What is the clinical evidence from this study?

Study design: Observational. Population: Pediatric arrhythmias (n=36). Intervention: Radiofrequency catheter ablation. Primary outcome: Acute procedural success rate.

What does this research mean for the field?

Radiofrequency catheter ablation is a safe and highly effective treatment for pediatric patients with drug-refractory cardiac arrhythmias, demonstrating high acute and intermediate-term success with low recurrence and minimal major complications. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

September 16, 2020CureusOpen Access

Safety, Efficacy, and Intermediate-Term Outcomes of Radiofrequency Catheter Ablation for Pediatric Arrhythmias

View Full Paper

Ask AI

Bookmark

Key result

Radiofrequency catheter ablation achieves ~100% acute success in pediatric drug-refractory arrhythmias without major complications.

n=36

Why the study?

Arrhythmias cause pediatric emergency hospitalizations, and radiofrequency ablation is a major advancement, but single-center outcomes across atrial and ventricular arrhythmias warranted description.

Does radiofrequency catheter ablation prevent recurrence of arrhythmia in pediatric patients after failed medical management?

Population

36 pediatric patients aged 2 to 18 years with arrhythmias after failed medical management

Comparison

Radiofrequency catheter ablation

Design

Single-center observational study

Follow-up

Mean 27.7 ± 15.9 months

Authors

SPShunmuga Sundaram PonnusamyElectrophysiology GMGiridhar MuthuVelammal Medical College Hospital and Research Institute MKMahesh KumarMayo Clinic

Discussion

Member takes

Implication

Supports ablation consideration after failed meds in pediatric arrhythmia; hypothesis-generating without randomized confirmation.

Study Design

Type

Observational (n=36)

Multicenter

Structured PICO

Does radiofrequency catheter ablation prevent recurrence of arrhythmia in pediatric patients after failed medical management?

Population

36 pediatric patients (aged 2-18 years) with drug-refractory arrhythmias, free of complex congenital heart disease, followed for a mean of 27.7 months after radiofrequency catheter ablation.

Intervention

Radiofrequency catheter ablation

Outcome

Clinical or electrocardiographic recurrence of arrhythmiahard clinical

Radiofrequency catheter ablation is a highly effective and safe procedure for treating pediatric arrhythmias after failed medical management, demonstrating a 97.2% long-term success rate.

Limitations

Single-center, retrospective observational design limits generalizability
Cryoablation was not available for comparison
Patients with complex congenital heart disease were excluded
Lack of long-term multicenter follow-up to assess late effects on the myocardium and radiation exposure

Cite This Study

Ponnusamy et al. (2020) conducted an observational in Pediatric arrhythmias (n=36). Radiofrequency catheter ablation was evaluated on Acute procedural success rate. Radiofrequency catheter ablation in pediatric patients with drug-refractory arrhythmias achieved a 100% acute procedural success rate and a 97.2% long-term success rate with no major complications.

synapsesocial.com/papers/6aa7cdba95a386ecd387640a https://doi.org/10.7759/cureus.10488

Topics

AF ablation outcomes

View Full Paper

Ask AI

Bookmark

Safety, Efficacy, and Intermediate-Term Outcomes of Radiofrequency Catheter Ablation for Pediatric Arrhythmias

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Topics

Safety, Efficacy, and Intermediate-Term Outcomes of Radiofrequency Catheter Ablation for Pediatric Arrhythmias

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

Also Consider