The clinical pediatric electrophysiology program at Stanford is one of the largest programs in the state, with over 240 invasive electrophysiology procedures performed in 2014. The program is comprehensive, ranging the full spectrum of pediatric electrophysiology. Specialists perform invasive electrophysiology studies using standard and advanced techniques, including 3-D electroanatomic mapping, in patients with structurally normal hearts as well as in patients with congenital heart disease. Both radiofrequency ablation and transcatheter cryoablation are offered; surgical mapping and intraoperative cryoablation are also available for patients with congenital heart disease.
Additionally, the EP service implants all transvenous pacemakers, including biventricular pacemakers and implantable cardioverter-defibrillators. EP physicians are also intimately involved in the arrhythmia management of pediatric heart failure patients and have worked to develop novel therapeutic options, specifically multisite pacing, in patients with congenital heart disease. Further, the program has established a multidisciplinary channelopathy clinic with state-of-the-art genetic testing and counseling. Pacemaker patients are supported with a full range of multidisciplinary services, including pacemaker follow-up consisting of monthly transtelephonic monitoring, a pacemaker clinic, and counseling.
Drs. Anne Dubin, Scott Ceresnak and Kara Motonaga diagnose and treat fetal cardiac arrhythmias through the Center for Fetal Cardiac Diagnosis in conjunction with the High Risk Perinatology group. This group diagnoses and treats fetuses with cardiac rhythm disturbances using a highly coordinated, multidisciplinary team approach. Fetal cardiac arrhythmia is also an area of research interest to this group, and they have produced publications examining the relationship between congenital complete heart block, myocarditis, and Ro and La antibodies.