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While Clanbook: Tzimisce Revised can be read to imply that Kartarirya is the first childe of Tzimisce Antediluvian, the Players Guide to High Clans explicitly states that Ionache was the Eldest's first childe.
The explicit statement in the latter would override the implication that could be read into the former. That said, it is worth noting that the Tzimisce of Dark Medieval Europe could very well remain unaware of Kartarirya's existence, thus explaining her absence from the clan's history in that book, even if she is not in fact the Eldest's first childe.