|
|
|
| Clinical curative effect evaluation of the radiofrequency catheter ablation on supraventricular tachycardia in children |
| LU Ying-1, WU Lin-2, QI Chun-Hua-2, HE Lan-2, ZHANG Dan-Yan-2, LIU Fang-2 |
| （1.Catheterization laboratory， Department of Cardiology，Children's Hospital of Fudan University， Shanghai， China， 201102） |
|
|
|
|
Abstract Objective To assess efficacy and safety of radiofrequency catheter ablation for su-praventricular tachycardia in pediatric patients. Methods A retrospective study was made in a total of 39 pediatric patients， who underwent radiofrequency catheter ablation for supraventricular tachy-cardia in our institute. Results Structural heart disease was excluded in all of the patients， inclu-ding 21 boys and 18 girls，with mean age 11.0±3.5 years（range 4.7 to 18.4 years）. Electro-physiologic studies revealed atrioventricular reentry，atrioventricular nodal reentry and ectopic atrial tachycardia in 25，11 and 3 patients，accounting for 64.1%，28.2% and 7.7%，respectively. Among 25 patients with atrioventricular reentry tachycardia，12 patients had Wolff-Parkinson-White accessory pathway and the other 13 patients had concealed pathway. The involving pathways located in left free-wall，right free-wall and right septum were identified in 9，8 and 8 patients respectively. Ablation success was achieved in 37 patients（94.9%） and recurrence occurred in 2 patients （5.1%）. No complication was found. Conclusions Our primary experience indicated radiofrequency catheter ablation is a safe and effective therapy for children with supraventricular tachycardia.
|
|
|
|
|
|
| ［1］ Salerno JC， Seslar SP. Supraventricular tachycardia［J］. Arch Pediatr Adolesc Med， 2009，163（3）:268-274. ［2］ Karpawich PP， Pettersen MD， Gupta P， et al. Infants and children with tachycardia: natural history and drug administration［J. Curr Pharm Des， 2008，14（8）:743- 752. ［3］李小梅. 小儿心律失常学［M］. 北京:科学出版社， 2004， 365-366. ［4］李小梅，丁燕生，李万镇，等. 小儿室上性心动过速的心内电生理研究及射频消蚀治疗［J］. 中华儿科杂志， 1996， 34（1）: 149-151. ［5］周菁，丁燕生，杨俊娟，等. 无器质性心脏病儿童房性心动过速的射频消融治疗［J］. 中国介入心脏病学杂志， 2009，17（3）: 130-132. ［6］杨晓东，黄敏，廖德宁，等.射频消融术治疗儿童房性心动过速的体会［J］. 中国小儿急救医学， 2006， 13 （1）: 60-61. ［7］史晓静，陶贵周. 阵发性室上性心动过速的导管射频消融治疗进展［J］. 心脏杂志， 2008， 20（3）: 363-365. ［8］刘德平，郭继鸿，李学斌，等. 儿童室上性心动过速的射频导管消融治疗［J］. 中华心律失常学杂志， 2006， 10（1）: 54-55. ［9］赵鹏军，马骊，汪希珂，等. 108例儿童阵发性室上性心动过速射频消融治疗［J］. 中国当代儿科杂志， 2011， 13（7）: 590-592. ［10］范西真，严激，徐健，等. 射频消融治疗儿童阵发性室上性心动过速36例临床疗效观察［J］. 临床心电学杂 志， 2005， 14（3）: 191-193. ［11］孟伟栋，汪芳，陈岗，等. 右侧房室旁道射频消融治疗室上性心动过速［J］.中国临床医学， 2008， 15（3）: 299-300. |
| [1] |
Sun-Yuan-Jun, XIAO Xian-Jie, YU Xiao-Hong, ZHANG Duo-Duo, WANG Zhong-Zhen, ZHANG Rong-Feng, LI Guo-Cao, DONG Ying-Xue, YIN Xiao-Meng, GAO Lian-Jun, YANG Yan-Zong, XIA Yun-Long. Electrocardiographic characteristics of idiopathic outflow tract ventricular premature with monomorphic tachycardia[J]. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2019, 28(5): 329-332. |
|
|
|
|
2012, Vol. 21 
