Hostname: page-component-848d4c4894-xfwgj Total loading time: 0 Render date: 2024-06-17T06:33:47.158Z Has data issue: false hasContentIssue false
  • English
  • Français

Ductal closure with radiofrequency energy: the first in-human report

Published online by Cambridge University Press:  17 July 2014

Mohammad Dalili
Mohammad Dalili*
Affiliation:
Department of Pediatric Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
*
Correspondence to: M. Dalili, MD, Department of Pediatric Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, no. 1, Niayesh street, Tehran, 1996911151 Iran. Tel: +98 21 2392 2183; Fax: +98 21 2266 3212; E-mail: drdalili@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Vascular obstruction is one of the complications of radiofrequency ablation. Following our previous report on the use of radiofrequency energy for vascular closure in an animal model in this journal, we herein present the first ever in-human report.

Patient and method

The patient was a 3-year-old boy, who received a permanent endocardial pacemaker for congenital complete heart block. He also had a conical patent ductus arteriosus. The ductus was occluded with radiofrequency energy on the arterial side with no complications.

Conclusion

Closure of patent ductus arteriosus and probably other problematic small vessels could be achieved with radiofrequency energy. Further experience will elucidate the future scope of this novel technique.

Keywords

Ductus arteriosusvascular closureradiofrequencycongenital heart
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Issue 5 , June 2015 , pp. 999 - 1001
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Gournay, V. The ductus arteriosus: physiology, regulation, and functional and congenital anomalies. Arch Cardiovasc Dis 2011; 104: 578–585.Google Scholar
2. Giroud, JM, Jacobs, JP. Evolution of strategies for management of the patent arterial duct. Cardiol Young 2007; 17 (Suppl 2): 68–74.Google Scholar
3. Bass, JL, Wilson, N. Transcatheter occlusion of the patent ductus arteriosus in infants: experimental testing of a new Amplatzer device. Catheter Cardiovasc Interv 2014; 83: 250–255.Google Scholar
4. Yan, J, Wang, C, Du, R, Yuan, W, Liang, Y. Pulmonary vein stenosis and occlusion after radiofrequency catheter ablation for atrial fibrillation. Int J Cardiol 2013; 168: e68–e71.CrossRefGoogle ScholarPubMed
5. Demelo-Rodriguez, P, Del Toro-Cervera, J, Andrés-Del Olmo, B. Haemoptysis and pulmonary vein stenosis after ablation for atrial fibrillation: pathophysiology and therapeutic options. Arch Bronconeumol 2013; 49: 366–367.Google Scholar
6. Viles-Gonzalez, JF, de Castro Miranda, R, Scanavacca, M, Sosa, E, d’Avila, A. Acute and chronic effects of epicardial radiofrequency applications delivered on epicardial coronary arteries. Circ Arrhythm Electrophysiol 2011; 4: 526–531.Google Scholar
7. Dalili, M. Radiofrequency energy for vascular closure: a novel technique with multiple applications. Cardiol Young 2013; 6: 1–3.Google Scholar
8. Dixit, S, Lin, D, Marchlinski, FE. Ablation of ventricular outflow tract tachycardias. In: Stephen Huang SK, Wood MA (eds). Catheter Ablation of Cardiac Arrhythmias. Elsevier Inc., Philadelphia, 2006: 483–484.Google Scholar
9. Krum, H, Barman, N, Schlaich, M, et al. Catheter-based renal sympathetic denervation for resistant hypertension: durability of blood pressure reduction out to 24 months. Hypertension 2011; 57: 911–917.Google Scholar
10. Josephson, ME. Electrophysiologic Investigation: Technical Aspects, in Clinical Cardiac Electrophysiology. Lippincott Williams & Wilkins, New York, 2008: 7.Google Scholar