Catheter Ablation in a Patient with a Congenital Giant Right Atrial Diverticulum Presented as Wolff-Parkinson-White Syndrome

1999 ◽  
Vol 22 (2) ◽  
pp. 382-385 ◽  
Author(s):  
FIORENZO GAITA ◽  
MICHEL HAISSAGUERRE ◽  
MARCO SCAGLIONE ◽  
PIERRE JAIS ◽  
RICCARDO RICCARDI ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Right Atrial ◽  
White Syndrome ◽  
Wolff Parkinson White Syndrome

Radiofrequency Current for Catheter Ablation of Accessory Atrioventricular Connections in Children and Adolescents. Emphasis on the Single-Catheter Technique

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 930-935
Author(s):  
Michael Schlüter ◽  
Karl-Heinz Kuck
Keyword(s):  
Catheter Ablation ◽  
Left Ventricle ◽  
Children And Adolescents ◽  
Accessory Pathway ◽  
Structural Heart Disease ◽  
Right Atrial ◽  
White Syndrome ◽  
Catheter Technique ◽  
Radiofrequency Current ◽  
Wolff Parkinson White Syndrome

Catheter ablation of an accessory atrioventricular connection using 500-kHz radiofrequency current was attempted in 10 children and adolescents aged between 6 and 15 years (mean 10.5 years). Six children had the Wolff-Parkinson-White syndrome and four had tachyarrhythmias related to a retrograde-only conducting ("concealed") accessory connection. No child had associated structural heart disease. Symptoms ranged from disabling palpitations to episodes of syncope (three patients) and cardiac arrest (one patient). Ablation was attempted from the left ventricle in all children; in one child, ablation of a second, right-sided pathway was attempted via a right atrial approach. Ten of the 11 accessory connections were interrupted successfully. A single complication was encountered in a 10-year-old girl in whom the procedure had to be terminated because a thrombotic occlusion of the right internal iliac artery had evolved. A simplification of the ablation procedure associated with reduced procedure duration and radiation exposure time was achieved in three children with th Wolff-Parkinson-White syndrome and a left free-wall accessory pathway when a single catheter placed in the left ventricle was used for pathway localization as well as ablation. It is concluded that catheter ablation using radiofrequency current is effective and safe and may supersede surgery as the curative treatment for children with serious symptoms mediated by an accessory atrioventricular connection.

Catheter ablation versus pharmacological treatment for patients with Wolff-Parkinson-White syndrome

2013 ◽  
Author(s):  
Gabriela R Oliveira ◽  
Daniel Petiti ◽  
Benito J Garbelini ◽  
Paulo Eduardo de Oliveira Carvalho ◽  
Antonio José Maria Cataneo
Keyword(s):  
Catheter Ablation ◽  
Pharmacological Treatment ◽  
White Syndrome ◽  
Wolff Parkinson White Syndrome

scholarly journals Activation - Recovery Intervals of 12-Lead Electro-cardiograms Before and After Catheter Ablation in Patients With Wolff-Parkinson-White Syndrome

2001 ◽  
Vol 65 (4) ◽  
pp. 294-299 ◽  
Author(s):  
Makoto Nonokawa ◽  
Makoto Hirai ◽  
Makoto Akahoshi ◽  
Yasuya Inden ◽  
Yukihiko Yoshida ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
White Syndrome ◽  
Before And After ◽  
Wolff Parkinson White Syndrome

Slow and wide QRS complex tachycardia as a unique complication following radiofrequency catheter ablation of a left-sided accessory pathway in a child

2005 ◽  
Vol 15 (3) ◽  
pp. 315-318 ◽  
Author(s):  
Radu Vatasescu ◽  
Laszlo Kornyei ◽  
Tamas Szili-Torok
Keyword(s):  
Catheter Ablation ◽  
Slow Rate ◽  
Radiofrequency Catheter Ablation ◽  
Accessory Pathway ◽  
Qrs Complex ◽  
White Syndrome ◽  
Accessory Pathways ◽  
Radiofrequency Lesions ◽  
Transaortic Approach ◽  
Wolff Parkinson White Syndrome

Radiofrequency lesions can, theoretically, be the substrate for new persistent arrhythmias. As far as we know, this has never previously been encountered after transcatheter ablation of accessory pathways. A child with Wolff–Parkinson–White syndrome was referred for radiofrequency catheter ablation of a left-sided accessory pathway. After successful ablation of the accessory pathway using a retrograde transaortic approach, the child developed an incessant wide QRS complex tachycardia at slow rate that was resistant to pharmacologic interventions. The focus of the tachycardia was identical to the ventricular site of insertion of the eliminated accessory pathway.

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