General anesthesia or conscious sedation in paroxysmal atrial fibrillation catheter ablation
| Autor: | Ondrej Moravec, Tomas Skala, Olga Klementova, Jitka Skalova, Martin Hutyra, Jan Precek, Marian Fedorco, Vlastimil Cernicek, Zbynek Tudos, Jana Zapletalova, Milos Taborsky |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Biomedical Papers, Vol 165, Iss 2, Pp 162-168 (2021) |
| Druh dokumentu: | article |
| ISSN: | 1213-8118 1804-7521 |
| DOI: | 10.5507/bp.2020.012 |
| Popis: | Background. Catheter ablation of paroxysmal atrial fibrillation (AF) can be performed under general anesthesia or conscious sedation. The influence of type of anesthesiology care on procedural characteristics and ablation outcome in patients in whom intracardiac echocardiography (ICE) and elimination of adenosine-mediated dormant conduction (DC) is used is not entirely known. Methods. 150 patients with paroxysmal AF were randomized to point-by-point radiofrequency catheter isolation of pulmonary veins (PVI) under general anesthesia (n=77) or conscious sedation (n=73). Adenosine-mediated dormant conduction was eliminated in all patients. Antiarrhythmic medication was discontinued after PVI. During twelve months of follow-up, all patients underwent four times 7-day ECG monitorings. Results. There was no difference between groups in AF recurrence (28.6% vs. 31.5%, P=0.695). Patients in conscious sedation had longer procedure times (160 ± 32.1 vs. 132 ± 31.5 min, P |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|