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Is routine echocardiography valuable after uncomplicated catheter ablation in children?
Cardiol Young 2004; 14(4):386-8CY

Abstract

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.

Authors+Show Affiliations

University Medical Center Utrecht, Utrecht, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Studies
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15680044

Citation

Kammeraad, Janneke A E., et al. "Is Routine Echocardiography Valuable After Uncomplicated Catheter Ablation in Children?" Cardiology in the Young, vol. 14, no. 4, 2004, pp. 386-8.
Kammeraad JA, Sreeram N, van Driel V, et al. Is routine echocardiography valuable after uncomplicated catheter ablation in children? Cardiol Young. 2004;14(4):386-8.
Kammeraad, J. A., Sreeram, N., van Driel, V., Oliver, R., & Balaji, S. (2004). Is routine echocardiography valuable after uncomplicated catheter ablation in children? Cardiology in the Young, 14(4), pp. 386-8.
Kammeraad JA, et al. Is Routine Echocardiography Valuable After Uncomplicated Catheter Ablation in Children. Cardiol Young. 2004;14(4):386-8. PubMed PMID: 15680044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is routine echocardiography valuable after uncomplicated catheter ablation in children? AU - Kammeraad,Janneke A E, AU - Sreeram,Narayanswami, AU - van Driel,Vincent, AU - Oliver,Ron, AU - Balaji,Seshadri, PY - 2005/2/1/pubmed PY - 2005/6/29/medline PY - 2005/2/1/entrez SP - 386 EP - 8 JF - Cardiology in the young JO - Cardiol Young VL - 14 IS - 4 N2 - 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. SN - 1047-9511 UR - https://www.unboundmedicine.com/medline/citation/15680044/Is_routine_echocardiography_valuable_after_uncomplicated_catheter_ablation_in_children L2 - https://www.cambridge.org/core/product/identifier/S1047951104004068/type/journal_article DB - PRIME DP - Unbound Medicine ER -