Transcatheter electrical ablation of accessory pathways in children.

Pacing and Clinical Electrophysiology : PACE
B I BrombergF Morady

Abstract

Supraventricular tachycardia (SVT), the most common sustained symptomatic arrhythmia of childhood, is often supported by a manifest or concealed accessory pathway. Permanent interruption of the accessory pathway usually requires surgical division. Recent experience with electrical ablation of posterior septal pathways in adults prompted us to apply the technique to children. Six children, ages 8 to 15 years, underwent a complete electrophysiological study followed by transcatheter electrical ablation. Five of the 6 children, 3 with a right posterior septal and 2 with a left posterior septal pathway, were approached with the ablation catheter at the os of the coronary sinus. In the remaining patient, a left lateral pathway was mapped with an electrode catheter in the coronary sinus and then approached with the ablation catheter through the patent foramen into the left atrium. Two patients are asymptomatic 18-24 months postablation; one patient had return of anomalous conduction between 7 and 21 days after ablation. Two patients had transient interruption of anomalous conduction, whereas one patient experienced no effect. We conclude that in carefully selected patients, transcatheter electrical ablation offers an alternative to s...Continue Reading

References

May 1, 1987·Journal of the American College of Cardiology·C L WebbA Rosenthal
Aug 1, 1985·Journal of the American College of Cardiology·P C GilletteD Cooley
Jun 1, 1974·Circulation·D P ZipesD A Rothbaum
May 1, 1983·Pacing and Clinical Electrophysiology : PACE·W M SmithJ J Gallagher
Jan 1, 1984·Annual Review of Medicine·R M CampbellA Rosenthal
Jan 28, 1982·The New England Journal of Medicine·J J GallagherG Critelli
Jan 1, 1980·British Heart Journal·E L PritchettJ J Gallagher

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Citations

Apr 19, 1996·International Journal of Cardiology·I C HsiehD Wu
Jun 1, 1991·Journal of the American College of Cardiology·G F Van HareJ J Langberg
Jan 12, 2001·Journal of the American College of Cardiology·I H LawM Dick
Jun 20, 2001·Progress in Pediatric Cardiology·D P. Chan
Sep 12, 2001·IEEE Transactions on Information Technology in Biomedicine : a Publication of the IEEE Engineering in Medicine and Biology Society·A KusiakM Dick
Apr 26, 2006·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
Jun 13, 2020·European Journal of Pediatrics·Yi Zhang, Xiao-Mei Li

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