Display options
Cite
Thomas PE, Macicek SL. Catheter Ablation to Treat Supraventricular Arrhythmia in Children and Adults With Congenital Heart Disease: What We Know and Where We Are Going. Ochsner J. 2016;16(3):290-6
Thomas, P. E., & Macicek, S. L. (2016). Catheter Ablation to Treat Supraventricular Arrhythmia in Children and Adults With Congenital Heart Disease: What We Know and Where We Are Going. The Ochsner journal, 16(3), 290-6.
Thomas, Patricia E, and Macicek, Scott L. "Catheter Ablation to Treat Supraventricular Arrhythmia in Children and Adults With Congenital Heart Disease: What We Know and Where We Are Going." The Ochsner journal vol. 16,3 (2016): 290-6.
Thomas PE, Macicek SL. Catheter Ablation to Treat Supraventricular Arrhythmia in Children and Adults With Congenital Heart Disease: What We Know and Where We Are Going. Ochsner J. 2016;16(3):290-6. PMID: 27660579; PMCID: PMC5024812.
Copy Download .nbib Format: NLM
Share it on

Ochsner J. 2016;16(3):290-6.

Catheter Ablation to Treat Supraventricular Arrhythmia in Children and Adults With Congenital Heart Disease: What We Know and Where We Are Going.

The Ochsner journal

Patricia E Thomas, Scott L Macicek

Affiliations

  1. Department of Pediatric Cardiology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.
  2. Department of Pediatric Cardiology, Ochsner Clinic Foundation, New Orleans, LA.

PMID: 27660579 PMCID: PMC5024812

Abstract

BACKGROUND: Catheter ablation has been used to manage supraventricular arrhythmia in children since 1990. This article reviews the history of catheter ablation used to treat arrhythmia in children and discusses new frontiers in the field. We also address ablation in adult patients with a history of congenital heart disease (CHD) that was diagnosed and initially treated in childhood.

METHODS: We conducted an evidence-based literature review to gather available data on ablation for supraventricular tachycardia in children and adult patients with CHD.

RESULTS: Ablations can be performed safely and effectively in children. Complication rates are higher in children <4 years and <15 kg. In one study, the overall success rate of radiofrequency ablation in pediatrics was 95.7%, with the highest success rate in left free wall pathways (97.8%). Recurrence was higher in septal pathways. Cryoablation has been reported to have a 93% acute success rate for atrioventricular (AV) nodal reentrant tachycardia and septal pathways with no risk of AV block and a 5%-9% risk of recurrence. Three-dimensional mapping, intracardiac echocardiography, remote magnetic navigation, and irrigated catheter ablation are new technologies used to treat pediatric and adult patients with CHD. The population of adult patients with CHD is growing, and these patients are at particularly high risk for arrhythmia. A paucity of data is available on ablation in adult patients with CHD.

CONCLUSION: Electrophysiology for pediatric and adult patients with CHD is a rapidly growing and progressing field. We benefit from continuous development of ablation techniques for adults with structurally normal hearts and have the unique challenge and responsibility to ensure the safe and effective application of these techniques in the vulnerable population of pediatric and adult patients with CHD.

Keywords: Catheter ablation; child; heart diseases; tachycardia–supraventricular

References

  1. Pacing Clin Electrophysiol. 2000 Jun;23(6):1020-8 - PubMed
  2. Circulation. 2000 Dec 5;102(23):2856-60 - PubMed
  3. J Cardiovasc Electrophysiol. 2002 Apr;13(4):336-41 - PubMed
  4. Pacing Clin Electrophysiol. 2002 Jun;25(6):1000-17 - PubMed
  5. Am J Cardiol. 2003 Oct 15;92(8):947-50 - PubMed
  6. J Cardiovasc Electrophysiol. 2004 Jul;15(7):759-70 - PubMed
  7. Heart Rhythm. 2004 Sep;1(3):268-75 - PubMed
  8. Heart Rhythm. 2005 Feb;2(2):212-4 - PubMed
  9. Heart Rhythm. 2006 Jan;3(1):95-101 - PubMed
  10. Pacing Clin Electrophysiol. 2006 Sep;29(9):971-8 - PubMed
  11. Pacing Clin Electrophysiol. 2007 Apr;30(4):510-8 - PubMed
  12. Pacing Clin Electrophysiol. 2008 Mar;31(3):283-9 - PubMed
  13. Indian Pacing Electrophysiol J. 2008 May 01;8(Suppl. 1):S55-74 - PubMed
  14. Am J Cardiol. 2008 Oct 1;102(7):913-5 - PubMed
  15. J Interv Card Electrophysiol. 2010 Nov;29(2):139-45 - PubMed
  16. Methodist Debakey Cardiovasc J. 2011 Apr-Jun;7(2):13-7 - PubMed
  17. Pacing Clin Electrophysiol. 2011 Oct;34(10):1288-396 - PubMed
  18. Heart Rhythm. 2012 Jun;9(6):1006-24 - PubMed
  19. Circ Arrhythm Electrophysiol. 2012 Aug 1;5(4):804-8 - PubMed
  20. J Interv Card Electrophysiol. 2012 Nov;35(2):235-42 - PubMed
  21. J Am Soc Echocardiogr. 2014 Sep;27(9):984-90 - PubMed
  22. Card Electrophysiol Clin. 2015 Mar;7(1):117-23 - PubMed
  23. Europace. 2015 Aug;17(8):1229-35 - PubMed
  24. J Cardiovasc Electrophysiol. 2016 Jan;27(1):102-9 - PubMed
  25. J Cardiovasc Electrophysiol. 2016 Mar;27(3):347-50 - PubMed
  26. Pacing Clin Electrophysiol. 2016 Jun;39(6):574-80 - PubMed
  27. J Cardiovasc Electrophysiol. 2016 Mar;27 Suppl 1:S45-56 - PubMed
  28. J Atr Fibrillation. 2014 Apr 30;6(6):1066 - PubMed
  29. Int J Cardiol. 1995 Jun 30;50(2):143-51 - PubMed
  30. Eur Heart J. 1993 Dec;14(12):1644-53 - PubMed
  31. Am J Cardiol. 1993 Sep 15;72(9):689-93 - PubMed
  32. J Am Coll Cardiol. 1993 Sep;22(3):883-90 - PubMed
  33. Am J Cardiol. 1997 Dec 1;80(11):1438-43 - PubMed
  34. Circulation. 1999 Jan 19;99(2):262-70 - PubMed

Publication Types