Radiofrequency ablation in an infant with recurrent supraventricular tachycardia and cyanosis

Vora, Amit; Lokhandwala, Yash; Sheth, Chirag; Dalvi, Bharat

doi:10.4103/0974-2069.58319

Cited by 4 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The few reported experiences of RFCA in small children are generally limited to case reports and small single‐center studies . The efficacy and safety of RFCA in infants or toddlers closely correlate with the experience of the pediatric electrophysiological center, of which few have the capability to perform RFCA in small children .…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Radiofrequency Catheter Ablation of Tachyarrhythmias in 123 Children Under 3 Years of Age

Jiang

et al. 2016

Pacing Clinical Electrophis

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Radiofrequency Catheter Ablation of Tachyarrhythmias in 123 Children Under 3 Years of Age

Jiang

et al. 2016

Pacing Clinical Electrophis

View full text Add to dashboard Cite

show abstract

“…6 Drug-resistant tachyarrhythmias with breakthrough SVTs and haemodynamic instability may further require electrophysiological study and radiofrequency ablation. 11 Low-dose repeated cardioversion has proved to be safe in this case (normal CK-MB level). Trop T test would have been more sensitive and specific test than CK-MB to identify the damage that may have occurred to cardiomyocytes due to repeated cardioversion.…”

Section: Discussionmentioning

confidence: 75%

Supraventricular tachycardia requiring repeated cardioversion in a 32-day-old baby

Ritesh¹,

Nambiar²,

Jain

2017

Medical Journal Armed Forces India

View full text Add to dashboard Cite

Radiofrequency Ablation of Drug-Refractory Arrhythmias in Small Children Younger Than 1 Year of Age: Single-Center Experience

2013

View full text Add to dashboard Cite

The use of radiofrequency ablation (RFA) for the management of supraventricular tachycardia (SVT) in infants and small children remains controversial. The aim of this study was to evaluate the safety and efficacy of RFA in critically ill small children (<1 year of age) with drug-resistant tachycardia accompanied by arrhythmogenic cardiomyopathy and heart failure. The study included 15 patients age 5.3 ± 3.7 months. Wolff-Parkinson-White syndrome and atrial tachycardia were detected in eight (53.3 %) and seven (46.7 %) of patients, respectively. Patients with structural heart pathology, including congenital heart diseases and laboratory-confirmed myocarditis, were excluded from the study. Indications for RFA included drag-refractory SVT accompanied by arrhythmogenic cardiomyopathy and heart failure. Unsuccessful ablation was observed in two 1-month-old patients who underwent successful ablation 3 months later. The follow-up period ranged from 0.5 to 8 years (average 3.9). Only one patient (6.7 %) had tachycardia recurrence 1 month after RFA. The short- and long-term RFA success rates were 86.7 and 93.3 %, respectively. The study did not show any procedure-related complications. Heart failure disappeared within 5-7 days. Complete normalization of heart chamber sizes was documented within 1 month after effective RFA. A three-dimensional CARTO system (Biosense Webster, Inc., USA) was used in three patients with body weight >7 kg. The use of the CARTO system resulted in a remarkable decrease of the fluoroscopy time without vascular injury or other procedure-related complications in all cases. Our study suggests that RFA may be considered the method of choice for SVT treatment in small children when drug therapy is ineffective and arrhythmogenic cardiomyopathy progresses.

show abstract

Radiofrequency ablation in an infant with recurrent supraventricular tachycardia and cyanosis

Abstract: We report an unusual presentation of supraventricular tachycardia, in an infant, with cyanosis. The child had atrial septal defect with hypoplastic right ventricle. Radiofrequency ablation was performed in view of drug resistant SVT

Cited by 4 publications

References 3 publications

Efficacy and Safety of Radiofrequency Catheter Ablation of Tachyarrhythmias in 123 Children Under 3 Years of Age

Efficacy and Safety of Radiofrequency Catheter Ablation of Tachyarrhythmias in 123 Children Under 3 Years of Age

Supraventricular tachycardia requiring repeated cardioversion in a 32-day-old baby

Radiofrequency Ablation of Drug-Refractory Arrhythmias in Small Children Younger Than 1 Year of Age: Single-Center Experience

Contact Info

Product

Resources

About