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
Dec 1, 1979·Circulation·P C GilletteJ D Kugler
Aug 1, 1977·Circulation·T D SellersJ J Gallagher
Oct 1, 1988·Circulation·J F WarinP Blanchot
Feb 1, 1988·The American Journal of Cardiology·G H BardyH L Greene
May 1, 1987·Journal of the American College of Cardiology·C L WebbA Rosenthal
Aug 1, 1986·Journal of the American College of Cardiology·R T SmithA Garson
Jan 1, 1985·British Heart Journal·D E Ward, A J Camm
Jul 1, 1985·Circulation·F MoradyM Eldar
Sep 1, 1985·Circulation·F ColtortiT D Ivey
Aug 1, 1985·Journal of the American College of Cardiology·P C GilletteD Cooley
Jun 1, 1973·Circulation·H J Wellens, D Durrer
Jun 1, 1973·Circulation·K M Rosen
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
Mar 15, 1984·The New England Journal of Medicine·F Morady, M M Scheinman
Jul 1, 1981·Circulation·D L RutlenB L Zaret
Apr 1, 1983·Circulation·R Brodman, J D Fisher
Jan 28, 1982·The New England Journal of Medicine·J J GallagherG Critelli
Jun 1, 1981·The Journal of Pediatrics·A GarsonD G McNamara
Jan 1, 1980·British Heart Journal·E L PritchettJ J Gallagher
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
Jul 1, 1991·Pediatric Annals·E P Walsh, J P Saul
Sep 12, 2001·IEEE Transactions on Information Technology in Biomedicine : a Publication of the IEEE Engineering in Medicine and Biology Society·A KusiakM Dick
Jan 15, 1994·The American Journal of Cardiology·R LemeryL Lavoie
Dec 1, 1991·Circulation·M DickB Armstrong
Aug 19, 2000·Cardiology in the Young·P IturraldeF Attie
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