المؤلفون: Ercan ÇEĞİLLİ, Aykut DEMİRKIRAN, Serhat ÇALIŞKAN, Ferit BÖYÜK, Ali AYDINLAR

المصدر: Namık Kemal Tıp Dergisi, Vol 9, Iss 3, Pp 295-301 (2021)

مصطلحات موضوعية: atrial fibrillation, cryoballoon ablation, pulmonary vein isolation, left atrium, Medicine

الوصف: Aim:The current study aimed to investigate the predictors of recurrence in patients with paroxysmal atrial fibrillation (AF) undergoing cryoballoon ablation.Materials and Methods:This study was conducted with the participation of the patients who underwent cryoballoon ablation between October 2013 and March 2016. Patients’ medical records were retrospectively evaluated. Patients were divided into two groups as those with AF recurrence and those without AF recurrence.Results:A total of 68 patients undergoing cryoballoon ablation were included in the study. The mean age of the patients was 57.3±12 years, and 32% were male. Concomitant conditions included coronary artery disease in 25 patients (36.8%), diabetes mellitus in 9 (13.2%), hypertension in 46 (67.6%), and history of cerebrovascular event in 3 (4.4%). During the early period involving the initial three months, AF recurrence was found in 16 patients (23.5%), while 52 (76.5%) remained in the sinus rhythm during the follow-up. There were significant differences between two groups in left atrium size (38±5.3 and 44±6.6, p=0.003), left atrial appendage (LAA) flow rate [38 (24-62) cm/sec and 28 (22-55) cm/sec, p=0.001], presence of pulmonary venous anomaly [5 (9.6%) and 6 (37.5%), p=0.016], the number of antiarrhythmic drugs before the ablation (1.78±0.7 and 2.43±0.5, p=0.002), interventricular septal thickness (11±1.7 mm and 12±1.47 mm, p=0.008), left ventricular posterior wall thickness (11±0.9 mm and 12±1.3 mm, p=0.007), and left ventricular mass (195±51 g and 181±37.9 g, p=0.028).Conclusion:According to the results, AF recurrence after ablation was found to be associated with the use of multiple antiarrhythmic drugs before the ablation, increased left atrial diameter, the reduced flow rate in the LAA, presence of a pulmonary venous anomaly, increased interventricular septal thickness, left ventricular posterior wall thickness, and left ventricular mass.

وصف الملف: electronic resource

Relation: http://namikkemalmedj.com/archives/archive-detail/article-preview/risk-factors-for-atrial-fibrillation-recurrence-in/49756; https://doaj.org/toc/2587-0262

URL الوصول: https://doaj.org/article/6b8f381de32340949b1dabd21318fe3c

المؤلفون: Mesut Aydin, Nihat Polat, Necdet Ozaydogdu, Yahya Islamoglu, Murat Yüksel

المصدر: Volume: 5, Issue: 4 599-603
Journal of Clinical and Experimental Investigations
Journal of Clinical and Experimental Investigations, Vol 5, Iss 4, Pp 599-603 (2014)

مصطلحات موضوعية: medicine.medical_specialty, Atrial fibrillation,pulmonary vein isolation,cryoballoon ablation, business.industry, Paroxysmal atrial fibrillation, Medical record, medicine.medical_treatment, Atrial fibrillation, Cryoablation, medicine.disease, Surgery, Discontinuation, Atriyal fibrilasyon,pulmoner ven izolasyonu,kriyobalon ablasyonu, medicine, Medicine, In patient, business, Stroke, pulmonary vein isolation, Paroxysmal AF

الوصف: Objectives: Atrial fibrillation (AF), the most common arrhythmia in clinical practice, is a major cause of stroke. Atrial fibrillation increases morbidity and mortality. Nowadays cryoablation therapy is being performed efficiently and safely worldwide. In this paper the clinical outcomes of the patients whom were treated with cryoablation were discussed. Methods: Between June 2012 and March 2014, patients with paroxysmal AF who were treated with cryoablation were included in the study. The medical records of the patients were retrospectively reviewed. Patients were called to receive information about the symptom recurrence. Results: Twelve patients were included in the study. Half of the patients were female. The mean age was 48 ± 15 years. Acute procedural success rate of cryoablation was 100%. In one patient transient right phrenic nerve injury occurred which was returned to normal after discontinuation of cryoablation therapy. One patient developed AF episode for 10 minutes in the 4th month of follow-up period. Conclusion: In patients with paroxysmal atrial fibrillation cryoablation effectively decrease symptoms consistent with the literature. J Clin Exp Invest 2014; 5 (4): 599-603
Amaç: Atriyal fibrilasyon (AF) klinik pratikte en sık karşılaşılan aritmi olmakla beraber inmenin en önemli nedenidir. Atriyal fibrilasyon morbiditeyi ve mortaliteyi artırmaktadır. Kriyoablasyon tedavisi günümüzde bütün dünyada yaygın bir şekilde etkin ve güvenli bir şekilde yapılmaktadır. Bu yazıda kriyoablasyon tedavisi yaptığımız hastaların klinik sonuçları tartışıldı. Yöntemler: Haziran 2012 ve Mart 2014 tarihleri arasında kriyoablasyon tedavisi uygulanmış paroksismal AF\'li hastalar çalışmaya dahil edildi. Hasta dosyalarındaki veriler retrospektif olarak incelendi. Telefonla ulaşılan hastalar semptomlar açısından sorgulandı. Bulgular: Çalışmada 12 hasta değerlendirildi. Hastaların %50\'si kadındı. Yaş ortalaması 48 ± 15 yıl idi. Kriyoablasyon akut işlem başarısı %100 idi. İşlem sırasında komplikasyon olarak sadece bir hastada geçici sağ taraf frenik sinir hasarı gelişti ve işleme son verildi. Bir hastamızda 4. ay takibinde 10 dakika süren AF atağı gelişti. Sonuç: Bu çalışma ile literatür ile uyumlu olarak paroksismal atriyal fibrilasyonlu hastalarda kriyoablasyon tedavisi ile güvenli ve etkin bir şekilde semptomlardaki iyileşme gösterilmiştir

وصف الملف: application/pdf

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::371390b48af5885b62e49fcbe488f639
https://dergipark.org.tr/tr/pub/jcei/issue/9887/122110

لا يتم عرض هذه النتيجة على الضيوف.
تسجيل الدخول للوصول الكامل.