Kent pathway catheter ablation about 18 cases: Results from a five-day camp between a Senegalese and South African team

Abstract

To evaluate the South-South collaboration experience on Kent pathway catheter ablation. A cross-sectional, descriptive study of all patients who underwent catheter ablation of a Kent pathway during the five (5) day camp between a Senegalese and South African team. Eighteen patients were included, male-dominated (72.2%) with a mean age of 31 years. Patients had palpitations (100%) and a physical examination. The electrocardiogram recorded a pre-excitation (100%), a right postero-septal location (33%). Electrophysiologic exploration showed different pathways location: right (39%), parahiseal (28%), and left (22%) posterior septal, elective antegrade elective refractory (89%), atrial tachycardia (61%), and rhythmic risk (78%). Catheter ablation was performed in 83% of patients: transseptal puncture (22%), average number of radiofrequency shots of 3, application time of 60 seconds, average pre-excitation loss time of 7.5 seconds. The evolution at 1 month was favorable (94.4%). One (1) case of recurrence in a patient with multiple accessory pathways. There were no deaths or complications. Catheter ablation, Kent pathway radical treatment possible and accessible in our countries.