Demonstrates that cryoablation for AVNRT can be safely performed in pediatric patients with mild hemophilia A when managed with appropriate hematologic protocols.
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Supports cautious cryoablation for AVNRT in pediatric mild hemophilia A with hematologic protocols; leaves open broader adoption pending prospective data.
We report the hematologic and invasive electrophysiologic management of a 12-year-old boy with mild hemophilia A (factor VIII deficiency) and atrioventricular nodal reentrant tachycardia. Thoughtful preparation with detailed input from the patient's comprehensive hemophilia center combined with vigilant pericatheterization hematologic management allowed for safe and successful cryoablation of this arrhythmia. Strategies for the management of patients with bleeding disorders who require invasive cardiac catheterization or surgery are reviewed.
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DeWitt et al. (2010) studied this question.
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