Pediatric Cardiac Electrophysiology (EPS) & Device Implantation
Overview
The pediatric cardiology Unit provides advanced diagnostic and interventional cardiac care for pediatric patients with congenital and structural heart diseases. The unit serves as a cornerstone for minimally invasive procedures, avoiding the need for open-heart surgery whenever possible. The unit also provides advanced diagnostic and interventional pediatric electrophysiological services for pediatric patients with arrhythmias & conduction disorders.
Scope of the Unit
The Pediatric Cardiology Department provides state-of-the-art services including fetal echocardiography, interventional catheterization, advanced non-invasive imaging, and pediatric cardiac intensive care. The team is dedicated to delivering holistic care that extends from prenatal detection to long-term follow-up.
The pediatric cardiology Unit specializes in the evaluation and management of pediatric patients with congenital and acquired heart diseases, as well as pediatric patients with arrhythmias & conduction disorders. In addition to evaluation of fetal cardiac anomalies.
Using cutting-edge technology, the team performs diagnostic imaging and interventional procedures to restore normal heart function & rhythm.
Pediatric cardiology clinic
Clinical evaluation & follow up of neonates & children with congenital or acquired heart diseases before & after cardiac interventions (surgery & catheter interventions)
Pediatric echocardiography clinic
Conventional transthoracic Echocardiography, advanced cardiac imaging (tissue Doppler & speckle tacking echocardiography, 3D echocardiography)
Pediatric arrhythmia clinic
Diagnosis, management & follow up of pediatric patients with rhythm & conduction disorders.
Screening for children pre-participation in sports.
The clinic provides assessment using: 12 leads ECG, Ambulatory ECG (Holter) monitoring, stress testing, programming of implantable devices (Pacemakers & ICDs).
Fetal echocardiography clinic
Fetal echocardiography and prenatal counseling.
Neonatal cardiac assessment and early intervention planning.
Parental education and family support.
Pediatric Cardiac Catheterization unit
Diagnostic cardiac catheterization:
Diagnostic cardiac catheterization for congenital lesions, hemodynamic studies, Transesophageal echocardiography (TEE).
Interventional Cardiology:
· Balloon angioplasty for stenotic & critically stenotic lesions
· Balloon valvuloplasty (aortic, pulmonary).
· Coarctation stenting and great vessel interventions.
· Pulmonary artery branch stenting
· Device closure of septal defects (ASD, VSD, PDA).
· Device closure of collaterals
· Device closure of abnormal fistulae (as coronary fistulae , Arteriovenous fistulae, …)
· PDA stenting in duct dependent cardiac lesions
· Right ventricular outflow tract stenting for TOF, PA with hypoplastic PA branches.
· Balloon atrial septostomy
· Pulmonary valve RF Perforation for pulmonary atresia
· Percutaneous Pulmonary valve implantation
· Percutaneous Fontan procedure.
· Neonatal critical interventions: critical PA, critical AS, PDA stenting.
· Emergency lifesaving interventions for critical cardiac lesions in children of all ages
Pediatric electrophysiology Catheterization unit
· Diagnostic EP studies with conventional electric mapping systems
· Diagnostic EP studies with 3D electric mapping systems
· RF ablation of arrhythmias in pediatric patients
· EPS and ablation of complex pediatric arrhythmias.
· Transvenous endocardial Pacemaker implantation (single & dual chamber pacemakers) in children.
· Left Bundle area pacing in children.
· Leadless pacing in ADCH.
· Transvenous endocardial ICD implantation (single & dual chamber systems) in children.
· Devices & leads extraction
· Providing technical support (intraoperative device testing & programming) for surgically inserted devices
Cardiac Catheterization unit for Adults with congenital heart diseases (ADCH)
· Diagnostic and interventional cardiac catheterization in ACHD patients.
· Management of ACHD with heart failure, arrhythmias, and critical congenital heart disease.
Pediatric cardiac care unit (CCU)
· Pre & Post-catheterization monitoring and stabilization.
Pediatric cardiology ward
Evaluation & management of pediatric patients post cardiac surgery or catheterization as well as patients admitted with medical cardiac conditions.
What We Treat
We help children who have problems with their heart arteries, heart valves, or blood vessels in the body & those who have too fast or too slow heart rate. Conditions include:
- Blocked or narrowed major heart arteries (which can cause effort intolerance, chest pain or syncope)
- Valve problems (such as valves that are too tight or that leak)
- Abnormal hole in the heart
- Aneurysms of the aorta (bulges in large blood vessels)
- Children with abnormally rapid heart rate
- Children with abnormally slow heart rate
- Babies with bluish discoloration of the body (cyanosis)
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Clinical Programs
Program Director:
Program Coordinator:
Program Description:
Our Pediatric Electrophysiology (EPS) and Device Implantation Program provides comprehensive, specialized care for infants, children, and adolescents with suspected or confirmed heart rhythm disorders with or without congenital heart diseases.
Combining cutting-edge technology with specialized expertise, advanced diagnostic tools and minimally invasive therapies, the Pediatric EPS program aims to deliver enables accurate diagnosis and guides targeted treatments such as catheter ablation tailored to young patients, with improved long-term outcomes.
Our goal is to restore normal heart rhythm, prevent complications, and support healthy growth and long-term cardiac function.
Why This Program Matters
Heart rhythm disorders in children can affect energy levels, growth, and overall health—and in some cases, may carry serious risks if left untreated. A dedicated pediatric electrophysiology program ensures:
Early and accurate diagnosis of complex arrhythmias
Access to minimally invasive, curative therapies
Safe and age-appropriate device implantation
Reduced long-term complications from untreated rhythm disorders
Continuous care as children grow into adulthood
By focusing on pediatric-specific expertise and technology, we provide safer procedures and better long-term outcomes.
Our Specialized Services
Pediatric Electrophysiology Studies (EPS)
We perform advanced electrophysiology studies to map the heart’s electrical system using state of the art conventional & 3 D mapping systems and identify the source of abnormal rhythms. This allows for precise diagnosis and guides targeted treatments.
Catheter Ablation
For many arrhythmias, catheter ablation offers a minimally invasive and often curative solution. Using advanced mapping systems, we safely eliminate abnormal electrical pathways while preserving healthy tissue.
Pacemaker Implantation
We provide customized pacemaker solutions for children with slow heart rhythms or conduction disorders. Devices and techniques are carefully selected to match each child’s size, anatomy, and long-term needs.
Implantable Cardioverter-Defibrillators (ICDs)
For children at risk of life-threatening arrhythmias, we implant ICDs that continuously monitor heart rhythm and deliver life-saving therapy when needed.
Physiologic Pacing Strategies
Whenever possible, we use advanced pacing approaches that mimic the heart’s natural conduction system, helping preserve cardiac function over time.
Device Management and Follow-Up
We offer comprehensive device monitoring, programming optimization, and long-term follow-up to ensure continued safety and effectiveness as the child grows.
What Sets Us Apart
Dedicated pediatric electrophysiology expertise
Advanced 3D mapping and minimally invasive technologies
Child-focused procedural environments and anesthesia care
Multidisciplinary collaboration with cardiology, cardiac surgery, and imaging teams
Emphasis on long-term outcomes and quality of life
Family-Centered Care
We understand that a heart condition can be overwhelming for both children and their families. Our team is committed to clear communication, education, and compassionate support at every stage—from diagnosis through treatment and follow-up.
Program Outcomes at a Glance
90%
Success Rate
289
Cases
6
Years
Conduction System / Left Bundle Area / Anti Heart Failure Pacing
Program Director:
Program Coordinator:
Program Description:
Our Pediatric Left Bundle Area Pacing (LBAP) Program offers an advanced, physiologic approach to cardiac pacing for children who require long-term rhythm support. By stimulating the heart’s natural electrical conduction system
This innovative approach helps preserve cardiac function, reduces complications associated with conventional pacing, and is particularly beneficial for patients requiring long-term pacing support. Thus helping protect heart function as children grow
Designed specifically for children, and adolescents, this program combines specialized pediatric expertise with the latest pacing technologies to deliver safer, more effective, and durable solutions.
Children enrolled in the program receive ongoing monitoring, including device checks and cardiac function assessment, to ensure continued effectiveness and early detection of any issues.
Our team works closely with families to provide clear guidance, education, and support at every stage—from diagnosis through long-term follow-up.
Program Outcomes at a Glance
100%
Success Rate
4
Cases
1
Years
Fetal Echocardiography
Program Coordinator:
Program Description:
Our Fetal Echocardiography Program provides advanced prenatal cardiac imaging to evaluate the structure and function of a baby’s heart before birth. Using high-resolution ultrasound technology, we can detect congenital heart conditions early allowing families and care teams to plan for the safest possible pregnancy, delivery, and postnatal care.
This program is dedicated to early diagnosis, expert guidance, and coordinated care, ensuring the best outcomes for both mother and baby.
Why This Program Matters
Congenital heart disease is one of the most common birth conditions, and early detection plays a critical role in improving outcomes. Fetal echocardiography enables:
Early and accurate diagnosis of heart abnormalities
Timely decision-making and pregnancy management
Planned delivery in collaboration with specialized centers when needed
Timely care for newborns with critical heart conditions
Improved survival rates and long-term health outcomes
Identifying heart conditions before birth allows for a proactive, well-coordinated approach to care reducing uncertainty and enhancing safety.
We perform comprehensive fetal echocardiograms to assess cardiac anatomy, rhythm, and function, using advanced imaging techniques for precise diagnosis.
We provide clear, compassionate counseling to help families understand the diagnosis, expected outcomes, and next steps in care.
When necessary, we coordinate delivery at specialized centers and ensure seamless transition to neonatal cardiac care immediately after birth.
Program Outcomes at a Glance
90%
Success Rate
400
Cases
2
Years
Pediatric Hybrid Cardiac Interventions
Program Director:
Program Coordinator:
Program Description:
Our Pediatric Hybrid Cardiac Interventions Program combines the precision of surgery with the advantages of transcatheter techniques to treat complex congenital heart diseases in children. By integrating these two approaches in a single, coordinated setting, we offer safer, less invasive solutions for patients who may not be ideal candidates for conventional surgery or catheterization alone.
This program is designed to expand treatment options, reduce procedural risk, and improve outcomes for infants, children, and adolescents with challenging cardiac conditions.
Why This Program Matters?
Some congenital heart defects are too complex to be managed effectively with a single approach. Hybrid interventions provide a powerful alternative by allowing surgeons and interventional cardiologists to work together in real time. This approach:
Reduces the need for multiple separate procedures
Minimizes surgical trauma and cardiopulmonary bypass exposure
Improves precision in treating complex anatomy
Offers treatment options for high-risk or fragile patients
Shortens recovery time and hospital stay
Hybrid strategies are particularly valuable for newborns and critically ill children, where less invasive, staged, or combined procedures can significantly improve survival and long-term outcomes. Hybrid techniques enable targeted repairs such as vessel stenting, defect closure, or valve interventions through smaller incisions and reduced procedural stress.
Each patient undergoes detailed imaging and multidisciplinary review to determine the most effective hybrid strategy tailored to their condition.
We perform coordinated interventions in a specialized hybrid operating suite, allowing seamless collaboration between cardiac surgeons and interventional cardiologists.
We provide comprehensive recovery care and ongoing monitoring to ensure optimal outcomes and plan future stages of treatment if needed.
Our team is committed to clear communication, compassionate support, and education throughout every stage from diagnosis and treatment planning to recovery and long-term care.
Program Outcomes at a Glance
100%
Success Rate
10
Cases
6
Years
Pediatric Transcatheter Pulmonary Valve Implantation (TPVI)
Program Director:
Program Coordinator:
Program Description:
Our Pediatric Transcatheter Pulmonary Valve Implantation (TPVI) Program provides a cutting-edge, minimally invasive alternative to open-heart surgery for children with congenital heart diseases affecting the pulmonary valve and right ventricular outflow tract. Using advanced catheter-based techniques, we restore valve function, improve blood flow, and help children return more quickly to normal activities.
This program is designed to deliver safe, effective, and durable treatment while minimizing the physical and emotional impact of repeated surgeries.
Why This Program Matters
Many children with congenital heart disease require pulmonary valve replacement often more than once during their lifetime. Traditional surgery can carry increased risks and longer recovery times, particularly with repeat procedures. TPVI offers a transformative solution by:
Avoiding open-heart surgery in eligible patients
Reducing hospital stay and accelerating recovery
Restoring normal valve function and improving heart performance
Delaying or preventing the need for additional surgeries
Enhancing quality of life and physical activity levels
Early and timely intervention with TPVI can significantly improve long-term cardiac outcomes.
We conduct detailed imaging and clinical evaluations to determine candidacy for TPVI, ensuring each child receives the most appropriate and effective treatment
Our team performs precise pulmonary valve implantation using minimally invasive catheter-based techniques. Procedures are tailored to each patient’s anatomy for optimal valve positioning and performance.
Each case is managed by a dedicated team of pediatric cardiologists, interventional specialists, cardiac surgeons, anesthesiologists, and imaging experts to ensure the highest level of safety.
We provide specialized recovery care, including imaging and clinical follow-up to ensure proper valve function and early detection of any complications.
Our program includes lifelong monitoring to assess valve durability & heart function
Our team is committed to clear communication, education, and compassionate support for families throughout every stage, from evaluation to recovery and beyond.
Program Outcomes at a Glance
100%
Success Rate
45
Cases
4
Years