Five-year experience with radiofrequency catheter ablation: Implications for management of arrhythmias in pediatric and young adult patients
Objective: A review of the results of the first 5 years of radiofrequency catheter ablation procedures performed at Children's Hospital, Boston, a large tertiary referral center for patients with congenital heart disease and arrhythmias common to the infant, child, and young adult. Study design...
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| Veröffentlicht in: | The Journal of pediatrics 1997-12, Vol.131 (6), p.878-887 |
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| container_title | The Journal of pediatrics |
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| creator | Tanel, Ronn E. Walsh, Edward P. Triedman, John K. Epstein, Michael R. Bergau, Dennis M. Saul, J.Philip |
| description | Objective: A review of the results of the first 5 years of radiofrequency catheter ablation procedures performed at Children's Hospital, Boston, a large tertiary referral center for patients with congenital heart disease and arrhythmias common to the infant, child, and young adult.
Study design: A retrospective review of 410 consecutive procedures in 346 patients who underwent at least one application of radiofrequency energy for the treatment of recurrent supraventricular or ventricular tachycardia.
Results: The overall final success rate for all diagnoses was 90%, with a higher success rate in patients with an accessory pathway (96%). During the 5-year study period, the success rate improved while the rates of failures and late recurrences declined. The incidence of serious complications was 1.2% (1 late death, 1 ventricular dysfunction, 1 complete heart block, 1 cardiac perforation, and 1 cerebrovascular accident).
Conclusions: This report of a large series of radiofrequency catheter ablation procedures performed at an institution committed to treating congenital heart disease and pediatric arrhythmias confirms the safety and efficacy of this procedure. The pediatric cardiologist/electrophysiologist treating such patients must be aware of specific technical, anatomic, and electrophysiologic variations in the pediatric patient that are critical to the success of this therapy. (J Pediatr 1997;131:878-87) |
| doi_str_mv | 10.1016/S0022-3476(97)70037-4 |
| format | Article |
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Study design: A retrospective review of 410 consecutive procedures in 346 patients who underwent at least one application of radiofrequency energy for the treatment of recurrent supraventricular or ventricular tachycardia.
Results: The overall final success rate for all diagnoses was 90%, with a higher success rate in patients with an accessory pathway (96%). During the 5-year study period, the success rate improved while the rates of failures and late recurrences declined. The incidence of serious complications was 1.2% (1 late death, 1 ventricular dysfunction, 1 complete heart block, 1 cardiac perforation, and 1 cerebrovascular accident).
Conclusions: This report of a large series of radiofrequency catheter ablation procedures performed at an institution committed to treating congenital heart disease and pediatric arrhythmias confirms the safety and efficacy of this procedure. The pediatric cardiologist/electrophysiologist treating such patients must be aware of specific technical, anatomic, and electrophysiologic variations in the pediatric patient that are critical to the success of this therapy. (J Pediatr 1997;131:878-87)</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(97)70037-4</identifier><identifier>PMID: 9427894</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Arrhythmias, Cardiac - etiology ; Arrhythmias, Cardiac - surgery ; Biological and medical sciences ; Catheter Ablation - adverse effects ; Catheter Ablation - methods ; Chi-Square Distribution ; Child ; Child, Preschool ; Diseases of the cardiovascular system ; Female ; Follow-Up Studies ; Heart Defects, Congenital - complications ; Heart Defects, Congenital - surgery ; Heart Diseases - complications ; Heart Diseases - diagnosis ; Heart Diseases - surgery ; Humans ; Infant ; Infant, Newborn ; Male ; Medical sciences ; Middle Aged ; Radio Waves - therapeutic use ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Recurrence ; Retrospective Studies ; Tachycardia - classification ; Tachycardia - etiology ; Tachycardia - surgery ; Wolff-Parkinson-White Syndrome - etiology ; Wolff-Parkinson-White Syndrome - surgery</subject><ispartof>The Journal of pediatrics, 1997-12, Vol.131 (6), p.878-887</ispartof><rights>1997 Mosby, Inc.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-6ca9e6a6997b32b3c713d70afc00c4a859c2a4047f1357b9a8edfb3454aa15ba3</citedby><cites>FETCH-LOGICAL-c389t-6ca9e6a6997b32b3c713d70afc00c4a859c2a4047f1357b9a8edfb3454aa15ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3476(97)70037-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2113063$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9427894$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanel, Ronn E.</creatorcontrib><creatorcontrib>Walsh, Edward P.</creatorcontrib><creatorcontrib>Triedman, John K.</creatorcontrib><creatorcontrib>Epstein, Michael R.</creatorcontrib><creatorcontrib>Bergau, Dennis M.</creatorcontrib><creatorcontrib>Saul, J.Philip</creatorcontrib><title>Five-year experience with radiofrequency catheter ablation: Implications for management of arrhythmias in pediatric and young adult patients</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective: A review of the results of the first 5 years of radiofrequency catheter ablation procedures performed at Children's Hospital, Boston, a large tertiary referral center for patients with congenital heart disease and arrhythmias common to the infant, child, and young adult.
Study design: A retrospective review of 410 consecutive procedures in 346 patients who underwent at least one application of radiofrequency energy for the treatment of recurrent supraventricular or ventricular tachycardia.
Results: The overall final success rate for all diagnoses was 90%, with a higher success rate in patients with an accessory pathway (96%). During the 5-year study period, the success rate improved while the rates of failures and late recurrences declined. The incidence of serious complications was 1.2% (1 late death, 1 ventricular dysfunction, 1 complete heart block, 1 cardiac perforation, and 1 cerebrovascular accident).
Conclusions: This report of a large series of radiofrequency catheter ablation procedures performed at an institution committed to treating congenital heart disease and pediatric arrhythmias confirms the safety and efficacy of this procedure. The pediatric cardiologist/electrophysiologist treating such patients must be aware of specific technical, anatomic, and electrophysiologic variations in the pediatric patient that are critical to the success of this therapy. (J Pediatr 1997;131:878-87)</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Arrhythmias, Cardiac - surgery</subject><subject>Biological and medical sciences</subject><subject>Catheter Ablation - adverse effects</subject><subject>Catheter Ablation - methods</subject><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of the cardiovascular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Defects, Congenital - complications</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Heart Diseases - complications</subject><subject>Heart Diseases - diagnosis</subject><subject>Heart Diseases - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radio Waves - therapeutic use</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Tachycardia - classification</subject><subject>Tachycardia - etiology</subject><subject>Tachycardia - surgery</subject><subject>Wolff-Parkinson-White Syndrome - etiology</subject><subject>Wolff-Parkinson-White Syndrome - surgery</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9u1DAQxi0EKtvCI1TyAaFyCLVjJ465IFRRqFSJQ-FsTexJ1yj_sJ22eQceGnd3tVdO1nh-39jzfYScc_aRM15f3jFWloWQqr7Q6oNiTKhCviAbzrQq6kaIl2RzRF6T0xh_M8a0ZOyEnGhZqkbLDfl77R-wWBECxacZg8fRIn30aUsDOD91Af8s-W6lFtIWEwYKbQ_JT-MnejPMvbe7ItJuCnSAEe5xwDHRqaMQwnZN28FDpH6kMzoPKXhLYXR0nZbxnoJb-kTnPCJr4hvyqoM-4tvDeUZ-XX_9efW9uP3x7ebqy21hRaNTUVvQWEOttWpF2QqruHCKQWcZsxKaStsSJJOq46JSrYYGXdcKWUkAXrUgzsj7_dw5THm7mMzgo8W-hxGnJRqlq2wiVxms9qANU4wBOzMHP0BYDWfmOQWzS8E8W2y0MrsUjMy688MDSzugO6oOtuf-u0MfooW-CzBaH49YyblgtcjY5z2G2YwHj8FEuwvI-YA2GTf5_3zkH7JRp3E</recordid><startdate>19971201</startdate><enddate>19971201</enddate><creator>Tanel, Ronn E.</creator><creator>Walsh, Edward P.</creator><creator>Triedman, John K.</creator><creator>Epstein, Michael R.</creator><creator>Bergau, Dennis M.</creator><creator>Saul, J.Philip</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19971201</creationdate><title>Five-year experience with radiofrequency catheter ablation: Implications for management of arrhythmias in pediatric and young adult patients</title><author>Tanel, Ronn E. ; Walsh, Edward P. ; Triedman, John K. ; Epstein, Michael R. ; Bergau, Dennis M. ; Saul, J.Philip</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-6ca9e6a6997b32b3c713d70afc00c4a859c2a4047f1357b9a8edfb3454aa15ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Arrhythmias, Cardiac - surgery</topic><topic>Biological and medical sciences</topic><topic>Catheter Ablation - adverse effects</topic><topic>Catheter Ablation - methods</topic><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of the cardiovascular system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Defects, Congenital - complications</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Heart Diseases - complications</topic><topic>Heart Diseases - diagnosis</topic><topic>Heart Diseases - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radio Waves - therapeutic use</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Tachycardia - classification</topic><topic>Tachycardia - etiology</topic><topic>Tachycardia - surgery</topic><topic>Wolff-Parkinson-White Syndrome - etiology</topic><topic>Wolff-Parkinson-White Syndrome - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanel, Ronn E.</creatorcontrib><creatorcontrib>Walsh, Edward P.</creatorcontrib><creatorcontrib>Triedman, John K.</creatorcontrib><creatorcontrib>Epstein, Michael R.</creatorcontrib><creatorcontrib>Bergau, Dennis M.</creatorcontrib><creatorcontrib>Saul, J.Philip</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanel, Ronn E.</au><au>Walsh, Edward P.</au><au>Triedman, John K.</au><au>Epstein, Michael R.</au><au>Bergau, Dennis M.</au><au>Saul, J.Philip</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Five-year experience with radiofrequency catheter ablation: Implications for management of arrhythmias in pediatric and young adult patients</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1997-12-01</date><risdate>1997</risdate><volume>131</volume><issue>6</issue><spage>878</spage><epage>887</epage><pages>878-887</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Objective: A review of the results of the first 5 years of radiofrequency catheter ablation procedures performed at Children's Hospital, Boston, a large tertiary referral center for patients with congenital heart disease and arrhythmias common to the infant, child, and young adult.
Study design: A retrospective review of 410 consecutive procedures in 346 patients who underwent at least one application of radiofrequency energy for the treatment of recurrent supraventricular or ventricular tachycardia.
Results: The overall final success rate for all diagnoses was 90%, with a higher success rate in patients with an accessory pathway (96%). During the 5-year study period, the success rate improved while the rates of failures and late recurrences declined. The incidence of serious complications was 1.2% (1 late death, 1 ventricular dysfunction, 1 complete heart block, 1 cardiac perforation, and 1 cerebrovascular accident).
Conclusions: This report of a large series of radiofrequency catheter ablation procedures performed at an institution committed to treating congenital heart disease and pediatric arrhythmias confirms the safety and efficacy of this procedure. The pediatric cardiologist/electrophysiologist treating such patients must be aware of specific technical, anatomic, and electrophysiologic variations in the pediatric patient that are critical to the success of this therapy. (J Pediatr 1997;131:878-87)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>9427894</pmid><doi>10.1016/S0022-3476(97)70037-4</doi><tpages>10</tpages></addata></record> |
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| ispartof | The Journal of pediatrics, 1997-12, Vol.131 (6), p.878-887 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Adult Arrhythmias, Cardiac - etiology Arrhythmias, Cardiac - surgery Biological and medical sciences Catheter Ablation - adverse effects Catheter Ablation - methods Chi-Square Distribution Child Child, Preschool Diseases of the cardiovascular system Female Follow-Up Studies Heart Defects, Congenital - complications Heart Defects, Congenital - surgery Heart Diseases - complications Heart Diseases - diagnosis Heart Diseases - surgery Humans Infant Infant, Newborn Male Medical sciences Middle Aged Radio Waves - therapeutic use Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Recurrence Retrospective Studies Tachycardia - classification Tachycardia - etiology Tachycardia - surgery Wolff-Parkinson-White Syndrome - etiology Wolff-Parkinson-White Syndrome - surgery |
| title | Five-year experience with radiofrequency catheter ablation: Implications for management of arrhythmias in pediatric and young adult patients |
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