NASPE Expert Consensus Conference: Radiofrequency Catheter Ablation in Children with and without Congenital Heart Disease. Report of the Writing Committee

Friedman, Richard A.; Walsh, Edward P.; Silka, Michael J.; Calkins, Hugh; Stevenson, William G.; Rhodes, Larry A.; Deal, Barbara J.; Wolff, Grace S.; DeMaso, David R.; Hanisch, Debra; Hare, George F. Van

doi:10.1046/j.1460-9592.2002.01000.x

Cited by 165 publications

(104 citation statements)

References 119 publications

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“…Our data are consistent with other international series [1][2][3][4] , confirming that RFA is an effective and safe alternative in the long term for the treatment of tachyarrhythmias with difficult clinical control in pediatric patients. The atrioventricular tachycardia involving accessory pathways of AV conduction is the most frequent indication for ablation in children, followed by nodal reentrant tachycardia and atrial tachycardia 11 .…”

Section: Discussionsupporting

confidence: 92%

“…However, the use of RFA in children under five years of age and/or weighing less than 15 kg is still controversial 4 . There are many variables that increase the complexity and risk of the procedure in this age group, such as vascular access limitations, small heart, possible anatomical variations due to the presence of congenital heart disease, lesion expansion and potential effects of exposure to radiation on developing cells [5][6][7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

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Ablação com RF de arritmia na infância: registro observacional em 125 crianças

Melo¹,

Scanavacca²,

Pisani³

et al. 2012

Arq. Bras. Cardiol.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Ablação com RF de arritmia na infância: registro observacional em 125 crianças

Melo¹,

Scanavacca²,

Pisani³

et al. 2012

Arq. Bras. Cardiol.

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“…However, a 2001 subgroup analysis of patients younger than 18 month-old (all of whom weighed under 15 kg) showed no increased procedural risk relative to the rest of the database population [6]. This controversy was highlighted by the recently published North American Society of Pacing and Electrophysiology (NASPE) expert consensus conference in which the use of RFA in children younger than 5 years of age with SVT refractory to drug therapy, including sotalol and amiodarone, was believed to represent a class IIb indication [14]. Lastly, Aiyagari et al [3] reported on the risks and results of RFA use in children under 15 kg and between 15 and 20 kg, stating that RFA use in small children was safe and effective.…”

Section: Discussionmentioning

confidence: 99%

Catheter ablation of drug resistant supraventricular tachycardia in neonates and infants

Akdeni̇z

Ergül²,

Kiplapinar³

et al. 2013

Cardiol J

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“…The most frequently reported complications are second and third degree AV blocks, perforation, pericardial effusion, embolization, brachial plexus injury, and pneumothorax (27). Also, in rare cases coronary artery injuries were reported during or after ablation procedure (28,29).…”

Section: Discussionmentioning

confidence: 99%

Results of radiofrequency ablation in children with tachycardia-induced cardiomyopathy

Aykan¹,

Karagöz²,

Akın³

et al. 2014

Anadolu Kardiyol Derg

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Objective: Tachycardia-induced cardiomyopathy (TIC) is a rare but potentially curable cause of dilated cardiomyopathy. Data on radiofrequency ablation (RFA) for TIC is limited. The aim of this study is to present our experience with RFA in children with TIC, retrospectively. Methods: The medical records of patients with TIC and those underwent RFA between 2000-2011 were systematically reviewed. Demographics and echocardiographic features were recorded. Tachycardia-induced cardiomyopathy is defined as dilatation of the heart chambers or heart failure with chronic or very frequent cardiac arrhythmia. Diagnosis was confirmed with normalization of functions after sinus rhythm has been achieved. Results: A total of 12 patients with a mean age of 6.3±4.1 years (in utero-11.5 years) at diagnosis were enrolled in the study consisting of 7 patients with permanent junctional reciprocating tachycardia and 5 patients with focal atrial tachycardia. The mean pre-RFA left ventricular end-diastolic diameter and left ventricular ejection fraction (LVEF) values were 49.1±9.6 mm (32-66) and 40.8±13.4% (23-57%), respectively. One month after RFA, the mean LVEF value was 62±4.9% (52-69), with only 2 out of 12 patients' LVEF values were still lower than 58%. Tachycardia recurrence was observed in 4 patients, 3 of which had successful repeated RFA procedure. Overall, cure for arrhythmia was achieved in 11 patients (92%), while reversal of heart failure achieved in all patients. In 1 patient permanent complete AV block was developed after the procedure. Conclusion: Treatment of tachycardia with RFA, particularly in patients with arrhythmia refractory to medical therapy, is a feasible and effective treatment option regardless of age. (Anadolu Kardiyol Derg 2014; 14: 625-30)

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NASPE Expert Consensus Conference: Radiofrequency Catheter Ablation in Children with and without Congenital Heart Disease. Report of the Writing Committee

Cited by 165 publications

References 119 publications

Ablação com RF de arritmia na infância: registro observacional em 125 crianças

Ablação com RF de arritmia na infância: registro observacional em 125 crianças

Catheter ablation of drug resistant supraventricular tachycardia in neonates and infants

Results of radiofrequency ablation in children with tachycardia-induced cardiomyopathy

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