Outcome of circumferential pulmonary vein isolation for ablation of atrial fibrillation: A single center experience
Journal
Acta Cardiologica Sinica
Journal Volume
29
Journal Issue
5
Pages
457-461
Date Issued
2013
Author(s)
Chiu F.-C.
Chua S.-K.
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.
SDGs
Other Subjects
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
Type
journal article