Intracardiac echocardiography in paediatric and congenital cardiac ablation shortens procedure duration and improves success without complications
Authors' conclusion
Intracardiac echocardiography in paediatric and CHD ablations is safe and reduces procedure duration, fluoroscopy exposure, and arrhythmia recurrence.
Study context
- Population
- Paediatric and congenital heart disease (CHD) patients undergoing EPS, 2013–2022
- Participants
- 335 participants139 matched pairs
- Exposure
- Intracardiac echocardiography (ICE) vs no ICE in paediatric and CHD EPS
- ICEn = 196
- Outcome
- Efficacy of ICE use and incidence of associated complications
Methodological detailssingle-centre, matched cohort
- Single-centre
- Matched cohort
Main finding
As reported in the abstract
Fluoroscopy exposure, procedure duration, arrhythmia recurrence
- Fluoroscopy exposure significantly lower with ICE
- P = 0.02
- Procedure duration significantly lower with ICE
- P = 0.01
- Arrhythmia recurrence significantly lower with ICE
- P = 0.01
Observational data: associations, not effects.
Further findings
Baseline demographics and anthropometrics
- Similar between cases and controls
Safety
- No ICE-related acute or post-procedural complications
Original publication
Intracardiac echocardiography in paediatric and congenital cardiac ablation shortens procedure duration and improves success without complications. Europace. Published 14 February 2024. doi:10.
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