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Status: Bibliographieeintrag

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Verfasst von:Müller, Julian [VerfasserIn]   i
 Berkovitz, Artur [VerfasserIn]   i
 Halbfass, Philipp [VerfasserIn]   i
 Nentwich, Karin [VerfasserIn]   i
 Ene, Elena [VerfasserIn]   i
 Sonne, Kai [VerfasserIn]   i
 Simu, Gelu [VerfasserIn]   i
 Chakarov, Ivalyo [VerfasserIn]   i
 Barth, Sebastian [VerfasserIn]   i
 Waechter, Christian [VerfasserIn]   i
 Behnes, Michael [VerfasserIn]   i
 Akın, Ibrahim [VerfasserIn]   i
 Deneke, Thomas [VerfasserIn]   i
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

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