医学
肺静脉
内科学
心脏病学
心房颤动
外科
导管
导管消融
静脉
心包积液
分离(微生物学)
并发症
经皮
股静脉
阵发性心房颤动
作者
Annina Stauber,Jelena Kornej,Alireeza Sepehri Shamloo,B. Dinov,Justinas Bacevicius,Nikolaos Dagres,Andreas Bollmann,Gerhard Hindricks,Philipp Sommer
出处
期刊:Cardiology Journal
[VM Media Sp zo.o. - VMGroup SK]
日期:2021-09-03
卷期号:28 (5): 671-677
标识
DOI:10.5603/cj.a2020.0037
摘要
Background: The aim of the current study was to analyze the impact of single versus double transseptal puncture (TSP) for atrial fibrillation (AF) ablation. Methods: Consecutive patients undergoing AF ablation were prospectively included in the AF ablation registry and were analyzed according to single versus double TSP. Results: A total of 478 patients (female 35%, persistent AF 67%) undergoing AF ablation between 01/2014 and 09/2014 were included. Single TSP was performed in 202 (42%) patients, double TSP in 276 (58%) patients. Age, gender, body mass index, CHA2DS2-VASc score, left ventricular ejection fraction and operator experience (experienced operator defined as ≥ 5 years of experience in invasive electrophysiology) were equally distributed between the two groups. Repeat procedures (re-dos) were more frequently performed using single TSP access (p < 0.001). Left atrial (LA) diameter was larger in patients with double TSP (p = 0.001). Procedure duration in single TSP was identical to double TSP procedures (p = 0.823). Radiation duration was similar between the two groups (p = 0.217). There were 49 (10%) patients with complications after catheter ablation. There were no differences between complication rates and TSP type (p = 0.555). Similarly, recurrence rates were comparable between both TSP groups (p = 0.788). Conclusions: There was no clear benefit of single or double TSP in AF ablation.
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