Pulmonary vein isolation for atrial fibrillation: Does ablation technique influence outcome?
| Autor: | S.A. Reddy, Bharat V Khialani, M.S. Virdee, S.L. Nethercott |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Radiofrequency ablation Paroxysmal atrial fibrillation medicine.medical_treatment Catheter ablation law.invention Pulmonary vein Recurrence law Internal medicine Atrial Fibrillation medicine Diseases of the circulatory (Cardiovascular) system Humans Prospective Studies Adverse effect Retrospective Studies business.industry Atrial fibrillation medicine.disease Ablation Catheter Treatment Outcome Pulmonary Veins 3D mapping RC666-701 Catheter Ablation Cardiology Surgery Original Article Cardiology and Cardiovascular Medicine business |
| Zdroj: | Indian Heart Journal Indian Heart Journal, Vol 73, Iss 6, Pp 718-724 (2021) |
| ISSN: | 0019-4832 |
| DOI: | 10.1016/j.ihj.2021.10.012 |
| Popis: | Background Over the last 20 years various techniques have been developed striving for safer and more durable pulmonary vein isolation (PVI). The three most commonly used tools are pulmonary vein ablation catheter (PVAC) and cryoballoon (‘single-shot’ techniques), and point-by-point (PBP) radiofrequency ablation using 3D electroanatomical mapping (EAM). Objective Evaluate the safety and efficacy of the different techniques in an unselected population undergoing de-novo ablation for persistent or paroxysmal atrial fibrillation (AF) at Royal Papworth Hospital (RPH). Method Retrospective, single-centre study of consecutive AF ablations at RPH between March 2017 and April 2018. Demographic, procedural and outcome data were analysed. Results Over the study period 329 first-time PVI procedures were performed. 37.4% were performed using PBP, 39.8% using cryoballoon and 22.8% using PVAC. There was no significant difference in age or sex between different ablation technique groups. 238 procedures were performed for paroxysmal AF and 91 for persistent AF. A higher proportion of the persistent cases were performed using point-by-point techniques compared to paroxysmal cases (58.2% vs 29.0%, p Highlights • The performance of PVAC, cryoballoon and point-by-point ablation in AF ablation has never been compared head-to-head-to-head. • Analysis of 329 PVI procedures showed no difference in symptomatic AF recurrence or safety outcomes between techniques. • Point-by-point procedures were longer. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|