| KUBUŠ, Peter, Pavel VÍT, Roman A. GEBAUER, Libor ZAORAL, Petr PEICHL, Martin FIALA a Jan JANOUŠEK. Long-term results of paediatric radiofrequency catheter ablation: a population-based study. Europace. Oxford: Oxford University Press, 2014, roč. 16, č. 12, s. 1808-1813. ISSN 1099-5129. Dostupné z: https://dx.doi.org/10.1093/europace/euu087. |
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@article{1211799,
author = {Kubuš, Peter and Vít, Pavel and Gebauer, Roman A. and Zaoral, Libor and Peichl, Petr and Fiala, Martin and Janoušek, Jan},
article_location = {Oxford},
article_number = {12},
doi = {http://dx.doi.org/10.1093/europace/euu087},
keywords = {Radiofrequency ablation; Children; Tachycardia; Congenital heart disease; Paediatric},
language = {eng},
issn = {1099-5129},
journal = {Europace},
title = {Long-term results of paediatric radiofrequency catheter ablation: a population-based study},
volume = {16},
year = {2014}
}
TY - JOUR
ID - 1211799
AU - Kubuš, Peter - Vít, Pavel - Gebauer, Roman A. - Zaoral, Libor - Peichl, Petr - Fiala, Martin - Janoušek, Jan
PY - 2014
TI - Long-term results of paediatric radiofrequency catheter ablation: a population-based study
JF - Europace
VL - 16
IS - 12
SP - 1808-1813
EP - 1808-1813
PB - Oxford University Press
SN - 10995129
KW - Radiofrequency ablation
KW - Children
KW - Tachycardia
KW - Congenital heart disease
KW - Paediatric
N2 - Aims: We aimed to evaluate long-term utilization and results of paediatric radiofrequency catheter ablation (RFCA) in a population-based study. Methods: and results Data from all three centres performing paediatric RFCA for the whole population of the Czech Republic between 1993 and 2010 were retrospectively reviewed. A total of 708 ablation procedures in 633 consecutive patients <18 years for 716 different substrates were tracked, with accessory pathways = 439 (61.3%) and atrioventricular nodal reentry tachycardia (AVNRT) = 205 (28.6%) being most frequent. Incidence of RFCA reached 0.049 per 1000 children <18 years of age in the recent era (2006–10). Indications included patient preference (68.0%), drug refractoriness (15.5%), asymptomatic Wolff–Parkinson–White pre-excitation (8.4%), and malignant arrhythmia (6.1%). Median follow-up was 13.7 (interquartile range 5.7–21.5) months. Overall acute/long-term success of the primary procedure was 89.1/77.2% (accessory pathways 87.2/77.7%, AVNRT 98.5/84.4%). Re-ablation was performed in 73 of 163 substrates after a primary unsuccessful ablation resulting in a long-term cumulative efficacy of 96.3%. Between 1993–2005 and 2006–10, procedure/fluoroscopy time decreased from median 154/24 to 105/14 min. (P < 0.001 for both). Serious complications occurred in nine patients (1.4%). Conclusion: This population-based study could replicate data from previous single- or multi-centre reports confirming RFCA as a safe method of arrhythmia treatment in children with long-term cumulative efficacy exceeding 90% and significant decrease in the procedure and fluoroscopy time during the study period. The need for RFCA can be estimated at 0.05/1000 children <18 years using current indication criteria.
ER -
KUBUŠ, Peter, Pavel VÍT, Roman A. GEBAUER, Libor ZAORAL, Petr PEICHL, Martin FIALA a Jan JANOUŠEK. Long-term results of paediatric radiofrequency catheter ablation: a population-based study. \textit{Europace}. Oxford: Oxford University Press, 2014, roč.~16, č.~12, s.~1808-1813. ISSN~1099-5129. Dostupné z: https://dx.doi.org/10.1093/europace/euu087.
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