Cryoballoon ablation in young patients with lone paroxysmal atrial fibrillation.

Autor: Wójcik M; Department of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany; Department of Cardiology, Medical University of Lublin, Lublin, Poland., Berkowitsch A; Department of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany., Zaltsberg S; Department of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany., Hamm CW; Department of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany; Department of Cardiology, Justus-Liebig University of Giessen, Giessen, Germany., Pitschner HF; Department of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany., Neumann T; Department of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany; Department of Cardiology, Justus-Liebig University of Giessen, Giessen, Germany. Electronic address: t.neumann@kerckhoff-klinik.de., Kuniss M; Department of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany.
Jazyk: angličtina
Zdroj: Revista espanola de cardiologia (English ed.) [Rev Esp Cardiol (Engl Ed)] 2014 Jul; Vol. 67 (7), pp. 558-63. Date of Electronic Publication: 2014 Apr 26.
DOI: 10.1016/j.rec.2013.11.024
Abstrakt: Introduction and Objectives: Long-term efficacy following cryoballoon ablation of lone paroxysmal atrial fibrillation remains unknown. We describe long-term follow-up results of the single cryoballoon ablation procedure.
Methods: Pulmonary vein isolation was performed in 103 patients (72 male; median age 52 years) with symptomatic lone paroxysmal atrial fibrillation. The end-point of this observational cohort study was first electrocardiogram-documented recurrence of arrhythmia (atrial fibrillation, atrial tachycardia, or atrial flutter) during the 5-year follow-up, in the absence of anti-arrhythmic treatment.
Results: Acute complete pulmonary vein isolation was achieved in 86% of the patients with a single cryoballoon. The 6-month, 1-year, and 5-year success rate after a single procedure was 94%, 91%, and 77%, respectively. Arrhythmia recurrence was observed in 24 cases at a median of 14.8 months [range, 8.0-16.8 months]. Thirteen symptomatic patients were well controlled on beta-blockers only. Seven symptomatic patients had anti-arrhythmic treatment (class IC in 5 patients; dronedarone in 2 patients) introduced during the blanking period. Two of them had early arrhythmia recurrence within the blanking period only; they were arrhythmia-free in further follow-up on dronedarone. The rate of complications was relatively low and included a 4.8% incidence of transient phrenic nerve palsy.
Conclusions: A single cryoballoon ablation procedure for lone paroxysmal atrial fibrillation resulted in high rates of acute, medium-term, and long-term efficacy. The rate of complications is relatively low and includes a 4.8% incidence of transient phrenic nerve palsy.
(Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.)
Databáze: MEDLINE
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