Reading

References

Nov 1, 1989·Pacing and Clinical Electrophysiology : PACE·B I BrombergF Morady
Jun 1, 1994·Journal of the American College of Cardiology·G F Van HareM D Lesh
Nov 1, 1996·Pacing and Clinical Electrophysiology : PACE·R A GeiseS Milstein
Dec 26, 2001·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·A S ManolisD V Cokkinos
May 30, 2002·Journal of Cardiovascular Electrophysiology·John D KuglerUNKNOWN Pediatric Radiofrequency Ablation Registry of the Pediatric Radiofrequency Ablation Registry of the Pediatric Electrophysiol
Sep 6, 2002·Journal of Cardiovascular Electrophysiology·Fabrizio DragoShoshana Leibovich
Oct 10, 2002·Cardiology Clinics·Joachim Hebe
Jul 15, 2004·Journal of Cardiovascular Electrophysiology·George F Van HareUNKNOWN Pediatric Electrophysiology Society

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Citations

Feb 17, 2009·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Ole-Jørgen OhmJian Chen
Dec 1, 2009·International Journal of Cardiology·Maren TomaskeUrs Bauersfeld
Sep 17, 2014·Pacing and Clinical Electrophysiology : PACE·Anita Hiippala, Juha-Matti Happonen
Apr 19, 2016·Cardiology in the Young·Désirée M EhrlinspielChristian Balmer
Jul 13, 2014·Circulation. Arrhythmia and Electrophysiology·Kristopher T KangShubhayan Sanatani
Jul 18, 2017·Pediatric Cardiology·Shahnawaz M AmdaniSanjeev Aggarwal
Jul 29, 2017·Archives of Cardiovascular Diseases·Béatrice Brembilla-PerrotSellal Jean Marc
Nov 24, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·M Cecilia Gonzalez CorciaAndrea Sarkozy

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