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1000 Titel
  • Safety and patient-reported outcomes in index ablation versus repeat ablation in atrial fibrillation: insights from the German Ablation Registry
1000 Autor/in
  1. Kany, Shinwan |
  2. Brachmann, Johannes |
  3. Lewalter, Thorsten |
  4. Kuck, Karl-Heinz |
  5. Andresen, Dietrich |
  6. Willems, Stephan |
  7. Hoffmann, Ellen |
  8. Eckardt, Lars |
  9. Thomas, Dierk |
  10. Hochadel, Matthias |
  11. Senges, Jochen |
  12. Metzner, Andreas |
  13. Rillig, Andreas |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-10-28
1000 Erschienen in
1000 Quellenangabe
  • 110(6):841-850
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00392-020-01763-1 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166687/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Pulmonary vein isolation is an established strategy for catheter ablation of atrial fibrillation (AF). However, in a significant number of patients, a repeat procedure is mandatory due to arrhythmia recurrence. In this study, we report safety data and procedural details of patients undergoing index ablation versus repeat ablation in a registry-based real-life setting.!##!Methods!#!Patients from the German Ablation Registry, a prospective, multicentre registry of patients undergoing ablation between January 2007 and January 2010 were included.!##!Results!#!A total of 4155 patients were enrolled in the study. Group I (index ablation) consisted of 3377/4155 (82.1%) and group II (repeat ablation) of 738/4155 (17.9%). Patients in group I had a significantly higher ratio of paroxysmal AF (69.3% vs 61.9%, p < 0.001) and significantly less persistent AF (30.7% vs 38.1%, p < 0.001). The repeat group showed significantly lower mean RF application duration (2580 s. vs 1960, p < 0.001), less fluoroscopy time (29 min. vs. 27 min., p < 0.001), less mean dose area product (DAP) (3744 cGy × cm!##!Conclusion!#!Repeat catheter ablation is safe and provides a symptomatic relief comparable to index ablation. Repeat procedures are significantly shorter and use less fluoroscopy.
1000 Sacherschließung
lokal Female [MeSH]
lokal Follow-Up Studies [MeSH]
lokal Patient-reported outcomes
lokal Aged [MeSH]
lokal Humans [MeSH]
lokal Prospective Studies [MeSH]
lokal Catheter Ablation/methods [MeSH]
lokal Middle Aged [MeSH]
lokal Risk Factors [MeSH]
lokal Atrial fibrillation
lokal Pulmonary Veins/surgery [MeSH]
lokal Reoperation [MeSH]
lokal Time Factors [MeSH]
lokal Patient Reported Outcome Measures [MeSH]
lokal Recurrence [MeSH]
lokal Atrial Fibrillation/physiopathology [MeSH]
lokal Repeat ablation
lokal Atrial Fibrillation/surgery [MeSH]
lokal Male [MeSH]
lokal Original Paper
lokal Operative Time [MeSH]
lokal Registries [MeSH]
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