La maladie de Parkinson en France (serveur d'exploration)

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[Accessory pathway ablation in children: indications and results].

Identifieur interne : 000913 ( PubMed/Curation ); précédent : 000912; suivant : 000914

[Accessory pathway ablation in children: indications and results].

Auteurs : F. Benzakin [France] ; B. Brembilla-Perrot

Source :

RBID : pubmed:21664599

English descriptors

Abstract

Radiofrequency ablation of accessory pathways (AP) has become a first-line treatment, except in young children where the indications are discussed because of radiation risks and complications of catheterization. The purpose of the study was to evaluate the indications and results of radiofrequency AP ablation in children and teenagers.

DOI: 10.1016/j.ancard.2011.04.010
PubMed: 21664599

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pubmed:21664599

Le document en format XML

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<title xml:lang="en">[Accessory pathway ablation in children: indications and results].</title>
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<name sortKey="Benzakin, F" sort="Benzakin, F" uniqKey="Benzakin F" first="F" last="Benzakin">F. Benzakin</name>
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<nlm:affiliation>Service de cardiologie, hôpital cardiologique, CHU de Brabois, Vandœuvre-les-Nancy, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de cardiologie, hôpital cardiologique, CHU de Brabois, Vandœuvre-les-Nancy</wicri:regionArea>
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<name sortKey="Brembilla Perrot, B" sort="Brembilla Perrot, B" uniqKey="Brembilla Perrot B" first="B" last="Brembilla-Perrot">B. Brembilla-Perrot</name>
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<term>Adolescent</term>
<term>Catheter Ablation</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Retrospective Studies</term>
<term>Wolff-Parkinson-White Syndrome (surgery)</term>
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<term>Wolff-Parkinson-White Syndrome</term>
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<term>Adolescent</term>
<term>Catheter Ablation</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
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<term>Retrospective Studies</term>
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<div type="abstract" xml:lang="en">Radiofrequency ablation of accessory pathways (AP) has become a first-line treatment, except in young children where the indications are discussed because of radiation risks and complications of catheterization. The purpose of the study was to evaluate the indications and results of radiofrequency AP ablation in children and teenagers.</div>
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<Month>09</Month>
<Day>19</Day>
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<Day>25</Day>
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<Year>2011</Year>
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<Day>19</Day>
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<ISSN IssnType="Electronic">1768-3181</ISSN>
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<Volume>60</Volume>
<Issue>4</Issue>
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<Year>2011</Year>
<Month>Aug</Month>
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<Title>Annales de cardiologie et d'angeiologie</Title>
<ISOAbbreviation>Ann Cardiol Angeiol (Paris)</ISOAbbreviation>
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<ArticleTitle>[Accessory pathway ablation in children: indications and results].</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Radiofrequency ablation of accessory pathways (AP) has become a first-line treatment, except in young children where the indications are discussed because of radiation risks and complications of catheterization. The purpose of the study was to evaluate the indications and results of radiofrequency AP ablation in children and teenagers.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Electrophysiological study (EPS) was performed in 145 patients aged from 5 to 18 years (13.5±3) with a preexcitation syndrome (PS).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">AP ablation was indicated in 66 children (group 1); others represent the group I. Group I was older and less frequently asymptomatic. All children with a spontaneous malignant form had an ablation. Group 1 has a faster conduction through the AP than group 2. The induction of reentrant tachycardia (RT), atrial fibrillation and the presence of a malignant form is more common in group 1. Failures or reappearances of WPW after ablation were frequent (20, 26%) related to a younger age (15±3 vs 17±4) (<0.05). In group 2, one 18-year-old teenager with untreated RT died before ablation. Asymptomatic children are well with disappearance of PS in two. Medically treated symptomatic children are well.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">If spontaneous malignant forms, symptoms with drugs or practice of competitive sport are indications of AP ablation, it is recommended to wait for adolescence in other children.</AbstractText>
<CopyrightInformation>Copyright © 2011 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
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