Results of radiofrequency catheter ablation in children and adolescent with tachyarrhythmia / 소아과
Korean Journal of Pediatrics
;
: 1085-1090, 2007.
Artículo
en Coreano
| WPRIM
| ID: wpr-133342
ABSTRACT
PURPOSE:
Radiofrequency catheter ablation (RFCA) has become an effective therapeutic modality for treating pediatric tachyarrhythmias. Using conventional RFCA catheters, ablation of parahisian accessory pathways may be difficult and have high risk for heart block. We reviewed the efficacy and complications of the RFCA in children and adolescent with arrhythmias including parahisian accessory pathways.METHODS:
We studied 48 patients (aged 2 years to 20 years) who had undergone RFCA from August 2003 to March 2007. We reviewed clinical findings, electrophysiologic studies, RFCA data, complications, and follow-up results of the patients.RESULTS:
Mean age of the patients was 13.1 years. Numbers and types of arrhythmias (age, acute success rate) were as follows 19 WPW syndrome including 5 parahisian accessory pathways (13.74.6 yr, 18/19), 11 atrioventricular reentrant tachycardia with concealed bypass tract (12.35.0 yr, 10/11), 13 atrioventricular nodal reentrant tachycardia (12.64.4 yr, 13/13), 4 atrial flutter (13.07.4 yr, 3/4), and 1 ventricular tachycardia (20 yr, 1/1). Associated cardiac structural lesion was not detected in 48 patients. The recurrence rate was 6.5%, and the final success rate was 93.8%.CONCLUSION:
These results suggest that RFCA is a highly effective treatment method in children and adolescent with tachyarrhythmia.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Arritmias Cardíacas
/
Recurrencia
/
Aleteo Atrial
/
Taquicardia
/
Síndrome de Wolff-Parkinson-White
/
Taquicardia por Reentrada en el Nodo Atrioventricular
/
Estudios de Seguimiento
/
Taquicardia Ventricular
/
Ablación por Catéter
/
Catéteres
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adolescente
/
Niño
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Pediatrics
Año:
2007
Tipo del documento:
Artículo
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