Cryoballoon or radiofrequency ablation? Alternating technique for repeat procedures in patients with atrial fibrillation

Autor:	Luca Rebellato, Riccardo Sacchi, Saverio Iacopino, Domenico Catanzariti, Werner Rauhe, Giuseppe Arena, Giulio Molon, Roberto Verlato, Claudio Tondo, Giuseppe Allocca, Giuseppe Stabile, Paolo Pieragnoli, Giovanni Rovaris, Patrizia Pepi
Rok vydání:	2020
Předmět:	Male Reoperation medicine.medical_specialty Radiofrequency ablation medicine.medical_treatment 030204 cardiovascular system & hematology Independent predictor Cryosurgery law.invention Pulmonary vein 03 medical and health sciences 0302 clinical medicine Recurrence law Internal medicine Atrial Fibrillation medicine Humans In patient 030212 general & internal medicine Radiofrequency Ablation business.industry Atrial fibrillation General Medicine Middle Aged medicine.disease Ablation Pulmonary Veins Cohort Cardiology Female Cardiology and Cardiovascular Medicine business Energy source
Zdroj:	Pacing and Clinical Electrophysiology. 43:687-697
ISSN:	1540-8159 0147-8389
DOI:	10.1111/pace.13975
Popis:	BACKGROUND Which technique is better for repeat ablation in patients with atrial fibrillation (AF) remains unclear. The aim of the study was to compare long-term efficacy of repeat ablation using the alternative technique for the first redo ablation procedure: (a) cryoballoon (CB) re-ablation after a failed index pulmonary vein isolation (PVI) with radiofrequency (RF) ablation, RF-then-CB group or (b) RF repeat ablation following a failed CB ablation, CB-then-RF group. METHODS Within the 1STOP Italian Project, consecutive patients undergoing repeat ablation with a different technique from the index procedure were included. RESULTS We studied 474 patients, 349 in RF-then-CB and 125 in CB-then-RF group. Less women (21% vs 30%; P = .041), more persistent AF (33% vs 22%; P = .015), longer duration of AF (60 vs 31 months; P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::583694301f9a7e96290abae4a613102a https://doi.org/10.1111/pace.13975 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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