| Online-Ressource |
Verfasst von: | Müller, Julian [VerfasserIn]  |
| Berkovitz, Artur [VerfasserIn]  |
| Halbfass, Philipp [VerfasserIn]  |
| Nentwich, Karin [VerfasserIn]  |
| Ene, Elena [VerfasserIn]  |
| Sonne, Kai [VerfasserIn]  |
| Simu, Gelu [VerfasserIn]  |
| Chakarov, Ivalyo [VerfasserIn]  |
| Barth, Sebastian [VerfasserIn]  |
| Waechter, Christian [VerfasserIn]  |
| Behnes, Michael [VerfasserIn]  |
| Akın, Ibrahim [VerfasserIn]  |
| Deneke, Thomas [VerfasserIn]  |
Titel: | Acute oesophageal safety of high-power short duration with 50 W for atrial fibrillation ablation |
Verf.angabe: | Julian Müller, Artur Berkovitz, Philipp Halbfass, Karin Nentwich, Elena Ene, Kai Sonne, Gelu Simu, Ivalyo Chakarov, Sebastian Barth, Christian Waechter, Michael Behnes, Ibrahim Akin, and Thomas Deneke |
E-Jahr: | 2022 |
Jahr: | 02 February 2022 |
Umfang: | 10 S. |
Illustrationen: | Illustrationen |
Fussnoten: | Gesehen am 12.12.2023 |
Titel Quelle: | Enthalten in: Europace |
Ort Quelle: | Oxford : Oxford Univ. Press, 1999 |
Jahr Quelle: | 2022 |
Band/Heft Quelle: | 24(2022), 6 vom: Juni, Seite 928-937 |
ISSN Quelle: | 1532-2092 |
Abstract: | Pulmonary vein isolation (PVI) using radiofrequency (RF) ablation is an effective treatment option for patients with atrial fibrillation (AF). This study aims to investigate the safety of high-power short duration (HPSD) with emphasis on oesophageal lesions after PVI.Consecutive patients undergoing AF ablation with HPSD (50 W; ablation index (AI)-guided; target AI 350 for posterior wall ablation, AI 450 for anterior wall ablation) using the ThermoCool SmartTouch SF catheter were included. Patients underwent post-ablation oesophageal endoscopy to detect and categorize thermal oesophageal injury (EDEL). Occurrence and risk factors of oesophageal lesions and perforating complications were analysed. A total of 1033 patients underwent AF ablation with HPSD. Of them, 953 patients (67.6 ± 9.6 years; 58% male; 43% paroxysmal AF; 68% first PVI) underwent post-procedural oesophageal endoscopy and were included in further analyses. Median procedure time was 82.8 ± 24.4 min with ablation times of 16.1 ± 9.2 min. Thermal oesophageal injury was detected in 58 patients (6%) (n = 29 Category 1 erosion, n = 29 Category 2 ulcerous). One patient developed oesophageal perforation (redo, 4th AF ablation). No patient died. Using multivariable regression models, increased total ablation time [odds ratio (OR) 1.029, P = 0.010] and history of stroke (OR 2.619, P = 0.033) were associated with increased incidence of EDEL after AF ablation, whereas increased body mass index was protective (OR 0.980, P = 0.022).Thermal oesophageal lesions occur in 6% of HPSD AF ablations. The risk for development of perforating complications seems to be low. Incidence of atrio-oesophageal fistula (0.1%) is comparable to other reported series about RF ablation approaches. |
DOI: | doi:10.1093/europace/euab329 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1093/europace/euab329 |
| Volltext: https://academic.oup.com/europace/article/24/6/928/6520609?login=true |
| DOI: https://doi.org/10.1093/europace/euab329 |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 1873107986 |
Verknüpfungen: | → Zeitschrift |
Acute oesophageal safety of high-power short duration with 50 W for atrial fibrillation ablation / Müller, Julian [VerfasserIn]; 02 February 2022 (Online-Ressource)