Ablación con catéter y radiofrecuencia del síndrome de Wolff-Parkinson-White en niños resucitados de muerte súbita cardíaca
Radiofrequency catheter ablation in children with wolff-parkinson-white syndrome and aborted sudden cardiac death
F. Benito Bartolomé
, C. Sánchez Fernández-Bernal
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Unidad de Arritmias. Laboratorio de Electrofisiología Clínica Cardíaca. Hospital Infantil La Paz. Madrid.
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Zabala Argüelles, E. García Fernández, E. Maroto Álvaro, J.L. Zunzunegui Martínez, C. Maroto Monedero, F. Centeno Malfaz, R. Greco Martínez, J.L. Delcán Domínguez" "autores" => array:8 [ 0 => array:2 [ "nombre" => "J.I." "apellidos" => "Zabala Argüelles" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "García Fernández" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Maroto Álvaro" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "Zunzunegui Martínez" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Maroto Monedero" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Centeno Malfaz" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Greco Martínez" ] 7 => array:2 [ "nombre" => "J.L." "apellidos" => "Delcán Domínguez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540330177542X?idApp=UINPBA00005H" "url" => "/16954033/0000005400000004/v1_201307051547/S169540330177542X/v1_201307051547/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Ablación con catéter y radiofrecuencia del síndrome de Wolff-Parkinson-White en niños resucitados de muerte súbita cardíaca" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "353" "paginaFinal" => "358" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "F. Benito Bartolomé, C. Sánchez Fernández-Bernal" "autores" => array:2 [ 0 => array:4 [ "nombre" => "F." "apellidos" => "Benito Bartolomé" "email" => array:1 [ 0 => "fbenito@gmx.net" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Sánchez Fernández-Bernal" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Arritmias. Laboratorio de Electrofisiología Clínica Cardíaca. Hospital Infantil La Paz. Madrid." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Meléndez Valdés 22, 5. º B. 28015Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Radiofrequency catheter ablation in children with wolff-parkinson-white syndrome and aborted sudden cardiac death" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-10-31" "fechaAceptado" => "2000-11-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186644" "palabras" => array:3 [ 0 => "Síndrome de Wolff-Parkinson-White" 1 => "Muerte súbita" 2 => "Ablación" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186645" "palabras" => array:3 [ 0 => "Wolff-Parkinson-White syndrome" 1 => "Sudden death" 2 => "Cathe-ter ablation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La muerte súbita puede ser la primera manifestación del síndrome de Wolff-Parkinson-White, sobre todo en ni-ños y adolescentes.</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este trabajo es evaluar la utilidad de la ablación con catéter en niños con el síndrome de Wolff -Parkinson-White resucitados de muerte súbita.</p> <span class="elsevierStyleSectionTitle">Métodos y resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se presentan 4pacientes (de 2,5meses a 16 años de edad) con síndrome de Wolff-Parkinson-White resucitados de un episodio de muerte súbita. Los primeros 2 casos eran pequeños lactantes; en el primero, el episodio de muerte súbita ocurrió durante el tratamiento con digoxina por ta-quicardia supraventricular y, en el segundo, el diagnóstico de este síndrome se realizó tras un episodio de muerte sú-bita del lactante. En cada caso se realizó ablación de una única vía accesoria, lateral izquierda y posterior izquierda, por vía transeptal. En el tercer caso, con síndrome de Wolff-Parkinson-White asintomático, el episodio de muerte súbita se desencadenó durante el ejercicio y en el número 4, tras la perfusión intravenosa de adenosintrifosfato (ATP) y amiodarona para el tratamiento de un episodio de fibri-lación auricular rápida; en ambos se realizó ablación de una vía accesoria posteroseptal derecha y anterior dere-cha, respectivamente. Tras un período de seguimiento de 43,5 ± 26,4 meses, ningún paciente ha presentado recu-rrencia de la muerte súbita ni de la conducción por la vía accesoria. El paciente 3 presentó secuelas neurológicas gra-ves tras el paro cardíaco, que persisten en el seguimiento.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La ablación con catéter es el método de tratamiento de elección en niños con síndrome de Wolff-Parkinson-White y un episodio de muerte súbita abortado.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Sudden death may be the first manifestation of the Wolff-Parkinson-White syndrome, especially in children and adolescents.</p> <span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to evaluate the usefulness of radiofrequency catheter ablation in children with Wolff-Parkinson-White syndrome with aborted sudden death.</p> <span class="elsevierStyleSectionTitle">Methods and results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We report four patients with Wolff-Parkinson-White syn-drome who survived cardiac arrest. The patients were aged from 2.5months to 16years. The two first patients were lactating infants; in the first sudden death occurred during digoxin treatment for supraventricular tachycardia secondary to Wolff-Parkinson-White syndrome and in the second the syndrome was diagnosed after an episode of sudden death. In these patients a free wall accessory path-way (left posterior and left lateral, respectively) was suc-cessfully ablated using a transseptal approach. The third patient was diagnosed with asymptomatic Wolff-Parkin-son-White syndrome; sudden death occurred during exer-cise. In the fourth patient, sudden death occurred after in-travenous therapy with adenosine triphosphate and amiodarone for rapid atrial fibrillation. In both patients, one accessory pathway, located in right posteroseptal and right anterior free wall, respectively, was ablated. After a mean follow-up of 43.5 ± 26.4 months, no recurrence of sudden death had occurred and electrocardiogram sho-wed sinus rhythm without delta wave. The third patient presented severe sequelae of hypoxemic encephalopathy, which persisted during the follow-up.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Radiofrequency catheter ablation is the treatment of choice in Wolff-Parkinson-White syndrome with episodes of aborted sudden death.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 15 | 11 | 26 |
| 2024 Octubre | 105 | 65 | 170 |
| 2024 Septiembre | 151 | 48 | 199 |
| 2024 Agosto | 126 | 87 | 213 |
| 2024 Julio | 117 | 41 | 158 |
| 2024 Junio | 130 | 41 | 171 |
| 2024 Mayo | 110 | 48 | 158 |
| 2024 Abril | 119 | 45 | 164 |
| 2024 Marzo | 123 | 27 | 150 |
| 2024 Febrero | 121 | 39 | 160 |
| 2024 Enero | 130 | 30 | 160 |
| 2023 Diciembre | 177 | 27 | 204 |
| 2023 Noviembre | 152 | 27 | 179 |
| 2023 Octubre | 131 | 29 | 160 |
| 2023 Septiembre | 119 | 28 | 147 |
| 2023 Agosto | 110 | 19 | 129 |
| 2023 Julio | 131 | 34 | 165 |
| 2023 Junio | 125 | 32 | 157 |
| 2023 Mayo | 174 | 22 | 196 |
| 2023 Abril | 95 | 18 | 113 |
| 2023 Marzo | 125 | 24 | 149 |
| 2023 Febrero | 110 | 15 | 125 |
| 2023 Enero | 87 | 28 | 115 |
| 2022 Diciembre | 66 | 21 | 87 |
| 2022 Noviembre | 86 | 37 | 123 |
| 2022 Octubre | 118 | 43 | 161 |
| 2022 Septiembre | 77 | 35 | 112 |
| 2022 Agosto | 116 | 43 | 159 |
| 2022 Julio | 70 | 61 | 131 |
| 2022 Junio | 55 | 34 | 89 |
| 2022 Mayo | 63 | 50 | 113 |
| 2022 Abril | 64 | 48 | 112 |
| 2022 Marzo | 104 | 60 | 164 |
| 2022 Febrero | 81 | 40 | 121 |
| 2022 Enero | 114 | 46 | 160 |
| 2021 Diciembre | 119 | 53 | 172 |
| 2021 Noviembre | 109 | 39 | 148 |
| 2021 Octubre | 111 | 62 | 173 |
| 2021 Septiembre | 102 | 52 | 154 |
| 2021 Agosto | 77 | 47 | 124 |
| 2021 Julio | 103 | 49 | 152 |
| 2021 Junio | 106 | 33 | 139 |
| 2021 Mayo | 84 | 36 | 120 |
| 2021 Abril | 213 | 83 | 296 |
| 2021 Marzo | 180 | 39 | 219 |
| 2021 Febrero | 121 | 39 | 160 |
| 2021 Enero | 81 | 33 | 114 |
| 2020 Diciembre | 69 | 35 | 104 |
| 2020 Noviembre | 68 | 21 | 89 |
| 2020 Octubre | 67 | 17 | 84 |
| 2020 Septiembre | 64 | 19 | 83 |
| 2020 Agosto | 65 | 17 | 82 |
| 2020 Julio | 53 | 22 | 75 |
| 2020 Junio | 61 | 12 | 73 |
| 2020 Mayo | 45 | 26 | 71 |
| 2020 Abril | 39 | 16 | 55 |
| 2020 Marzo | 57 | 7 | 64 |
| 2020 Febrero | 65 | 14 | 79 |
| 2020 Enero | 62 | 43 | 105 |
| 2019 Diciembre | 58 | 36 | 94 |
| 2019 Noviembre | 38 | 12 | 50 |
| 2019 Octubre | 51 | 17 | 68 |
| 2019 Septiembre | 71 | 39 | 110 |
| 2019 Agosto | 45 | 22 | 67 |
| 2019 Julio | 54 | 38 | 92 |
| 2019 Junio | 64 | 39 | 103 |
| 2019 Mayo | 112 | 51 | 163 |
| 2019 Abril | 145 | 82 | 227 |
| 2019 Marzo | 55 | 20 | 75 |
| 2019 Febrero | 55 | 17 | 72 |
| 2019 Enero | 36 | 25 | 61 |
| 2018 Diciembre | 34 | 22 | 56 |
| 2018 Noviembre | 41 | 14 | 55 |
| 2018 Octubre | 51 | 16 | 67 |
| 2018 Septiembre | 22 | 9 | 31 |
| 2018 Agosto | 2 | 0 | 2 |
| 2018 Julio | 2 | 0 | 2 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 5 | 0 | 5 |
| 2018 Abril | 20 | 0 | 20 |
| 2018 Marzo | 12 | 0 | 12 |
| 2018 Febrero | 15 | 0 | 15 |
| 2018 Enero | 16 | 0 | 16 |
| 2017 Diciembre | 21 | 0 | 21 |
| 2017 Noviembre | 16 | 1 | 17 |
| 2017 Octubre | 27 | 0 | 27 |
| 2017 Septiembre | 9 | 0 | 9 |
| 2017 Agosto | 27 | 0 | 27 |
| 2017 Julio | 14 | 2 | 16 |
| 2017 Junio | 20 | 30 | 50 |
| 2017 Mayo | 19 | 19 | 38 |
| 2017 Abril | 9 | 42 | 51 |
| 2017 Marzo | 11 | 26 | 37 |
| 2017 Febrero | 8 | 22 | 30 |
| 2017 Enero | 5 | 13 | 18 |
| 2016 Diciembre | 21 | 17 | 38 |
| 2016 Noviembre | 31 | 10 | 41 |
| 2016 Octubre | 44 | 22 | 66 |
| 2016 Septiembre | 26 | 23 | 49 |
| 2016 Agosto | 36 | 24 | 60 |
| 2016 Julio | 27 | 20 | 47 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 3 | 0 | 3 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 4 | 0 | 4 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Septiembre | 3 | 0 | 3 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 7 | 7 | 14 |
| 2015 Junio | 9 | 0 | 9 |
| 2015 Mayo | 11 | 7 | 18 |
| 2015 Abril | 13 | 5 | 18 |
| 2015 Marzo | 18 | 0 | 18 |
| 2015 Febrero | 9 | 3 | 12 |
| 2015 Enero | 28 | 1 | 29 |
| 2014 Diciembre | 30 | 2 | 32 |
| 2014 Noviembre | 14 | 1 | 15 |
| 2014 Octubre | 22 | 4 | 26 |
| 2014 Septiembre | 26 | 2 | 28 |
| 2014 Agosto | 32 | 2 | 34 |
| 2014 Julio | 31 | 2 | 33 |
| 2014 Junio | 70 | 3 | 73 |
| 2014 Mayo | 116 | 2 | 118 |
| 2014 Abril | 100 | 1 | 101 |
| 2014 Marzo | 98 | 5 | 103 |
| 2014 Febrero | 76 | 8 | 84 |
| 2014 Enero | 72 | 10 | 82 |
| 2013 Diciembre | 74 | 5 | 79 |
| 2013 Noviembre | 67 | 7 | 74 |
| 2013 Octubre | 83 | 12 | 95 |
| 2013 Septiembre | 51 | 14 | 65 |
| 2013 Agosto | 68 | 18 | 86 |
| 2013 Julio | 51 | 8 | 59 |
| 2013 Junio | 1 | 3 | 4 |
| 2013 Mayo | 7 | 2 | 9 |
| 2013 Abril | 5 | 3 | 8 |
| 2013 Marzo | 9 | 4 | 13 |
| 2013 Febrero | 30 | 4 | 34 |
| 2013 Enero | 20 | 3 | 23 |
| 2012 Diciembre | 4 | 3 | 7 |
| 2012 Noviembre | 8 | 2 | 10 |
| 2012 Octubre | 4 | 0 | 4 |
| 2012 Septiembre | 2 | 0 | 2 |
| 2012 Agosto | 3 | 1 | 4 |
| 2001 Marzo | 1086 | 0 | 1086 |
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