Congenital heart diseaseCohort study
Intracardiac echocardiography in paediatric and congenital cardiac ablation shortens procedure duration and improves success without complications
- Retrospective cohort study
- single-centre
- matched cohort
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 participants · 139 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
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
ICE-related acute or post-procedural complications
- 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:10.1093/europace/euae047
Summarised from the published abstract; every number is checked against it