https://scholars.lib.ntu.edu.tw/handle/123456789/594527
Title: | Outcome of circumferential pulmonary vein isolation for ablation of atrial fibrillation: A single center experience | Authors: | JIEN-JIUN CHEN Chiu F.-C. Chua S.-K. CHIH-CHIEH YU LIAN-YU LIN CHIA-TI TSAI LING-PING LAI JIUNN-LEE LIN |
Issue Date: | 2013 | Journal Volume: | 29 | Journal Issue: | 5 | Start page/Pages: | 457-461 | Source: | Acta Cardiologica Sinica | Abstract: | Background: Atrial fibrillation (AF) is the most common heart rhythm disorder in adults. Currently, use of the circumferential pulmonary vein isolation (CPVI) technique is the cornerstone of ablation therapy for paroxysmal atrial fibrillation. In this report, we described our ablation strategy and outcomes when treating a limited number of AF patients. Methods: This study enrolled patients with paroxysmal or persistent AF that were resistant to at least one anti-arrhythmia drug. We used the CARTO XP system for electro-anatomic mapping, facilitated by left atrium multi-slice computed tomography imaging. The ablation strategy was to obtain CPVI by using an irrigation catheter and the end-point was complete entry and exit block at each pulmonary veins. AF recurrence was defined through review of symptoms and AF documentation via electrocardiography (ECG) or Holter ECG. Results: From 2007 to 2011, 108 patients (76% paroxysmal AF) received ablation by means of our standard procedures, and the AF recurrence rate was 22% during a mean follow up of 20.6 ± 10.2 months. The major complication rate was less than 3% in all the patients that received AF ablation in our center. Conclusions: Our AF ablation results were comparable to those results reported in major electrophysiology centers, with acceptable complication rates. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886907365&partnerID=40&md5=4f2678efb47ef991612c636f9d3782b6 https://scholars.lib.ntu.edu.tw/handle/123456789/594527 |
ISSN: | 1011-6842 | SDG/Keyword: | amiodarone; beta adrenergic receptor blocking agent; heparin; isoprenaline; propafenone; quinidine; sotalol; warfarin; ablation therapy; adult; aged; article; cardiac imaging; cardioembolic stroke; circumferential pulmonary vein isolation; computed tomography scanner; electrocardiography; female; follow up; heart arrhythmia; heart atrium fibrillation; heart catheter; heart left atrium; heart tamponade; heparinization; Holter monitoring; human; hypogastric nerve; major clinical study; male; medical documentation; multidetector computed tomography; nerve paralysis; outcome assessment; pericardiocentesis; phrenic nerve; pulmonary vein; pulmonary vein isolation; recurrence risk; recurrent disease; transesophageal echocardiography [SDGs]SDG3 |
Appears in Collections: | 醫學系 |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.