Multicentre safety of adding Focal Impulse and Rotor Modulation (FIRM) to conventional ablation for atrial fibrillation
Autor: | Paul J. Wang, Amir A. Schricker, Vijay Swarup, John M. Miller, David E. Krummen, Sanjiv M. Narayan, Mohan N. Viswanathan, Christopher A.B. Kowalewski, Tina Baykaner, Gery Tomassoni, Shirley Park |
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Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty Future studies medicine.medical_treatment 030204 cardiovascular system & hematology Pulmonary vein Cohort Studies 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Clinical Research Physiology (medical) Internal medicine Atrial Fibrillation Prevalence medicine Humans Complication rate 030212 general & internal medicine business.industry Body Surface Potential Mapping Atrial fibrillation Middle Aged medicine.disease Ablation United States Survival Rate Treatment Outcome Surgery Computer-Assisted Cohort Catheter Ablation Cardiology Female Cardiology and Cardiovascular Medicine Basket catheter Complication business |
Zdroj: | EP Europace. 19:769-774 |
ISSN: | 1532-2092 1099-5129 |
Popis: | Aims Focal Impulse and Rotor Modulation (FIRM) uses 64-electrode basket catheters to identify atrial fibrillation (AF)-sustaining sites for ablation, with promising results in many studies. Accordingly, new basket designs are being tested by several groups. We set out to determine the procedural safety of adding basket mapping and map-guided ablation to conventional pulmonary vein isolation (PVI). Methods and results We collected 30 day procedural safety data in five US centres for consecutive patients undergoing FIRM plus PVI (FIRM-PVI) compared with contemporaneous controls undergoing PVI without FIRM. A total of 625 cases were included in this analysis: 325 FIRM-PVI and 300 PVI-controls. FIRM-PVI patients were more likely than PVI-controls to be male (83% vs. 66%, P |
Databáze: | OpenAIRE |
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