Van Hare G F
Department of Pediatrics, Rainbow Babies and Childrens Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Adv Pediatr. 1994;41:83-109.
Since their introduction 4 years ago in children, radiofrequency ablation techniques for definitive management of cardiac arrhythmias have evolved dramatically. All forms of abnormal tachycardia in children are now amenable to ablation. The success rates are high, and the procedure-related and short-term risks of ablation are very low. Radiofrequency ablation offers significant advantages over cardiac surgery as well as over long-term or lifetime administration of antiarrhythmic medications. The application of these techniques to children requires, in addition to experience in electrophysiology, a thorough knowledge of developmental issues in children, pediatric catheterization techniques, and a detailed knowledge of congenital heart disease. Although the impressive safety of the technique in the short term suggests that it should be considered as first-choice therapy for children with serious tachyarrhythmias, unresolved questions about the long-term safety of the technique suggest that a cautious approach should be taken in the application of radiofrequency ablation to the pediatric age group, and particularly in younger children and infants.
自4年前将其引入儿童治疗以来，用于心脏心律失常确定性治疗的射频消融技术已经有了显著发展。目前，儿童所有形式的异常心动过速都可通过消融治疗。成功率很高，且消融相关的手术风险和短期风险非常低。与心脏手术以及长期或终身服用抗心律失常药物相比，射频消融具有显著优势。将这些技术应用于儿童，除了需要有电生理学经验外，还需要全面了解儿童发育问题、儿科导管插入技术以及先天性心脏病的详细知识。尽管该技术在短期内令人印象深刻的安全性表明它应被视为严重快速心律失常儿童的首选治疗方法，但关于该技术长期安全性的未解决问题表明，在将射频消融应用于儿童年龄组时，尤其是年幼儿童和婴儿，应采取谨慎的方法。
