Safety and efficacy of paediatric outpatient radiofrequency catheter ablations

Tomaske, Maren; Candinas, R; Weiß, Markus; Bauersfeld, Urs

doi:10.1016/j.ijcard.2009.11.004

Cited by 16 publications

(12 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Overall, there was a recurrence rate of 9.1%, which is within the range of 6 to 12% given in the literature . In accordance with the literature, there was a very low recurrence rate of 2.9% in patients with AVNRT , but higher recurrence rates for patients with AVRT or VT .…”

Section: Discussionsupporting

confidence: 88%

“…Overall primary success of RFCA was 96.7%, which is in accordance with the success rates of large cohort studies, data from the Paediatric Radiofrequency Ablation Registry and the results of recent, but small, cohort studies . Accessory pathways in AVRT were successfully ablated in 97.8%, which was within the upper range of success rates reported in the literature .…”

Section: Discussionsupporting

confidence: 86%

“…There was a very low complication rate of only 3% in our study cohort, which is comparable or even lower than reported by earlier studies on RFCA in children (3,4,14,15,18,24,27). As RFCA was performed by a team of paediatric and adult electrophysiologists, the experience of experts from both specialties might have contributed to the very low incidence of complications.…”

Section: Discussionsupporting

confidence: 79%

See 2 more Smart Citations

Radiofrequency catheter ablation can be performed with high success rates and very low complication rates in children and adolescents

et al. 2014

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 79%

See 1 more Smart Citation

Radiofrequency catheter ablation can be performed with high success rates and very low complication rates in children and adolescents

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Special care needs to be taken to reduce radiation in pediatric population for obvious reasons [89]. Tomaske et al did not report any complications in 97 pediatric SVT ablations [90].…”

Section: Endocardial and Epicardial Ventricular Tachycardia Ablationmentioning

confidence: 99%

A review of the safety aspects of radio frequency ablation

Bhaskaran

Chik

Thomas

et al. 2015

IJC Heart & Vasculature

View full text Add to dashboard Cite

In light of recent reports showing high incidence of silent cerebral infarcts and organized atrial arrhythmias following radiofrequency (RF) atrial fibrillation (AF) ablation, a review of its safety aspects is timely. Serious complications do occur during supraventricular tachycardia (SVT) ablations and knowledge of their incidence is important when deciding whether to proceed with ablation. Evidence is emerging for the probable role of prophylactic ischemic scar ablation to prevent VT. This might increase the number of procedures performed. Here we look at the various complications of RF ablation and also the methods to minimize them. Electronic database was searched for relevant articles from 1990 to 2015. With better awareness and technological advancements in RF ablation the incidence of complications has improved considerably. In AF ablation it has decreased from 6% to less than 4% comprising of vascular complications, cardiac tamponade, stroke, phrenic nerve injury, pulmonary vein stenosis, atrio-esophageal fistula (AEF) and death. Safety of SVT ablation has also improved with less than 1% incidence of AV node injury in AVNRT ablation. In VT ablation the incidence of major complications was 5–11%, up to 3.4%, up to 1.8% and 4.1–8.8% in patients with structural heart disease, without structural heart disease, prophylactic ablations and epicardial ablations respectively. Vascular and pericardial complications dominated endocardial and epicardial VT ablations respectively. Up to 3% mortality and similar rates of tamponade were reported in endocardial VT ablation. Recent reports about the high incidence of asymptomatic cerebral embolism during AF ablation are concerning, warranting more research into its etiology and prevention.

show abstract

“…Most forms of reentrant SVTs involve an accessory conduction pathway that participates in initiation and propagation of tachycardia and is amenable to ablation. While medical therapy is effective in reducing frequency of episodes in some cases, ablation of the accessory pathways (APs) in the electrophysiology (EP) laboratory, using cryotherapy or radiofrequency energies, remains the treatment of choice for symptomatic older children . Several studies have shown extremely high rates of acute success with ablation (>96–98%) .…”

Section: Introductionmentioning

confidence: 99%