?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Catheter+Ablation+of+Tachyarrhythmias+in+Small+Children%0A&rft.creator=Blaufox%2C+Andrew+D.&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=An+estimated+80%2C000-100%2C000+radiofrequency+ablation+(RFA)+procedures+are+performed+in+the+United+States+each+year.1+Approximately+1%25+of+these+are+performed+on+pediatric+patients+at+centers+that+contribute+data+to+the+Pediatric+Radiofrequency+Registry.2+Previous+reports+from+this+registry+have+demonstrated+that+RFA+can+safely+and+effectively+be+performed+in+pediatric+patients.3%2C4+However%2C+patients+weighing+less+than+15+kg+have+been+identified+as+being+at+greater+risk+for+complications.3%2C4+Consequently%2C+there+has+been+great+reluctance+to+perform+RFA+in+small+children+such+that+children+weighing+less+than+15+kg+only+represent+approximately+6%25+of+the+pediatric+RFA+experience2+despite+the+fact+that+this+age+group+carries+the+highest+incidence+of+tachycardia%2C+particularly+supraventricular+tachycardia+(SVT).5+Factors+other+than+the+risk+of+complications+contribute+to+the+lower+incidence+of+RFA+in+this+group%2C+including+the+natural+history+of+the+most+common+tachycardias+(SVT)%2C+technical+issues+with+RFA+in+small+hearts%2C+and+the+potential+unknown+long-term+effects+of+RF+applications+in+the+maturing+myocardium.+Conversely%2C+there+are+several+reasons+why+ablation+may+be+desirable+in+small+children%2C+including+greater+difficulties+with+medical+management%2C6%2C7%2C8+the+higher+risk+for+hemodynamic+compromise+during+tachycardia+in+infants+with+congenital+heart+disease+(CHD)%2C+and+the+inability+of+these+small+children+to+effectively+communicate+their+symptoms+thereby+making+it+more+likely+that+their+symptoms+may+go+unnoticed+until+the+children+become+more+seriously+ill.+Before+ultimately+deciding+that+catheter+ablation+is+indicated+in+small+children%2C+one+must+consider+which+tachycardias+are+likely+to+be+ablated%2C+the+clinical+presentation+of+these+tachycardias%2C+alternatives+to+ablation%2C+the+relative+potential+for+success+or+complications%2C+and+modifications+of+the+procedure+that+might+reduce+the+risk+of+ablation+in+this+group.+&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2005-01&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F4174%2F1%2Fblaufox.pdf&rft.identifier=++Blaufox%2C+Andrew+D.++(2005)+Catheter+Ablation+of+Tachyarrhythmias+in+Small+Children.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4174%2F