Abstract | AIMS: METHODS AND RESULTS: Three cases of RFA carried out in infancy on ECMO support were reviewed retrospectively. Two infants with permanent junctional reciprocating tachycardia (PJRT) and one with ventricular tachycardia (VT) presented in a low cardiac output state, owing to cardiomyopathy caused by incessant tachycardia. In each case antiarrhythmic drug therapy caused haemodynamic collapse, requiring emergency ECMO support. Drug therapy on ECMO was not successful. In one patient, the tachycardia was controlled on ECMO with antiarrhythmic drugs, but recurred following ECMO decannulation. Each patient had a successful RFA on ECMO support. Power delivery was low during ablation lesions. In the PJRT cases power as low as 3-5 Watts was effective. In the VT ablation, an irrigated tip RFA catheter was required when cooling remained poor even after temporarily stopping ECMO flow. CONCLUSION:
|
Authors | Suhair O Shebani, G Andre Ng, Peter Stafford, Christopher Duke |
Journal | Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
(Europace)
Vol. 17
Issue 4
Pg. 622-7
(Apr 2015)
ISSN: 1532-2092 [Electronic] England |
PMID | 25833881
(Publication Type: Case Reports, Journal Article)
|
Copyright | Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: [email protected]. |
Topics |
- Catheter Ablation
(methods)
- Chronic Disease
- Combined Modality Therapy
(methods)
- Critical Care
(methods)
- Extracorporeal Membrane Oxygenation
(methods)
- Female
- Humans
- Infant
- Infant, Newborn
- Male
- Tachycardia, Ventricular
(diagnosis, therapy)
- Treatment Outcome
|