Abstract |
The safety and efficacy of radiofrequency catheter modification of the atrioventricular node for atrioventricular nodal reentrant tachycardia in the pediatric population is described. Twenty-one patients with a mean age of 14.9 +/- 3.6 years underwent slow-pathway atrioventricular nodal modification with a stepwise anatomic approach. The average cumulative fluoroscopy exposure time (22 procedures in 21 patients) inclusive of the electrophysiologic study was 36.1 +/- 22 minutes. Noninducibility of tachycardia was achieved in all patients with one procedural complication ( hemothorax). During a mean follow-up of 15 +/- 9.06 months, tachycardia recurred in one patient. Patient and family acceptance and satisfaction with the procedure was high. Because of the curative potential of radiofrequency catheter modification with low associated short- and long-term risks, it may be considered as a primary treatment option in pediatric patients with symptomatic atrioventricular nodal reentrant tachycardia.
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Authors | A Dhala, S Bremner, S Deshpande, Z Blanck, A Natale, J Sra, M Jazayeri, M Akhtar |
Journal | American heart journal
(Am Heart J)
Vol. 128
Issue 5
Pg. 903-7
(Nov 1994)
ISSN: 0002-8703 [Print] United States |
PMID | 7942482
(Publication Type: Clinical Trial, Journal Article)
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Topics |
- Adolescent
- Atrioventricular Node
(surgery)
- Cardiac Pacing, Artificial
- Catheter Ablation
- Child
- Electrocardiography
- Female
- Fluoroscopy
- Follow-Up Studies
- Humans
- Male
- Risk Factors
- Tachycardia, Atrioventricular Nodal Reentry
(diagnosis, surgery)
- Time Factors
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