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Radiofrequency Ablation of Supraventricular Tachycardias in Infants and Children: When Is It Really Indicated?

  • Conference paper
Cardiac Arrhythmias 1995

Abstract

Supraventricular tachycardia (SVT) is the most common sustained cardiac arrhythmia in children and adolescents, approximately 85% being due to reentrant circuits (1). Pharmacologic treatment has been proposed as the first-line therapy for frequent, sustained episodes of SVT associated with significant symptoms. However, patients refractory to medical therapy often require surgical intervention (2), which has recently been replaced by the procedure of transcatheter ablation (3).

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References

  1. Klitzner TS, Roberts N (1983) The investigation of an arrhythmia: the invasive approach. In: Roberts N., Gelband H (eds) Cardiac arrhythmias in the neonate, infants and child. Appleton and Lange, East Norwalk, pp 79–103

    Google Scholar 

  2. Cox JL, Gallagher JJ, Cairn ME (1985) Experience with 118 consecutive patients undergoing operation for the WolffParkinson-White syndrome. J Thorac Cardiovasc Surg 90: 490–501

    PubMed  CAS  Google Scholar 

  3. Gillette PC, Garson A, Kugler JD, Cooley DA, Zinner A, McNamara DG (1980) Surgical treatment for SVT in infants and children. Am J Cardiol 46: 281–284

    Article  PubMed  CAS  Google Scholar 

  4. Bromberg BI, Dick M, Scott WA, Morady F (1989) Trans-catheter electrical ablation of accesssory pathways in children. PACE 12: 1787–1796

    Article  PubMed  CAS  Google Scholar 

  5. Borggrefe M, Hindricks G, Haverkamp W, Breithardt G (1990) Catheter ablation using radiofrequency energy. Clin Cardiol 13: 127–131

    Article  PubMed  CAS  Google Scholar 

  6. Langberg JJ, Chin MC, Rosenquist M, Cockrell J, Dullett N, Van Hare G, Griffin JC, Scheinman MM (1989) Catheter ablation of the atrioventricular junction with radiofrequency energy. Circulation 80: 1527–1535

    Article  PubMed  CAS  Google Scholar 

  7. Dick M, O’Connor BK, Serwer GA, LeRoy S, Armstrong B (1991) Use of radiofrequency current to ablate accessory connections in children. Circulation 84: 2318–2324

    PubMed  Google Scholar 

  8. Van Hare GF, Lesh MD, Scheinman M, Langberg JJ (1991) Percutaneous radiofrequency catheter ablation for supraventricular arrhythmias in children. J Am Coll Cardiol 17: 1613–1620

    Article  PubMed  Google Scholar 

  9. Schluter M, Kuck KH (1992) Radiofrequency current for catheter ablation of accessory atrio-ventricular connections in children and adolescents: emphasis on the single-catheter technique. Pediatrics 89: 930–935

    PubMed  CAS  Google Scholar 

  10. Klitzner TS, Wetzel GT, Saxon LA, Stevenson WG (1993) Radiofrequency ablation: a new era in the treatment of pediatrics arrhythmias. Am J Dis Child 147: 769–771

    PubMed  CAS  Google Scholar 

  11. Montenero AS, Crea F, Bendini MG, Biscione F, Scipione P, Mascellanti M, Cianfrone N, Di Sabato M, De Martino G, Ferro A, Bellocci F, Zecchi P (1993) Radiofrequency catheter ablation of cardiac accessory pathways using the transseptal approach. New Trends Arrhythmias 9: 405

    Google Scholar 

  12. Montenero AS, Crea F, Bendini MG, Pelargonio G, Intini A, Finocchiaro ML, Biscione F, Pigozzi F, Bellocci F, Zecchi P. (1995) Electrograms for identification of the atrial ablation site during catheter ablation of accessory pathways. PACE (in press)

    Google Scholar 

  13. Jackman WM, Beckman KJ, McClelland JH, et al (1992) Treatment of SVT due to atrio-ventricular nodal reentrant tachycardia by radiofrequency catheter ablation of slow pathway conduction. N Engl J Med 327: 313–318

    Article  PubMed  CAS  Google Scholar 

  14. Walsh EP, Saul JP, Hulse JE et al (1992) Transcatheter ablation of ectopic atrial tachycardia in young patients using radiofrequency current. Circulation 86: 1138–1146

    PubMed  CAS  Google Scholar 

  15. Case CL, Gillette PC, Oslizlok PC, Knick BJ, Blair HL (1992) Radiofrequency catheter ablation of incessant, medically resistant SVT in infants and small children. J Am Coll Cardiol 20: 1405–1410

    Article  PubMed  CAS  Google Scholar 

  16. Jackman WM, Wang X, Friday KJ et al (1991) Catheter ablation of accessory atrio-ventricular pathways ( Wolff-ParkinsonWhite syndrome) by radiofrequency current. N Engl J Med 342: 1605–1611

    Article  Google Scholar 

  17. Calkins H, Sousa J, El-Atassi R, et al (1991) Diagnosis and cure of the Wolff-Parkinson-White syndrome or paroxysmal SVT during a single electrophysiologic test. N Engl J Med 324: 1612–1618

    Article  PubMed  CAS  Google Scholar 

  18. Kugler JD, Danford DA, Deal BJ et al for the Pediatric Electrophysiology Society (1994) Radiofrequency catheter ablation for tachyarrhythmias in children and adolescents. N Engl J Med 330: 1481–1487

    Google Scholar 

  19. Mullins CE, Latson LA, Neches WH et al (1990) Balloon dilatation of miscellaneous lesions: results of valvuloplasty and angioplasty of congenital anomalies registry. Am J Cardiol 65: 802–803

    Article  PubMed  CAS  Google Scholar 

  20. Levine JC, Walsh EP, Saul JP (1993) Radiofrequency ablation of accessory pathways associated with congenital heart disease including heterotaxy syndrome. Am J Cardiol 72: 689–693

    Article  PubMed  CAS  Google Scholar 

  21. Ticho BS, Saul JP, Hulse JE, De W, Lulu J, Walsh EP (1992) Variable location of accessory pathways associated with the permanent form of junctional reciprocating tachycardia and confirmation with radiofrequency ablation. Am J Cardiol 70: 1559–1564

    Article  PubMed  CAS  Google Scholar 

  22. Sreeram N, Smeets JLRM, Pulles-Heintzberger CFM, Wellens HJJ (1993) Radiofrequency catheter ablation of accessory pathways in children and young adults. Br Heart J 70: 160–165

    Article  PubMed  CAS  Google Scholar 

  23. Lemery R, Talajic M, Roy D, Fournier A, Coutu B, TY Hii J, Radzik D, Lavoie L (1994) Cathether ablation using radiofrequency or low-energy direct current in pediatric patients with the Wolff-Parkinson-White syndrome. Am J Cardiol 73: 191–194

    Article  PubMed  CAS  Google Scholar 

  24. Hebe J, Schluter M, Kuck KH (1994) Catheter ablation in children with supraventricular tachycardia mediated by accessory pathways: use of radiofrequency current as a first line of therapy. Cardiol Young 4: 28–36

    Article  Google Scholar 

  25. Kugler JD, Danford DA, Deal BJ et al for the Pediatric Electrophysiology Society (1994) Radiofrequency catheter ablation for tachyarrhythmias in children and adolescents. N Engl J Med 330: 1481–1487

    Google Scholar 

  26. Montenero AS, Drago F, Crea F, Bendini MG, Pelargonio G, Bellocci F, Ragonese P, Zecchi P (1994) Indications and limitations of radiofrequency ablation of supraventricular tachycardia in children. In: Pozzi L (ed) Autoapproach to cardiac arrhythmias in 1994, vol 1, pp 208–213

    Google Scholar 

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© 1996 Springer-Verlag Italia, Milano

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Montenero, A.S. et al. (1996). Radiofrequency Ablation of Supraventricular Tachycardias in Infants and Children: When Is It Really Indicated?. In: Raviele, A. (eds) Cardiac Arrhythmias 1995. Springer, Milano. https://doi.org/10.1007/978-88-470-2223-2_37

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  • DOI: https://doi.org/10.1007/978-88-470-2223-2_37

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-3-540-75012-3

  • Online ISBN: 978-88-470-2223-2

  • eBook Packages: Springer Book Archive

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