Catheter ablation in children and adolescents

George M. McDaniel; George F. Van Hare

doi:10.1016/j.hrthm.2005.09.028

Catheter ablation in children and adolescents

George M. McDaniel, George F. Van Hare

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Adult and pediatric interventional electrophysiology practices have been diverging for the past 10 years, and so we review current pediatric ablation practice. Radiofrequency ablation (RFA) is safe and efficacious as documented by recent prospective, multi-center pediatric studies. Computer assisted mapping systems used for complex arrhythmias in adult patients have been successfully deployed in selected pediatric substrates. With increased computational power, decreased catheter size, and increased maneuverability, we expect increased use in the pediatric population. Finally, cryoablation has demonstrated efficacy and safety in locations traditionally associated with increased risk when using RFA, particularly around the AV node. As larger, multi-institutional studies are undertaken, the benefits of this technology in pediatric patients will be better defined.

Original language	English
Pages (from-to)	95-101
Number of pages	7
Journal	Heart rhythm
Volume	3
Issue number	1
DOIs	https://doi.org/10.1016/j.hrthm.2005.09.028
State	Published - Jan 2006

Keywords

Ablation
Children
Cryoablation

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10.1016/j.hrthm.2005.09.028

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AB - Adult and pediatric interventional electrophysiology practices have been diverging for the past 10 years, and so we review current pediatric ablation practice. Radiofrequency ablation (RFA) is safe and efficacious as documented by recent prospective, multi-center pediatric studies. Computer assisted mapping systems used for complex arrhythmias in adult patients have been successfully deployed in selected pediatric substrates. With increased computational power, decreased catheter size, and increased maneuverability, we expect increased use in the pediatric population. Finally, cryoablation has demonstrated efficacy and safety in locations traditionally associated with increased risk when using RFA, particularly around the AV node. As larger, multi-institutional studies are undertaken, the benefits of this technology in pediatric patients will be better defined.

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KW - Cryoablation

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Catheter ablation in children and adolescents

Abstract

Keywords

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