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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11198941PMC
http://dx.doi.org/10.4103/apc.apc_182_23DOI Listing

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Article Synopsis
  • A pediatric patient diagnosed with Wolff-Parkinson-White syndrome showed anteroseptal accessory pathway in their 12-lead ECG.
  • Due to recurring arrhythmia, the patient underwent three ablation procedures.
  • Successful cryoablation was eventually performed at the non-coronary cusp of the aortic root, resolving the issue.
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Background: Cryoablation of APs localized near the atrioventricular (AV) junction is a well-established ablation strategy in children, and it has proved to be very safe. However, recurrence rates remain considerable for specific accessory pathway (AP) localizations. The aim of this retrospective study was to evaluate the efficacy and safety of a trans-jugular approach for cryoablation of right anterior, anterior-lateral, and anterior-septal APs in children, as compared to the conventional femoral approach.

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Background: Although cryoablation (CA) of septally located accessory pathways (APs) is an established treatment for Wolff-Parkinson-White Syndrome, its major limitation is the lack of data regarding long-term follow-up (FU). The present study sought to investigate long-term outcomes of a specific CA protocol targeting para-Hisian (P-H) and mid-septal (M-S) APs.

Methods: Twenty-six patients who previously underwent CA of PH or MS APs from 2004 to 2014, were prospectively considered to receive a FU during 2021.

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Background: Literature reports 5% of recurrence/failure in paediatric accessory pathway ablations. Our aim was to investigate the reasons underlying this finding and share techniques to obtain long-term success.

Methods: Thirty-nine paediatric patients referred for a repeat procedure were analysed: characteristics of the pathways and the initial and redo procedures were identified.

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