Is routine echocardiography valuable after uncomplicated catheter ablation in children?

Autor: Janneke A. E. Kammeraad, Seshadri Balaji, Narayanswami Sreeram, Vincent J. van Driel, Ron Oliver
Rok vydání: 2004
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Supraventricular Tachyarrhythmias
Catheter ablation
Doppler echocardiography
Risk Assessment
Sensitivity and Specificity
Asymptomatic
Postoperative Complications
Preoperative Care
Tachycardia
Supraventricular
medicine
Humans
Postoperative Period
cardiovascular diseases
Child
Monitoring
Physiologic
Retrospective Studies
Pericardial drainage
medicine.diagnostic_test
business.industry
Infant
Newborn
Infant
General Medicine
Surgery
Treatment Outcome
Radiofrequency catheter ablation
Child
Preschool
Pediatrics
Perinatology and Child Health
Catheter Ablation
cardiovascular system
Clinical value
Female
Radiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Focal atrial tachycardia
Echocardiography
Transesophageal
Follow-Up Studies
Zdroj: Cardiology in the Young. 14:386-388
ISSN: 1467-1107
1047-9511
DOI: 10.1017/s1047951104004068
Popis: We determined the clinical value of routine transthoracic echocardiography performed after catheter ablation of supraventricular tachyarrhythmias in children. Between April 1996 and December 2003, 253 children, of whom 135 male, with the overall group having a median age of 9, ranging from 0.1 to 19 years, underwent 280 uncomplicated radiofrequency catheter ablation procedures for supraventricular tachyarrhythmias at three institutions. In every child, transthoracic Doppler echocardiography was performed before and after the procedure. The pre-ablation transthoracic echocardiograms were normal in all, and this was one of the criterions for inclusion. The post-ablation echocardiogram showed a disorder in four asymptomatic patients. In one patient, with focal atrial tachycardia, ablated via a retrograde aortic approach, there was mild aortic valvar insufficiency. This had resolved 6 months later. Pericardial effusions developed in 3 other children. In 2 the effusions resolved spontaneously but 1 patient required pericardial drainage. This same patient also developed clinically asymptomatic mild aortic insufficiency, which resolved spontaneously within 6 months. Routine echocardiography after uncomplicated catheter ablation procedures is of clinical value, and is especially indicated when a retrograde aortic approach has been used.
Databáze: OpenAIRE
Externí odkaz: