Impact of single versus double transseptal puncture on outcome and complications in pulmonary vein isolation procedures
| العنوان: | Impact of single versus double transseptal puncture on outcome and complications in pulmonary vein isolation procedures |
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| المؤلفون: | Nikolaos Dagres, Justinas Bacevicius, Philipp Sommer, Annina Stauber, B. Dinov, Alireeza Sepehri Shamloo, Andreas Bollmann, Gerhard Hindricks, Jelena Kornej |
| المصدر: | Cardiology journal, Gdańsk : Via Medica, 2021, vol. 28, no. 5, p. 671-677 |
| بيانات النشر: | VM Media SP. zo.o VM Group SK, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | endocrine system, medicine.medical_specialty, medicine.medical_treatment, Isolation procedures, Catheter ablation, Punctures, Ventricular Function, Left, Pulmonary vein, immune system diseases, Internal medicine, Atrial Fibrillation, medicine, Humans, Ejection fraction, business.industry, virus diseases, Stroke Volume, Atrial fibrillation, General Medicine, medicine.disease, Ablation, Treatment Outcome, Pulmonary Veins, Child, Preschool, Catheter Ablation, Cardiology, Female, Cardiology and Cardiovascular Medicine, business, Complication, atrial fibrillation, catheter ablation, pulmonary vein isolation, transseptal puncture, complications, Body mass index |
| الوصف: | Background: The aim of the current study was to analyze the impact of single versus double transseptal puncture (TSP) for atrial fibrillation (AF) ablation. Methods: Consecutive patients undergoing AF ablation were prospectively included in the AF ablation registry and were analyzed according to single versus double TSP. Results: A total of 478 patients (female 35%, persistent AF 67%) undergoing AF ablation between 01/2014 and 09/2014 were included. Single TSP was performed in 202 (42%) patients, double TSP in 276 (58%) patients. Age, gender, body mass index, CHA2DS2-VASc score, left ventricular ejection fraction and operator experience (experienced operator defined as ≥ 5 years of experience in invasive electrophysiology) were equally distributed between the two groups. Repeat procedures (re-dos) were more frequently performed using single TSP access (p < 0.001). Left atrial (LA) diameter was larger in patients with double TSP (p = 0.001). Procedure duration in single TSP was identical to double TSP procedures (p = 0.823). Radiation duration was similar between the two groups (p = 0.217). There were 49 (10%) patients with complications after catheter ablation. There were no differences between complication rates and TSP type (p = 0.555). Similarly, recurrence rates were comparable between both TSP groups (p = 0.788). Conclusions: There was no clear benefit of single or double TSP in AF ablation. |
| وصف الملف: | application/pdf |
| تدمد: | 1898-018X 1897-5593 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8defcc3b60b4a54d8cb7b347f73e7b89 https://doi.org/10.5603/cj.a2020.0037 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....8defcc3b60b4a54d8cb7b347f73e7b89 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1898018X 18975593 |
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