Arrhythmia in Children and Adolescents and Outcome of Radiofrequency Ablation for Tachyarrhythmias - A Single Center Experience Over 16 Years.

作者信息

Bera Debabrata, Ramalingam Vadivelu, Rathi Chetan, Sharma Rajeev, Bachani Neeta, Lokhandwala Yash

机构信息

Department of Electrophysiology, Holy Family Hospital, Mumbai, India. Correspondence to: Dr Debabrata Bera, Holy Family Hospital, Hill Road, Bandra(West), Mumbai 400050,India.

Department of Electrophysiology, Holy Family Hospital, Mumbai, India.

出版信息

Indian Pediatr. 2020 Dec 15;57(12):1127-1130. Epub 2020 Jun 12.

OBJECTIVE

Radiofrequency (RF) ablation for tachycardia in children poses challenges in view of slender veins and delicate cardiac structures in close proximity.

METHODS

We reviewed hospital records for patients below 18 years,who underwent RF ablation from August, 2001 to February, 2017 at a single hospital.

RESULTS

Among 214 patients (134 males, age12.5 (4.6) years), there were 221 tachycardia substrates: accessory pathways in 85 patients (39%), AV nodal re-entrant tachycardia in 79 patients (36%), ventricular tachycardia in 28 patients (13%) and atrial tachycardia in 21 patients (9.6%).The overall success rate of RF ablation was 95% (204/214). Success rate in those younger than 6 years was similar to those in older age groups. There were no major complication.

CONCLUSIONS

RF ablation below 18 years of age has a high success rates and low complications.