Safety and efficacy of paediatric outpatient radiofrequency catheter ablations

International Journal of Cardiology
Maren TomaskeUrs Bauersfeld

Abstract

Radiofrequency catheter ablation (RFA) is a frequently performed procedure as treatment for supraventricular tachycardia in children >4 years of age. The aim of this study was to evaluate the safety and efficacy of the paediatric outpatient RFA procedure. Between 2002 and 2008, 271 RFAs were analyzed. Exclusion criteria for outpatient procedures amongst others were distance to home >1h and anticipated complex RFA in congenital heart disease. All patients underwent pre- and post-procedural echocardiography and electrocardiogram. Patient discharge was within 6h after conclusion of RFA. Parental follow-up phone calls the day after the procedure were performed. All patients were seen in outpatient clinics 1 month after RFA. A total of 97/271 (37%) patients aged 13.6 (4.8-18.0) years qualified for outpatient RFA. Accessory pathway ablations (n=50) and atrioventricular node modifications (n=39) were the most common RFAs. RFA was successful in 94/97 (97%) patients. Post-procedural echocardiography and electrocardiogram did not reveal any RFA related complications. Anaesthetic adverse events, predominantly post-interventional nausea and vomiting, were observed in 10 (10%) patients. Hospital discharge within 6h was practicable in all bu...Continue Reading

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Citations

May 3, 2016·Indian Pacing and Electrophysiology Journal·Béatrice Brembilla-PerrotNicolas Girerd
Jun 15, 2011·Annales de cardiologie et d'angéiologie·F Benzakin, B Brembilla-Perrot
Oct 4, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Bryan G MaxwellAlan Cheng
Jul 23, 2016·Pacing and Clinical Electrophysiology : PACE·Béatrice Brembilla-PerrotJulie Vincent
Oct 16, 2013·Current Opinion in Anaesthesiology·Francis Veyckemans, Mona Momeni
Aug 18, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Ying-Feng LuHai-Yin Jiang
Jul 29, 2017·Archives of Cardiovascular Diseases·Béatrice Brembilla-PerrotSellal Jean Marc

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