Clinical effect of vein of Marshall ethanol infusion on mitral isthmus ablation.
| Autor: | Ge WL; Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China.; Department of Cardiology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China., Lu YF; Department of Cardiology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China., Li T; Department of Cardiology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China., Wang Y; Department of Cardiology, Shandong Provincial Qianfoshan Hospital, Jinan, China., Yin J; Department of Cardiology, Shandong Provincial Qianfoshan Hospital, Jinan, China., Li XR; Department of Cardiology, Shandong Provincial Qianfoshan Hospital, Jinan, China., Jiang JJ; Department of Cardiology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China., Mi YF; Department of Cardiology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China., Tung TH; Evidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, China.; Key Laboratory of Evidence-Based Radiology of Taizhou, Linhai, Zhejiang, China., Yan SH; Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China.; Department of Cardiology, Shandong Provincial Qianfoshan Hospital, Jinan, China. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in cardiovascular medicine [Front Cardiovasc Med] 2024 Feb 05; Vol. 11, pp. 1253554. Date of Electronic Publication: 2024 Feb 05 (Print Publication: 2024). |
| DOI: | 10.3389/fcvm.2024.1253554 |
| Abstrakt: | Purpose: This study aimed to investigate the effect of Marshall ethanol infusion (VOM-Et) in the vein on mitral isthmus (MI) ablation. Methods: Patients with persistent atrial fibrillation (AF) were grouped into vein of VOM-Et combined with radiofrequency (RF) ablation (VOM-Et-RF) and RF groups. The primary outcome was MI block immediate block rate after surgery. Stratified analysis was also performed for factors affecting the outcome measures. Results: A total of 118 consecutive patients underwent AF ablation at Taizhou Hospital of Zhejiang Province from January 2018 to December 2021. Successful bidirectional perimitral block was achieved in 96% of patients in VOM-Et-RF (69 of 72) and in 76% of patients in the RF group (35 of 46) ( P < 0.01). In the subgroup analysis, male sex, elder than 60 years, Left atrial diameter <55 mm, and AF duration <3 years were associated with the benefits of VOM-Et in AF Patients. Conclusion: The vein of Marshall ethanol infusion for catheter ablation can improve the MI block rate. Male sex, elder age, smaller Left atrial diameter and shorter AF duration may have significant benefits for VOM-Et. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Ge, Lu, Li, Wang, Yin, Li, Jiang, Mi, Tung and Yan.) |
| Databáze: | MEDLINE |
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