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Article Dans Une Revue Archives of cardiovascular diseases Année : 2020

Position paper concerning the competence, performance and environment required for the practice of ablation in children and in congenital heart disease

1 Service Cardiologie [CHU Toulouse]
2 Hôpital Haut-Lévêque [CHU Bordeaux]
3 Centre de Référence Maladies Cardiaques Héréditaires
4 Hôpital Necker - Enfants Malades [AP-HP]
5 Clinique Pasteur [Toulouse]
6 Hôpital Marie-Lannelongue
7 IHU-LIRYC
8 CHU Bordeaux
9 HEGP - Hôpital Européen Georges Pompidou [APHP]
10 PARCC (UMR_S 970/ U970) - Paris-Centre de Recherche Cardiovasculaire
11 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
12 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
13 PhyMedExp - Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046]
14 CHU Rouen
15 Service de cardiologie et maladies vasculaires [Rennes] = Cardiac, Thoracic, and Vascular Surgery [Rennes]
16 CHU Pitié-Salpêtrière [AP-HP]
17 Hôpital Louis Pradel [CHU - HCL]
18 CHRU Tours - Centre Hospitalier Régional Universitaire de Tours
19 Nouvelles Cliniques Nantaises - NCN [Nantes]
20 CDOS - Clinique De L' Orangerie - ELSAN [Strasbourg]
21 CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille]
22 TIMONE - Hôpital de la Timone [CHU - APHM]
23 MMG - Marseille medical genetics - Centre de génétique médicale de Marseille
24 Hôpital Privé Jacques Cartier [Massy]
25 ICPS - Institut Cardiovasculaire Paris Sud
26 CHU Dijon
27 CHRU Brest - Centre Hospitalier Régional Universitaire de Brest
28 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
29 CHIAP - Centre Hospitalier d'Aix en Provence [Aix-en-Provence]
30 CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital
31 CHUGA - Centre Hospitalier Universitaire [CHU Grenoble]
32 CCN - Centre cardiologique du Nord
Frederic Anselm
  • Fonction : Auteur
Estelle Gandjbakhch
Gabriel Laurent
  • Fonction : Auteur

Résumé

The population of patients with congenital heart disease (CHD) is continuously increasing, and a significant proportion of these patients will experience arrhythmias because of the underlying congenital heart defect itself or as a consequence of interventional or surgical treatment. Arrhythmias are a leading cause of mortality, morbidity and impaired quality of life in adults with CHD. Arrhythmias may also occur in children with or without CHD. In light of the unique issues, challenges and considerations involved in managing arrhythmias in this growing, ageing and heterogeneous patient population and in children, it appears both timely and essential to critically appraise and synthesize optimal treatment strategies. The introduction of catheter ablation techniques has greatly improved the treatment of cardiac arrhythmias. However, catheter ablation in adults or children with CHD and in children without CHD is more technically demanding, potentially causing various complications, and thus requires a high level of expertise to maximize success rates and minimize complication rates. As French recommendations regarding required technical competence and equipment are lacking in this situation, the Working Group of Pacing and Electrophysiology of the French Society of Cardiology and the Affiliate Group of Paediatric and Adult Congenital Cardiology have decided to produce a common position paper compiled from expert opinions from cardiac electrophysiology and paediatric cardiology. The paper details the features of an interventional cardiac electrophysiology centre that are required for ablation procedures in adults with CHD and in children, the importance of being able to diagnose, monitor and manage complications associated with ablations in these patients and the supplemental hospital-based resources required, such as anaesthesia, surgical back-up, intensive care, haemodynamic assistance and imaging. Lastly, the need for quality evaluations and French registries of ablations in these populations is discussed. The purpose of this consensus statement is therefore to define optimal conditions for the delivery of invasive care regarding ablation of arrhythmias in adults with CHD and in children, and to provide expert and - when possible - evidence-based recommendations on best practice for catheter-based ablation procedures in these specific populations.
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Dates et versions

hal-04073540 , version 1 (21-06-2023)

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Philippe Maury, Jean Benoit Thambo, Alice Maltret, Nicolas Combes, Sébastien Hascoet, et al.. Position paper concerning the competence, performance and environment required for the practice of ablation in children and in congenital heart disease : Position commune du Groupe de Rythmologie et de Stimulation Cardiaque de la SFC et du Groupe Affilié de Cardiopédiatrie de la SFC concernant les conditions requises pour les ablations pédiatriques et des patients adultes avec cardiopathie congénitale. Archives of cardiovascular diseases, 2020, 113 (8-9), pp.492-502. ⟨10.1016/j.acvd.2020.02.002⟩. ⟨hal-04073540⟩
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