COMPASS: A Novel Risk-Adjustment Model for Catheter Ablation in Pediatric and Congenital Heart Disease Patients

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
John K. Triedman ◽  
Patricia Pfeiffer ◽  
Adam Berman ◽  
Andrew D. Blaufox ◽  
Bryan C. Cannon ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Catheter Ablation ◽  
Risk Adjustment ◽  
Congenital Heart ◽  
Adjustment Model ◽  
Risk Adjustment Model

scholarly journals Catheter ablation in adults with congenital heart disease: a 15-year perspective from a tertiary center

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
V Waldmann ◽  
D Amet ◽  
A Zhao ◽  
M Ladouceur ◽  
C Karsenty ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Catheter Ablation ◽  
Success Rate ◽  
Contact Force ◽  
Congenital Heart ◽  
3D Mapping ◽  
Density Mapping ◽  
Tertiary Center ◽  
Procedural Success

Abstract Background With the growing population of adults with congenital heart disease (ACHD), the number of catheter ablation procedures is expected to increase over time. Purpose We aimed to describe temporal trends in volume and outcomes of catheter ablation procedures in ACHD patients in a large tertiary center. Methods Retrospective observational study including all consecutive ACHD patients undergoing catheter ablation in a tertiary reference center over a 15-year period. Acute procedural success rate (including complete success in case of non-inducibility of any arrhythmia at the end of the procedure) as well as freedom from recurrence at 12 months were analyzed. Results From November 2004 to November 2019, 302 catheter ablations in 221 ACHD patients (43.6±15.0 years, 58.9% males) were performed. The annual number of catheter ablation increased progressively from 4 to 60 by year (p<0.001). Intra-atrial reentrant tachycardia/focal atrial tachycardia was the most common targeted arrhythmia (n=217, 71.9%). Over the study period, acute procedural success rate increased from 45.0% to 93.3% (p<0.001), including complete acute procedural success from 45.0% to 88.1% (p<0.001) (Figure 1). The use of irrigated catheters (30.0% to 94.8%, p<0.001), 3D-mapping systems (60.0% to 96.3%, p<0.001), contact force catheters (0.0% to 91.9%, <0.001), and high-density mapping (0.0% to 71.9%, p<0.01) increased significantly. Use of irrigated catheters (OR=3.96, 95% CI: 1.79–8.55), 3D-mapping system (OR=3.55, 95% CI: 1.62–7.55), contact force catheters (OR=3.46, 95% CI: 1.71–7.25), and high-density mapping (OR=3.85, 95% CI: 1.60–7.26) were associated with acute procedural success. The rate of freedom from any recurrence at 12 months increased from 29.4% to 66.2% (p=0.001). Seven (2.3%) non-fatal complications occurred. Conclusions The number of catheter ablation procedures in ACHD patients has considerably increased over the last 15 years. Advances in ablative technologies appear to be associated with a low rate of complications and a significant improvement in acute and midterm outcomes. Evolution of acute procedural success Funding Acknowledgement Type of funding source: None

scholarly journals PACES/HRS expert consensus statement on the use of catheter ablation in children and patients with congenital heart disease

Heart Rhythm ◽  
2016 ◽  
Vol 13 (6) ◽  
pp. e251-e289 ◽  
Author(s):  
J. Philip Saul ◽  
Ronald J. Kanter ◽  
Dominic Abrams ◽  
Sam Asirvatham ◽  
Yaniv Bar-Cohen ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Catheter Ablation ◽  
Congenital Heart ◽  
Consensus Statement ◽  
Expert Consensus

Robotic Catheter Ablation of Ventricular Tachycardia in a Patient with Congenital Heart Disease and Rastelli Repair

2009 ◽  
Vol 20 (10) ◽  
pp. 1163-1166 ◽  
Author(s):  
MICHAEL KOA-WING ◽  
NICK W.F. LINTON ◽  
PIPIN KOJODJOJO ◽  
MARK D. O'NEILL ◽  
NICHOLAS S. PETERS ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Congenital Heart

Non-fluoroscopic cardiac ablation of neonates with CHD

2016 ◽  
Vol 27 (3) ◽  
pp. 592-596 ◽  
Author(s):  
Amee M. Bigelow ◽  
Brandon S. Arnold ◽  
Gregory C. Padrutt ◽  
John M. Clark
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Catheter Ablation ◽  
Supraventricular Tachycardia ◽  
Tricuspid Valve ◽  
Congenital Heart ◽  
Current Practice ◽  
Pulmonary Atresia ◽  
Intact Ventricular Septum ◽  
Cardiac Ablation

AbstractIn current practice, children with anatomically normal hearts routinely undergo fluoroscopy-free ablations. Infants and children with congenital heart disease (CHD) represent the most difficult population to perform catheter ablation without fluoroscopy. We report two neonatal patients with CHD in whom cardiac ablations were performed without fluoroscopy. The first infant had pulmonary atresia with intact ventricular septum with refractory supraventricular tachycardia, and the second infant presented with Ebstein’s anomaly of the tricuspid valve along with persistent supraventricular tachycardia. Both patients underwent uncomplicated, successful ablation without recurrence of arrhythmias. These cases suggest that current approaches to minimising fluoroscopy may be useful even in challenging patients such as neonates with CHD.

scholarly journals Consensus-based method for risk adjustment for surgery for congenital heart disease

2002 ◽  
Vol 123 (1) ◽  
pp. 110-118 ◽  
Author(s):  
Kathy J. Jenkins ◽  
Kimberlee Gauvreau ◽  
Jane W. Newburger ◽  
Thomas L. Spray ◽  
James H. Moller ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Risk Adjustment ◽  
Congenital Heart
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