Repeat procedures for recurrent persistent atrial fibrillation
| Autor: | Carlo de Asmundis, Saverio Iacopino, Gian-Battista Chierchia, Gezim Bala, Joerelle Mojica, Maysam Al Housari, Erwin Ströker, Vincenzo Miraglia, Thiago Guimarães Osório, Juan Sieira, Ingrid Overeinder, Pedro Brugada, Antonio Bisignani, Sergio Rizzi, Paul Calburean, Cinzia Monaco, Shuichiro Kazawa, Antonio Sorgente, Felicia Lipartiti, Antanas Strazdas, Luigi Pannone, Alexandre Almorad |
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| Přispěvatelé: | Heartrhythmmanagement, Faculty of Medicine and Pharmacy, Cardio-vascular diseases, Medical Imaging, Cardiology, Clinical sciences |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Radiofrequency ablation medicine.medical_treatment cryoballoon law.invention Pulmonary vein Posterior wall Left atrial law Internal medicine Left atrial posterior wall ablation Diseases of the circulatory (Cardiovascular) system Medicine In patient RADIOFREQUENCY ABLATION pulmonary vein isolation business.industry Original Articles Ablation persistent atrial fibrillation RC666-701 Persistent atrial fibrillation Cardiology Original Article business Cardiology and Cardiovascular Medicine Linear ablation |
| Zdroj: | Journal of Arrhythmia Journal of Arrhythmia, Vol 37, Iss 5, Pp 1287-1294 (2021) |
| Popis: | Aims To evaluate the clinical outcome in patients undergoing repeat procedures for recurrent persistent atrial fibrillation following an index cryoballoon (CB‐A) pulmonary vein isolation ablation on a mid‐term follow‐up of 12 months. Methods In this propensity score‐matched comparison, 50 patients undergoing left atrial posterior wall isolation (LAPWI) with the CB‐A were matched to 50 patients treated with additional linear ablation using radiofrequency catheter ablation (RFCA). Results Meantime to repeat the procedure was 9.74 ± 4.36 months. At 12 months follow‐up freedom from atrial tachyarrhythmias (ATas) was achieved in 82% of patients in the LAPWI group and in 62% of patients in the linear ablation group (P = .03). Regression analysis demonstrated that relapses during the blanking period and LA dimensions were independent predictors of ATas recurrences following the repeat procedure. Conclusion LAPWI using CB‐A is associated with a significantly higher freedom from atrial arrhythmias when compared with the RFCA mediated left atrial linear lesions on a mid‐term follow‐up of 12 months in patients with persAF undergoing a redo procedure. LAPWI using CB‐A is associated with a significantly higher freedom from atrial arrhythmias when compared with the RFCA mediated left atrial linear lesions on a mid‐term follow‐up of 12 months in patients with persAF undergoing a redo procedure. |
| Databáze: | OpenAIRE |
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