Radiofrequency ablation in children and adolescents: results in 154 consecutive patients

Nielsen, Jens Cosedis; Kottkamp, Hans; Piorkowski, Christopher; Gerds-Li, Jin-Hong; Tanner, Hildegard; Hindricks, Gerhard (2006). Radiofrequency ablation in children and adolescents: results in 154 consecutive patients. Europace, 8(5), pp. 323-9. Oxford: Oxford University Press 10.1093/europace/eul021

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AIMS: The experience of using radiofrequency ablation (RFA) for the treatment of arrhythmias in children and adolescents is still limited. This study aimed to review the most recent results of RF ablation in children and adolescents in a highly experienced centre with access to both conventional techniques and non-fluoroscopic electroanatomic mapping (CARTO). METHODS AND RESULTS: A total of 154 consecutive patients younger than 19 years treated with RFA during the period 2000-04 were included. Numbers (%) or median (quartiles) are reported. Age was 15 (12-17) years, 70 (45%) were males. Five patients (3%) had congenital heart disease. RFA was successful in 147/154 patients (95%). Arrhythmia recurrence occurred in 11 patients (7%). Procedure time was 55 (35-90) min and fluoroscopy time was 8.8 (4-19) min. Number of RF applications was 4 (2-10) and number of RF applications >20 s was 2 (1-7). One patient (0.7%) had complicating high-grade atrioventricular block. CARTO was used in 18 RF ablation procedures (11%) performed in 15 patients. CONCLUSION: RF ablation can be undertaken in children and adolescents with a high success rate, few recurrences and complications, very short procedure times, and acceptable fluoroscopy times. Non-fluoroscopic electroanatomic mapping is helpful in selected patients.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Tanner, Hildegard

ISSN:

1099-5129

ISBN:

16635987

Publisher:

Oxford University Press

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:52

Last Modified:

05 Dec 2022 14:16

Publisher DOI:

10.1093/europace/eul021

PubMed ID:

16635987

Web of Science ID:

000237832500002

BORIS DOI:

10.48350/21959

URI:

https://boris.unibe.ch/id/eprint/21959 (FactScience: 20554)

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