Irrigated-tip catheters for radiofrequency ablation of right-sided accessory pathways in adolescents

被引:5
|
作者
Telishevska, Marta [1 ]
Faelchle, Johannes [1 ]
Buiatti, Alessandra [1 ]
Busch, Sonia [1 ]
Reents, Tilko [1 ]
Bourier, Felix [1 ]
Semmler, Verena [1 ]
Kaess, Bernhard [1 ]
Horndasch, Michaela [1 ]
Kornmayer, Marielouise [1 ]
Kottmaier, Marc [1 ]
Deisenhofer, Isabel [1 ]
Hessling, Gabriele [1 ]
机构
[1] German Heart Ctr Munich, Dept Electrophysiol, Lazarettstr 36, D-80636 Munich, Germany
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2017年 / 40卷 / 10期
关键词
accessory pathways; irrigated-tip catheter; radiofrequency ablation; three-dimensional mapping; PARKINSON-WHITE-SYNDROME; ATRIOVENTRICULAR REENTRANT TACHYCARDIA; SUCCESS RATES; FLUOROSCOPY; CRYOABLATION; CHILDREN; MULTICENTER; EXPERIENCE; EFFICACY; ANATOMY;
D O I
10.1111/pace.13171
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Catheter ablation of right-sided accessory pathways (APs) has lower success and higher recurrence rates compared to left-sided substrates. Irrigated-tip catheter (ITC) ablation might offer an advantage in this setting but data about its use in patients below 18 years are scarce. The aim of this study was to compare an ITC approach to conventional catheter ablation. Methods: A retrospective analysis of all patients<18 years undergoing radiofrequency ablation (RFA) for right-sided APs from 2004 to 2014 at our institution was performed. Patients either underwent an ITC approach in combination with 3-D mapping (Group 1; n=53) or a conventional non-ITC approach (Group 2; n=52). Study endpoints were acute procedural success, safety, and recurrence rate. A total of 105 mostly adolescent patients (56.2% male; median age 14 years) with 107 right-sided APs were included. Results: The prevailing anatomic AP locations were right posteroseptal (44.9%), right anterior/anterolateral (24.3%), and right lateral (13.1%). Acute success (94.3%vs 94.2%) did not differ between the groups. One major complication (pericardial effusion) occurred in the non-ITC group. Overall, freedom from AP recurrence was 94% at 4 years in the ITC group, and 81% at 4 years in the non-ITC group (P=0.04). Conclusions: The use of ITCs in combination with 3-D mapping system for ablation of right-sided APs in adolescents has a high acute success rate, is safe, and associated with a significantly reduced recurrence rate compared to a non-ITC/conventional approach. It might be considered as alternative approach in this age group.
引用
收藏
页码:1167 / 1172
页数:6
相关论文
共 50 条
  • [2] Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation
    Yamane, T
    Jaïs, P
    Shah, DC
    Hocini, M
    Peng, JT
    Deisenhofer, I
    Clémenty, J
    Haïssaguerre, M
    CIRCULATION, 2000, 102 (21) : 2565 - 2568
  • [3] A subvalvular catheter approach for radiofrequency ablation of right-sided accessory pathways
    Wieczorek, Marcus
    Tajtaraghi, Sharam
    Hoeltgen, Reinhard
    JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2019, 56 (01) : 29 - 36
  • [4] Efficacy of Electroanatomical Mapping for Radiofrequency Ablation of Right-sided Accessory Pathways
    Li, Tiejun
    Miyauchi, Yasushi
    Kobayashi, Yoshinori
    Iwasaki, Yu-ki
    Horie, Tsutomu
    Taniguchi, Hiroshi
    Hirasawa, Yasuhiro
    Maruyama, Mitsunori
    Ueno, Akira
    Abe, Junko
    Katoh, Takao
    Takano, Teruo
    JOURNAL OF ARRHYTHMIA, 2005, 21 (04) : 459 - 464
  • [5] A subvalvular catheter approach for radiofrequency ablation of right-sided accessory pathways
    Marcus Wieczorek
    Sharam Tajtaraghi
    Reinhard Hoeltgen
    Journal of Interventional Cardiac Electrophysiology, 2019, 56 : 29 - 36
  • [6] Radiofrequency Catheter Ablation of Right-sided Accessory Pathways During Atrial Fibrillation
    曹克将
    单其俊
    杨志健
    李闻奇
    黄元铸
    顾翔
    何胜虎
    JournalofNanjingMedicalUniversity, 1998, (02) : 102 - 104
  • [7] Irrigated-tip vs conventional-tip catheters for primary ablation of posteroseptal and right free-wall accessory pathways: a prospective randomized study
    Mujovic, Nebojsa
    Grujic, Miodrag
    Mrda, Stevan
    Kocijancic, Aleksandar
    Simic, Dragan
    Mujovic, Natasa
    ACTA CARDIOLOGICA, 2011, 66 (05) : 613 - 618
  • [8] RIGHT-SIDED ACCESSORY PATHWAYS - ELECTRICAL OR SURGICAL ABLATION
    LECLERCQ, JF
    MENASCHE, P
    CAUCHEMEZ, B
    CHOUTY, F
    COUMEL, P
    PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1987, 10 (03): : 705 - 705
  • [9] SUCCESSFUL RADIOFREQUENCY CATHETER ABLATION OF LEFT-SIDED POSTEROSEPTAL ACCESSORY PATHWAYS USING RIGHT ATRIAL APPROACH - LEFT-SIDED OR RIGHT-SIDED PATHWAYS
    DHALA, A
    SRA, J
    DESHPANDE, S
    BLANCK, Z
    AKHTAR, M
    JAZAYERI, M
    CIRCULATION, 1992, 86 (04) : 722 - 722
  • [10] Biophysics and clinical utility of irrigated-tip radiofrequency catheter ablation
    Houmsse, Mahmoud
    Daoud, Emile G.
    EXPERT REVIEW OF MEDICAL DEVICES, 2012, 9 (01) : 59 - 70