Why the study?
Does radiofrequency catheter ablation cause coronary artery stenosis in children with Ebstein's anomaly?
Does radiofrequency catheter ablation cause coronary artery stenosis in children with Ebstein's anomaly?
Radiofrequency catheter ablation of right-sided accessory pathways in children with Ebstein's anomaly carries a risk of late coronary artery stenosis.
May signal late coronary risk after pediatric right-sided RFCA; leaves open incidence and causality in Ebstein's anomaly.
BACKGROUND: Complications concerning the coronary arteries that are directly related to radiofrequency catheter ablation procedures have not been reported in children. Coronary artery lesions, however, have been demonstrated after the endocardial application of radiofrequency current in young animals. METHODS AND RESULTS: Two boys with Ebstein's anomaly of the tricuspid valve developed clinically asymptomatic coronary artery stenosis after radiofrequency catheter ablation of right-sided accessory atrioventricular pathways with standard catheter technology. CONCLUSIONS: The complication of coronary artery stenosis demonstrates a substantial risk after right atrial free wall radiofrequency current application in children. The risk of late coronary alterations should be considered when the use of catheter ablation procedures to young patients is proposed.
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Bertram et al. (2001) studied this question.
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