Atrioventricular Nodal Reentrant Tachycardia in Patients With Congenital Heart Disease: Outcome After Catheter Ablation

John Papagiannis; Daniel Joseph Beissel; Ulrich Krause; Michel Cabrera; Marta Telishevska; Stephen Seslar; Christopher Johnsrude; Charles Anderson; Svjetlana Tisma-Dupanovic; Diana Connelly; Dimosthenis Avramidis; Christopher Carter; Laszlo Kornyei; Ian Law; Nicholas Von Bergen; Jan Janusek; Jennifer Silva; Eric Rosenthal; Mark Willcox; Peter Kubus; Gabriele Hessling; Thomas Paul; Pediatric and Congenital Electrophysiology Society

doi:10.1161/CIRCEP.116.004869

Back

Atrioventricular Nodal Reentrant Tachycardia in Patients With Congenital Heart Disease: Outcome After Catheter Ablation

Journal article

Open access

Peer reviewed

Atrioventricular Nodal Reentrant Tachycardia in Patients With Congenital Heart Disease: Outcome After Catheter Ablation

John Papagiannis, Daniel Joseph Beissel, Ulrich Krause, Michel Cabrera, Marta Telishevska, Stephen Seslar, Christopher Johnsrude, Charles Anderson, Svjetlana Tisma-Dupanovic, Diana Connelly, …

Circulation. Arrhythmia and electrophysiology, Vol.10(7), pp.e004869-e004869

07/2017

DOI: 10.1161/CIRCEP.116.004869

PMID: 28687669

Files and links (1)

url

https://doi.org/10.1161/CIRCEP.116.004869View

Published (Version of record) Open Access

Abstract

The relationship of atrioventricular nodal reentrant tachycardia to congenital heart disease (CHD) and the outcome of catheter ablation in this population have not been studied adequately. A multicenter retrospective study was performed on patients with CHD who had atrioventricular nodal reentrant tachycardia and were treated with catheter ablation. There were 109 patients (61 women), aged 22.1±13.4 years. The majority, 86 of 109 (79%), had CHD resulting in right heart pressure or volume overload. Patients were divided into 2 groups: group A (n=51) with complex CHD and group B (n=58) with simple CHD. There were no significant differences between groups in patients' growth parameters, use of 3-dimensional imaging, and type of ablation (radiofrequency versus cryoablation). Procedure times (251±117 versus 174±94 minutes; =0.0006) and fluoroscopy times (median 20.8 versus 16.6 minutes; =0.037) were longer in group A versus group B. There were significant differences between groups in the acute success of ablation (82% versus 97%; =0.04), risk of atrioventricular block (14 versus 0%; =0.004), and need for chronic pacing (10% versus 0%; =0.008). There was no permanent atrioventricular block in patients who underwent cryoablation. After 3.2±2.7 years of follow-up, long-term success was 86% in group A and 100% in group B ( =0.004). Atrioventricular nodal reentrant tachycardia can complicate the course of patients with CHD. This study demonstrates that the outcome of catheter ablation is favorable in patients with simple CHD. Patients with complex CHD have increased risk of procedural failure and atrioventricular block.

Cryosurgery

Humans

Middle Aged

Child, Preschool

Male

Treatment Outcome

Tachycardia, Atrioventricular Nodal Reentry - diagnostic imaging

Tachycardia, Atrioventricular Nodal Reentry - physiopathology

Tachycardia, Atrioventricular Nodal Reentry - surgery

Catheter Ablation - methods

Operative Time

Heart Defects, Congenital - complications

Heart Defects, Congenital - diagnostic imaging

Adolescent

Electrocardiography

Adult

Female

Aged

Heart Defects, Congenital - physiopathology

Retrospective Studies

Imaging, Three-Dimensional

Child

Details

Title: Subtitle: Atrioventricular Nodal Reentrant Tachycardia in Patients With Congenital Heart Disease: Outcome After Catheter Ablation
Creators: John Papagiannis - For the author affiliations, please see the Appendix. jpapagiannis@cmh.edu
Daniel Joseph Beissel - For the author affiliations, please see the Appendix
Ulrich Krause - For the author affiliations, please see the Appendix
Michel Cabrera - For the author affiliations, please see the Appendix
Marta Telishevska - For the author affiliations, please see the Appendix
Stephen Seslar - For the author affiliations, please see the Appendix
Christopher Johnsrude - For the author affiliations, please see the Appendix
Charles Anderson - For the author affiliations, please see the Appendix
Svjetlana Tisma-Dupanovic - For the author affiliations, please see the Appendix
Diana Connelly - For the author affiliations, please see the Appendix
Dimosthenis Avramidis - For the author affiliations, please see the Appendix
Christopher Carter - For the author affiliations, please see the Appendix
Laszlo Kornyei - For the author affiliations, please see the Appendix
Ian Law - For the author affiliations, please see the Appendix
Nicholas Von Bergen - For the author affiliations, please see the Appendix
Jan Janusek - For the author affiliations, please see the Appendix
Jennifer Silva - For the author affiliations, please see the Appendix
Eric Rosenthal - For the author affiliations, please see the Appendix
Mark Willcox - For the author affiliations, please see the Appendix
Peter Kubus - For the author affiliations, please see the Appendix
Gabriele Hessling - For the author affiliations, please see the Appendix
Thomas Paul - For the author affiliations, please see the Appendix
Pediatric and Congenital Electrophysiology Society
Resource Type: Journal article
Publication Details: Circulation. Arrhythmia and electrophysiology, Vol.10(7), pp.e004869-e004869
DOI: 10.1161/CIRCEP.116.004869
PMID: 28687669
NLM abbreviation: Circ Arrhythm Electrophysiol
ISSN: 1941-3149
eISSN: 1941-3084
Language: English
Date published: 07/2017
Academic Unit: Cardiology; Stead Family Department of Pediatrics
Record Identifier: 9984093499402771

Metrics

30 Record Views

26 Times Cited - Web of Science