In children with Wolff-Parkinson-White syndrome, high-risk pathways are more common in older and symptomatic patients, suggesting ablation should be avoided before age 5-6 but considered first-line for symptomatic patients over 12.
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Supports symptom- and age-based risk assessment in pediatric WPW; leaves open optimal ablation timing pending controlled studies.
Vignati et al. (2000) studied this question.