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Statements

Subject Item
n2:RIV%2F00023001%3A_____%2F13%3A00056110%21RIV14-MZ0-00023001
rdf:type
skos:Concept n13:Vysledek
rdfs:seeAlso
http://europace.oxfordjournals.org/content/15/1/24.full.pdf+html
dcterms:description
Catheter ablation (CA) for atrial fibrillation (AF) is a complex procedure that is associated with higher risk of complications. This study aimed at exploring the complication rate and corresponding risk factors in a high-volume centre with routine use of intracardiac echocardiography (ICE). In total 1192 consecutive AF ablation procedures (100 ICE-guided; 96.4 3D-navigated; point-by-point radiofrequency ablation with open-irrigated tip catheter; 22.4 robotic navigation; 25.4 repeated ablation) were performed in 959 patients (aged 58 9 years; 70.8 males; 35.9 persistent AF) between March 2006 and December 2010. Ablation endpoint in paroxysmal AF was complete electrical pulmonary vein isolation (PVI). Complex ablation was defined as PVI plus stepwise strategy for left atrial substrate ablation (43.5) in persistent AF. Forty major complications (3.3) during the procedure or within the 3 month follow-up were observed. No death or atrioesophageal fistula occurred. Three patients (0.25) had cardiac tamponade/hemopericardium and five patients (0.42) had cerebrovascular embolic event. Vascular injury was the most frequent (2.3) complication. Low body weight was the only significant risk factor with 0.8 increase of complication rate per 10 kg of body weight decrease (P 0.013). A trend for increase in complication rate was also observed for advanced age, female gender, and complex procedure. Atrial fibrillation ablation procedures guided by ICE in a high-volume centre are associated with low rate of serious complications. The composite risk score consisting of body weight, age, gender, and complexity of procedure predicted complications. Catheter ablation (CA) for atrial fibrillation (AF) is a complex procedure that is associated with higher risk of complications. This study aimed at exploring the complication rate and corresponding risk factors in a high-volume centre with routine use of intracardiac echocardiography (ICE). In total 1192 consecutive AF ablation procedures (100 ICE-guided; 96.4 3D-navigated; point-by-point radiofrequency ablation with open-irrigated tip catheter; 22.4 robotic navigation; 25.4 repeated ablation) were performed in 959 patients (aged 58 9 years; 70.8 males; 35.9 persistent AF) between March 2006 and December 2010. Ablation endpoint in paroxysmal AF was complete electrical pulmonary vein isolation (PVI). Complex ablation was defined as PVI plus stepwise strategy for left atrial substrate ablation (43.5) in persistent AF. Forty major complications (3.3) during the procedure or within the 3 month follow-up were observed. No death or atrioesophageal fistula occurred. Three patients (0.25) had cardiac tamponade/hemopericardium and five patients (0.42) had cerebrovascular embolic event. Vascular injury was the most frequent (2.3) complication. Low body weight was the only significant risk factor with 0.8 increase of complication rate per 10 kg of body weight decrease (P 0.013). A trend for increase in complication rate was also observed for advanced age, female gender, and complex procedure. Atrial fibrillation ablation procedures guided by ICE in a high-volume centre are associated with low rate of serious complications. The composite risk score consisting of body weight, age, gender, and complexity of procedure predicted complications.
dcterms:title
Complications of catheter ablation for atrial fibrillation in a high-volume centre with the use of intracardiac echocardiography Complications of catheter ablation for atrial fibrillation in a high-volume centre with the use of intracardiac echocardiography
skos:prefLabel
Complications of catheter ablation for atrial fibrillation in a high-volume centre with the use of intracardiac echocardiography Complications of catheter ablation for atrial fibrillation in a high-volume centre with the use of intracardiac echocardiography
skos:notation
RIV/00023001:_____/13:00056110!RIV14-MZ0-00023001
n13:predkladatel
n14:ico%3A00023001
n3:aktivita
n10:I
n3:aktivity
I
n3:cisloPeriodika
1
n3:dodaniDat
n7:2014
n3:domaciTvurceVysledku
n4:1081179 n4:5317010 n4:6807437 n4:9467920 n4:1476068
n3:druhVysledku
n11:J
n3:duvernostUdaju
n19:S
n3:entitaPredkladatele
n17:predkladatel
n3:idSjednocenehoVysledku
66495
n3:idVysledku
RIV/00023001:_____/13:00056110
n3:jazykVysledku
n12:eng
n3:klicovaSlova
Intracardiac echocardiography; Complications; Catheter ablation; Atrial fibrillation
n3:klicoveSlovo
n6:Atrial%20fibrillation n6:Catheter%20ablation n6:Complications n6:Intracardiac%20echocardiography
n3:kodStatuVydavatele
GB - Spojené království Velké Británie a Severního Irska
n3:kontrolniKodProRIV
[1684D4DBDEDE]
n3:nazevZdroje
Europace
n3:obor
n18:FA
n3:pocetDomacichTvurcuVysledku
5
n3:pocetTvurcuVysledku
5
n3:rokUplatneniVysledku
n7:2013
n3:svazekPeriodika
15
n3:tvurceVysledku
Kautzner, Josef Aldhoon, Bashar Peichl, Petr Wichterle, Dan Čihák, Robert
n3:wos
000312642400008
s:issn
1099-5129
s:numberOfPages
9
n15:doi
10.1093/europace/eus304