Treatment of arrhythmias associated with congenital heart disease using transcatheter ablation

Orvosi hetilap
Tamas Szili-TorokAndrás Temesvári

Abstract

Rhythm disturbances are common long after surgical repair of congenital heart disease. These arrhythmias caused by the progression of the disease itself, however, a significant proportion is a result of the presence of surgical scar. Although interventional electrophysiology procedures are complex and encounter difficulties, pharmacological therapy is often very disappointing. In the present study we aimed to describe our experience obtained between 2004 and 2006 in patients undergoing transcatheter ablation long after surgery for congenital heart disease. During this period 26 patients underwent catheter ablation. The procedure was successful in 24 out of the 26 patients (92%). Three patients required redo ablations due to arrhythmia recurrences (11%). There were no major complications related to the intervention. In four patients minor complications occurred (small hematomas). Our descriptive data indicate that transcatheter ablation for arrhythmias after surgery for congenital heart disease is a effective safe and more importantly curative procedure. It is associated with reasonable success rate, low complication rate, but slightly higher recurrence rate as compared to the classical electrophysiological interventions.

References

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Mar 29, 2001·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·T Szili-TorokL Jordaens
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Sep 6, 2002·Journal of Cardiovascular Electrophysiology·Geert-Jan P KimmanLuc J Jordaens
Nov 19, 2003·Pacing and Clinical Electrophysiology : PACE·Francisco G CosíoAntonio Goicolea

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Citations

Jun 13, 2008·Orvosi hetilap·Attila MihálczTamás Szili-Török

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