Radiofrequency catheter abilation of midseptal and anteroseptal accessory atrioventricular pathways in pediatric patients

  • S. Y. Prorok Ukrainian Children’s Cardiac Center (Kyiv)
  • O. V. Doronin Shupyk National Medical Academy of Postgraduate Education (Kyiv)
  • M. S. Meshkova Ukrainian Children’s Cardiac Center (Kyiv)
Keywords: accessory atrioventricular pathways, radiofrequency catheter abilation

Abstract

Method of discrete exposure to radiofrequency current was used in 46 patients with midseptal and anteroseptal accessory atrioventricular pathways. No cases of iatrogenic AV-block were observed in the immediate and late periods.

The overall effectiveness of the method is 73,3%. Our approach in treating this group of patients is safe and perfectly acceptable alternative to chronic antiarrhythmic therapy in children.

References

1. Стычинский А. С., Альмиз П. О., Доронин О. В. Профилактика нарушений атриовентрикулярной проводимости при катетерном устранении ре-энтритахикардии предсердно-желудочкового узла // Український кардіологічний журнал. – 2002. – № 6. – С. 84–87.

2. Joseph J. P. and Rajappan K. Radiofrequency ablation of cardiac arrhythmias: past, present and future // QJMed. – 2012. – Vol. 105. – P. 303–314.

3. Ngai-yin Chan. Catheter ablation of peri-nodal and pulmonary veno-atrial substrates: should it be cool? // Europace. – 2015. – Vol. 17. – ii19–ii30 doi:10.1093/europace/euv230

4. Vukmiroviс2M., Angelkov L., Vukmiroviс2F., Vukmiroviс2 I. T. Radiofrequency ablation of anteroseptal accessory pathway – a challenge to the electrophysiologist // Vojnosanit Pregl. – 2015 Apr. – Vol. 72 (4). – P. 375–8.

5. Liberman L., Spar D. S., Nash M. C.., Silver E. S. Cryoablation of anteroseptal accessory pathways with a his bundle electrogram on the ablation catheter // Indian Pacing Electrophysiol J. – 2014 Dec 5. – Vol. 14 (6). – P. 284–90.

6. Haissaguerre M., Marcus F., Poquet F., Gencel L., Le Metayer P., Clementy J. Electrocardiographic characteristics and catheter ablationofparahissian accessory pathways // Circulation. – 1994. – Vol. 90 (3). – P. 1124–8.
Published
2016-09-12
How to Cite
1.
Prorok SY, Doronin OV, Meshkova MS. Radiofrequency catheter abilation of midseptal and anteroseptal accessory atrioventricular pathways in pediatric patients. ujcvs [Internet]. 2016Sep.12 [cited 2024Dec.22];(2 (25):87-9. Available from: http://cvs.org.ua/index.php/ujcvs/article/view/243
Section
HEART RHYTHM DISORDER