Recently, the Department of Cardiovascular Medicine in our hospital performed radiofrequency ablation for a 7-year-old boy and a 9-year-old girl, and successfully cured the paroxysmal supraventricular tachycardia of the two children, showing a high level of surgery It has accumulated valuable experience in radiofrequency ablation surgery for young patients in the cardiology department, and laid the foundation for the further development of cardiac radiofrequency ablation.
7-year-old Xiaobin is a first-year student in a primary school. He is 126cm tall and weighs 25kg. He usually likes to read cartoons and science books, but he often feels heartbeat when reading. Suddenly speed up, accompanied by dizziness, nausea and other discomfort, go to the local hospital for an electrocardiogram to indicate paroxysmal supraventricular tachycardia. Local doctors told Xiaobin's parents that the disease can be cured by performing radiofrequency ablation of the heart. Xiaobin's parents inquired about, and finally chose to go to the cardiology department of our hospital for surgical treatment. Xiaoqin is a 9-year-old girl who loves sports. During her physical education class, her heart rate increased suddenly, her heart rate reached 200 beats per minute, palpitations and dizziness were obvious, and she could not continue physical exercise for 2 hours. Later, the heart rhythm returned to normal on its own. Later, Xiaoqin’s family took her to the cardiology department of our hospital. Deputy Chief Physician Wen Xutao learned about Xiaoqin’s specific situation in detail. It is highly suspected that Xiaoqin is suffering from arrhythmia. It is recommended that Xiaoqin be hospitalized for cardiac electrophysiological examination to clear heart rhythm For the type of abnormality, cardiac radiofrequency ablation will be performed if necessary. Xiaoqin’s parents decided to go to the hospital for further examination and treatment after learning about the operation-related matters.
Director Yang Xili of the Department of Cardiology and Deputy Chief Physician Wen Xutao are also parents. They especially understand the feelings of the parents of the children. The two experts are also eager to help the children heal the arrhythmia. Due to the children's light weight, small body size, small blood vessels, and thin heart walls, transcatheter radiofrequency ablation surgery has a higher risk. Yang Xilike and Wen Xutao carefully assessed the physical conditions of the two children and ruled out the contraindications related to the surgery. Perform cardiac radiofrequency ablation surgery for children.
September 7,Under the guidance of director Yang Xilike, deputy chief physician Wen Xutao, together with Dr. Shu Jiankun and Wen Jianheng, performed the operation on the child. The doctor carefully punctured the femoral vein, placed the catheter gently in the heart, and performed electrophysiological examination to confirm that the arrhythmia of the two children were and atrioventricular nodal reentrant tachycardia, concurrent radiofrequency ablation treatment, repeated electrophysiology Physiological tests were evaluated, and two children with tachycardia disease were successfully cured. One day after the operation, the skin of the puncture site healed well, and the child had no obvious discomfort, and he could walk on the ground and recovered well.
Cardiac radiofrequency ablation is an effective minimally invasive surgery for the treatment of arrhythmia. It is treated by cutting off the reentry route or ablating the eccentric pacing site. Most patients can achieve a cure. Due to the small trauma, significant therapeutic effect, and quick recovery of patients, this operation has been widely used in the treatment of adult arrhythmia. For pediatric patients, because of its thin blood vessels and small heart, the risk of surgery is higher, and the requirements for the surgeon are higher. Radiofrequency ablation in children needs to be performed by experienced surgeons under general anesthesia. Since the launch of transcatheter radiofrequency ablation in 1994, our hospital has completed thousands of operations, including nearly 60 children's radiofrequency ablation operations. With the application of three-dimensional systems and the updating of catheter devices, the technique of cardiac radiofrequency ablation has become increasingly mature. Since the beginning of this year, in just eight months, the Department of Cardiology has successfully completed more than 400 cardiac radiofrequency ablation procedures. Through radiofrequency ablation surgery, we successfully solved the problem of tachycardia for children, and also demonstrated the excellent cardiac radiofrequency ablation technique of our hospital's cardiology electrophysiology team.
Contributed by: Shu Jiankun
Editor in charge: Sun Kai
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