Cryotherapy ablation of parahisian accessory pathways in children.
Identifieur interne : 000510 ( PubMed/Corpus ); précédent : 000509; suivant : 000511Cryotherapy ablation of parahisian accessory pathways in children.
Auteurs : Moshe Swissa ; Einat Birk ; Tamir Dagan ; Michal Fogelman ; Tom Einbinder ; Elchanan Bruckheimer ; Ilan Goldenberg ; Robert Klempfner ; Joel A. Kirsh ; Rami FogelmanSource :
- Heart rhythm [ 1556-3871 ] ; 2015.
English descriptors
- KwdEn :
- Accessory Atrioventricular Bundle (physiopathology), Accessory Atrioventricular Bundle (surgery), Adolescent, Child, Cryosurgery (adverse effects), Cryosurgery (methods), Echocardiography (methods), Electrophysiologic Techniques, Cardiac (methods), Female, Fluoroscopy (methods), Follow-Up Studies, Humans, Intraoperative Care (methods), Israel, Male, Operative Time, Recurrence, Retrospective Studies, Treatment Outcome, Wolff-Parkinson-White Syndrome (diagnosis), Wolff-Parkinson-White Syndrome (physiopathology), Wolff-Parkinson-White Syndrome (surgery).
- MESH :
- geographic : Israel.
- adverse effects : Cryosurgery.
- diagnosis : Wolff-Parkinson-White Syndrome.
- methods : Cryosurgery, Echocardiography, Electrophysiologic Techniques, Cardiac, Fluoroscopy, Intraoperative Care.
- physiopathology : Accessory Atrioventricular Bundle, Wolff-Parkinson-White Syndrome.
- surgery : Accessory Atrioventricular Bundle, Wolff-Parkinson-White Syndrome.
- Adolescent, Child, Female, Follow-Up Studies, Humans, Male, Operative Time, Recurrence, Retrospective Studies, Treatment Outcome.
Abstract
Because of its safety profile, cryoablation has become an alternative therapy for septal arrhythmias, including parahisian accessory pathways (APs). Data regarding its efficacy, safety, and late outcome for parahisian APs in children are limited.
DOI: 10.1016/j.hrthm.2015.01.042
PubMed: 25640635
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Electronic address: swissam@mail.huji.ac.il.</nlm:affiliation></affiliation></author><author><name sortKey="Birk, Einat" sort="Birk, Einat" uniqKey="Birk E" first="Einat" last="Birk">Einat Birk</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Dagan, Tamir" sort="Dagan, Tamir" uniqKey="Dagan T" first="Tamir" last="Dagan">Tamir Dagan</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Fogelman, Michal" sort="Fogelman, Michal" uniqKey="Fogelman M" first="Michal" last="Fogelman">Michal Fogelman</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Einbinder, Tom" sort="Einbinder, Tom" uniqKey="Einbinder T" first="Tom" last="Einbinder">Tom Einbinder</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Bruckheimer, Elchanan" sort="Bruckheimer, Elchanan" uniqKey="Bruckheimer E" first="Elchanan" last="Bruckheimer">Elchanan Bruckheimer</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Goldenberg, Ilan" sort="Goldenberg, Ilan" uniqKey="Goldenberg I" first="Ilan" last="Goldenberg">Ilan Goldenberg</name><affiliation><nlm:affiliation>Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Klempfner, Robert" sort="Klempfner, Robert" uniqKey="Klempfner R" first="Robert" last="Klempfner">Robert Klempfner</name><affiliation><nlm:affiliation>Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Kirsh, Joel A" sort="Kirsh, Joel A" uniqKey="Kirsh J" first="Joel A" last="Kirsh">Joel A. Kirsh</name><affiliation><nlm:affiliation>Labatt Family Heart Centre and Department of Pediatrics, Hospital for Sick Children and University of Toronto, Toronto, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Fogelman, Rami" sort="Fogelman, Rami" uniqKey="Fogelman R" first="Rami" last="Fogelman">Rami Fogelman</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25640635</idno><idno type="pmid">25640635</idno><idno type="doi">10.1016/j.hrthm.2015.01.042</idno><idno type="wicri:Area/PubMed/Corpus">000510</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000510</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Cryotherapy ablation of parahisian accessory pathways in children.</title><author><name sortKey="Swissa, Moshe" sort="Swissa, Moshe" uniqKey="Swissa M" first="Moshe" last="Swissa">Moshe Swissa</name><affiliation><nlm:affiliation>Kaplan Medical Center, Rehovot, The Hebrew University, Jerusalem, Israel. Electronic address: swissam@mail.huji.ac.il.</nlm:affiliation></affiliation></author><author><name sortKey="Birk, Einat" sort="Birk, Einat" uniqKey="Birk E" first="Einat" last="Birk">Einat Birk</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Dagan, Tamir" sort="Dagan, Tamir" uniqKey="Dagan T" first="Tamir" last="Dagan">Tamir Dagan</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Fogelman, Michal" sort="Fogelman, Michal" uniqKey="Fogelman M" first="Michal" last="Fogelman">Michal Fogelman</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Einbinder, Tom" sort="Einbinder, Tom" uniqKey="Einbinder T" first="Tom" last="Einbinder">Tom Einbinder</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Bruckheimer, Elchanan" sort="Bruckheimer, Elchanan" uniqKey="Bruckheimer E" first="Elchanan" last="Bruckheimer">Elchanan Bruckheimer</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Goldenberg, Ilan" sort="Goldenberg, Ilan" uniqKey="Goldenberg I" first="Ilan" last="Goldenberg">Ilan Goldenberg</name><affiliation><nlm:affiliation>Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Klempfner, Robert" sort="Klempfner, Robert" uniqKey="Klempfner R" first="Robert" last="Klempfner">Robert Klempfner</name><affiliation><nlm:affiliation>Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author><author><name sortKey="Kirsh, Joel A" sort="Kirsh, Joel A" uniqKey="Kirsh J" first="Joel A" last="Kirsh">Joel A. Kirsh</name><affiliation><nlm:affiliation>Labatt Family Heart Centre and Department of Pediatrics, Hospital for Sick Children and University of Toronto, Toronto, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Fogelman, Rami" sort="Fogelman, Rami" uniqKey="Fogelman R" first="Rami" last="Fogelman">Rami Fogelman</name><affiliation><nlm:affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Heart rhythm</title><idno type="eISSN">1556-3871</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accessory Atrioventricular Bundle (physiopathology)</term><term>Accessory Atrioventricular Bundle (surgery)</term><term>Adolescent</term><term>Child</term><term>Cryosurgery (adverse effects)</term><term>Cryosurgery (methods)</term><term>Echocardiography (methods)</term><term>Electrophysiologic Techniques, Cardiac (methods)</term><term>Female</term><term>Fluoroscopy (methods)</term><term>Follow-Up Studies</term><term>Humans</term><term>Intraoperative Care (methods)</term><term>Israel</term><term>Male</term><term>Operative Time</term><term>Recurrence</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Wolff-Parkinson-White Syndrome (diagnosis)</term><term>Wolff-Parkinson-White Syndrome (physiopathology)</term><term>Wolff-Parkinson-White Syndrome (surgery)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Israel</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cryosurgery</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cryosurgery</term><term>Echocardiography</term><term>Electrophysiologic Techniques, Cardiac</term><term>Fluoroscopy</term><term>Intraoperative Care</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Accessory Atrioventricular Bundle</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Accessory Atrioventricular Bundle</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Operative Time</term><term>Recurrence</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Because of its safety profile, cryoablation has become an alternative therapy for septal arrhythmias, including parahisian accessory pathways (APs). Data regarding its efficacy, safety, and late outcome for parahisian APs in children are limited.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25640635</PMID><DateCreated><Year>2015</Year><Month>04</Month><Day>27</Day></DateCreated><DateCompleted><Year>2016</Year><Month>02</Month><Day>04</Day></DateCompleted><DateRevised><Year>2016</Year><Month>12</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1556-3871</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>5</Issue><PubDate><Year>2015</Year><Month>May</Month></PubDate></JournalIssue><Title>Heart rhythm</Title><ISOAbbreviation>Heart Rhythm</ISOAbbreviation></Journal><ArticleTitle>Cryotherapy ablation of parahisian accessory pathways in children.</ArticleTitle><Pagination><MedlinePgn>917-25</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.hrthm.2015.01.042</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1547-5271(15)00141-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Because of its safety profile, cryoablation has become an alternative therapy for septal arrhythmias, including parahisian accessory pathways (APs). Data regarding its efficacy, safety, and late outcome for parahisian APs in children are limited.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The purpose of this study was to evaluate the safety and efficacy of cryoablation of parahisian APs in children.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Fifty-nine cryoablations of parahisian APs were performed in 50 patients [76% males; median age 16.5 years (range 5.3-20 years)]. Thirty-three had manifest APs and 17 had concealed APs. The time to effect was defined as the duration of time from reaching -30°C to the disappearance of AP during the cryomapping phase. The acute success rate for the first ablation was 94% (47/50).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean fluoroscopy time and number of cryoablations were 28.5 ± 23.3 minutes and 2.6 ± 1.2 seconds, respectively. The time to effect was 8.5 ± 7.1 seconds. The overall recurrence rate was 14.9%, decreasing from 40% in the first 10 cases to 8.1% in the next 37 (P <.02). Multivariate analysis showed that the only independent predictor for recurrence rate was time to effect <10 seconds (P <.001). A high recurrence rate was also associated with concealed APs and ablation during supraventricular tachycardia (P <.03 and P <.05, respectively). The patients who had recurrence underwent a second successful cryoablation. During median follow-up of 59.7 months (range 6-102 months), a long-term success rate of 94% was achieved. No permanent ablation-related complications occurred.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Cryoablation of parahisian APs has excellent short- and long-term efficacy and safety profile. Increased physician experience is associated with a reduced recurrence rate.</AbstractText><CopyrightInformation>Copyright © 2015 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Swissa</LastName><ForeName>Moshe</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Kaplan Medical Center, Rehovot, The Hebrew University, Jerusalem, Israel. Electronic address: swissam@mail.huji.ac.il.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Birk</LastName><ForeName>Einat</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dagan</LastName><ForeName>Tamir</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fogelman</LastName><ForeName>Michal</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Einbinder</LastName><ForeName>Tom</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bruckheimer</LastName><ForeName>Elchanan</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goldenberg</LastName><ForeName>Ilan</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Klempfner</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kirsh</LastName><ForeName>Joel A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Labatt Family Heart Centre and Department of Pediatrics, Hospital for Sick Children and University of Toronto, Toronto, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fogelman</LastName><ForeName>Rami</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Schneider Children's Hospital in Israel, Petach Tikva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>01</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Heart Rhythm</MedlineTA><NlmUniqueID>101200317</NlmUniqueID><ISSNLinking>1547-5271</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D058606" MajorTopicYN="N">Accessory Atrioventricular Bundle</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003452" MajorTopicYN="Y">Cryosurgery</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004452" MajorTopicYN="N">Echocardiography</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D022062" MajorTopicYN="N">Electrophysiologic Techniques, Cardiac</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005471" MajorTopicYN="N">Fluoroscopy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007430" MajorTopicYN="N">Intraoperative Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007557" MajorTopicYN="N" Type="Geographic">Israel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D061646" MajorTopicYN="N">Operative Time</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014927" MajorTopicYN="Y">Wolff-Parkinson-White Syndrome</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cryoablation</Keyword><Keyword MajorTopicYN="N">Parahisian accessory pathway</Keyword><Keyword MajorTopicYN="N">Wolff-Parkinson-White syndrome</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>10</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>2</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>2</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>2</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25640635</ArticleId><ArticleId 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