PACES/HRS expert consensus statement on the use of catheter ablation in children and patients with congenital heart disease Developed in partnership with the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American Academy of Pediatrics (AAP), the American Heart Association (AHA), and the Association for European Pediatric and Congenital Cardiology (AEPC)

被引：143

作者：

Saul, J. Philip ^{[1
]}

Kanter, Ronald J. ^{[2
]}

Abrams, Dominic ^{[3
]}

Asirvatham, Sam ^{[4
]}

Bar-Cohen, Yaniv ^{[5
]}

Blaufox, Andrew D. ^{[6
]}

Cannon, Bryan ^{[4
]}

Clark, John ^{[7
]}

Dick, Macdonald ^{[8
]}

Freter, Anne ^{[9
]}

Kertesz, Naomi J. ^{[10
]}

Kirsh, Joel A. ^{[11
]}

Kugler, John ^{[12
]}

LaPage, Martin ^{[8
]}

McGowan, Francis X. ^{[13
]}

Miyake, Christina Y. ^{[14
]}

Nathan, Aruna ^{[13
]}

Papagiannis, John ^{[15
]}

Paul, Thomas ^{[16
]}

Pflaumer, Andreas ^{[17
,18
]}

Skanes, Allan C. ^{[19
]}

Stevenson, William G. ^{[20
]}

Von Bergen, Nicholas ^{[21
]}

Zimmerman, Frank ^{[9
]}

机构：

[1] W Virginia Univ, Sch Med, Miami, FL USA

[2] Miami Childrens Hosp, Miami, FL USA

[3] Univ Michigan, CS Mott Childrens Hosp, Ann Arbor, MI 48109 USA

[4] Mayo Clin, Rochester, MN USA

[5] Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA

[6] Hofstra North Shore LIJ Sch Med, New Hyde Pk, NY USA

[7] Akron Childrens Hosp, Akron, OH USA

[8] Univ Michigan, Ann Arbor, MI 48109 USA

[9] Advocate Childrens Hosp, Oak Lawn, IL USA

[10] Ohio State Univ, Nationwide Childrens Hosp, Columbus, OH 43210 USA

[11] Univ Toronto, Hosp Sick Children, Toronto, ON M5G 1X8, Canada

[12] Univ Nebraska, Coll Med, Childrens Hosp & Med Ctr, Omaha, NE 68198 USA

[13] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Philadelphia, PA 19104 USA

[14] Texas Childrens Hosp, Baylor Coll Med, Houston, TX 77030 USA

[15] Childrens Mercy Hosp, Kansas City, KS USA

[16] Univ Gottingen, Med Ctr, D-37073 Gottingen, Germany

[17] Royal Childrens Hosp, MCRI, Melbourne, Vic, Australia

[18] Univ Melbourne, Melbourne, Vic, Australia

[19] London Hlth Sci Ctr, London, ON, Canada

[20] Harvard Univ, Brigham & Womens Hosp, Sch Med, Boston, MA 02115 USA

[21] Univ Wisconsin, Madison, WI USA

来源：

HEART RHYTHM | 2016年 / 13卷 / 06期

关键词：

NODAL REENTRANT TACHYCARDIA; JUNCTIONAL ECTOPIC TACHYCARDIA; PARKINSON-WHITE-SYNDROME; ATRIOVENTRICULAR RECIPROCATING TACHYCARDIA; FASCICULAR VENTRICULAR-TACHYCARDIA; OUTFLOW TRACT TACHYCARDIA; FOCAL ATRIAL TACHYCARDIA; SLOW PATHWAY ABLATION; RADIOFREQUENCY ABLATION; SUPRAVENTRICULAR TACHYCARDIA;

D O I：

10.1016/j.hrthm.2016.02.009

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In the twelve years since publication of the last ablation guidelines for children and for all patients with CHD, advancements in imaging technologies and ablation energy sources have dominated the field and disproportionately influenced clinical practice. The general availability of EAM systems has led to a reduction in reliance on ionizing radiation for catheter manipulation and has helped refine the identification of arrhythmia substrates in abnormal anatomies. More robust use of higher-energy RF sources now results in greater ablation efficacy in patients with CHD; and, conversely, ablation using cryoenergy permits safer ablation of substrates in the most vulnerable parts of the heart. Together, these experiences have helped inform the recommendations in this document. In the coming years, it is expected that recently initiated registry-based projects will enable benchmarking of outcomes that will inspire the next iteration of guidelines.

引用

页码：E251 / +

页数：39

共 286 条

[1] Ventricular Dyssynchrony and Function Improve following Catheter Ablation of Nonseptal Accessory Pathways in Children [J].