Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Safety and efficacy outcomes in patients undergoing pulmonary vein isolation with second-generation cryoballoon
Europace · Ocak 2015
YÖKSİS Kayıtları
Safety and efficacy outcomes in patients undergoing pulmonary vein isolation with second generation cryoballoon
Europace · 2015 SCI-Expanded 26 atıf
DOÇENT KADRİ MURAT GÜRSES →
Safety and efficacy outcomes in patients undergoing pulmonary vein isolation with second generation cryoballoon
Europace · 2015 SCI-Expanded
DOÇENT MUHAMMED ULVİ YALÇIN →
Makale Bilgileri
DergiEuropace
Yayın TarihiOcak 2015
Cilt / Sayfa17 · 379-387
Scopus ID2-s2.0-84924352457
Erişim🔓 Açık Erişim
Özet
Aims The second-generation cryoballoon (Arctic Front Advance™) (Arc-Adv-CB) has a redesigned injection system which distributes the refrigerant homogenously to the frontal balloon surface. The aim of this study was to compare the efficacy and safety of the Arc-Adv-CB and its predecessor (Arctic Front™) (Arc-CB) in patients who underwent pulmonary vein isolation (PVI) for atrial fibrillation (AF). Methods and results Three hundred and six patients (55.35 ± 10.60 years, 47.05% male) were included in the study. A total of 1205 pulmonary veins were attempted for PVI with either Arc-CB or Arc-Adv-CB. The follow-up durations were 30 (23-38) and 10 (8-13) months in Arc-CB and Arc-Adv-CB groups, respectively (P < 0.001). When the blanking period was considered, freedom from AF after a single ablation procedure was 68.53 and 90.83% in patients undergoing PVI with Arc-CB and Arc-Adv-CB, respectively. The most frequent complication was transient phrenic nerve palsy (PNP) which occurred in five(2.54%) and nine(8.26%) of patients undergoing PVI with Arc-CB and Arc-Adv-CB, respectively (P = 0.040). Left atrial (LA) diameter (hazard ratio, HR: 3.552, 95% CI: 2.034-6.201, P < 0.001), smoking history (HR:1.643, 95% CI: 1.011-2.671, P = 0.045), persistent AF (HR:1.725, 95% CI: 1.021-2.915, P = 0.041), duration of AF (HR:1.039, 95% CI: 1.000-1.080, P = 0.047), and early AF recurrence (HR:2.399, 95% CI: 1.443-3.989, P < 0.001) were associated with increased late AF recurrence. On the other hand, intraprocedural vagal reactions (HR: 0.550, 95% CI: 0.331-0.915, P = 0.021) and Arc-Adv-CB use (HR: 0.441, 95% CI: 0.225-0.866, P = 0.017) were associated with lower late AF recurrence. Left atrial diameter (HR: 3.072, 95% CI: 1.646-5.732, P < 0.001), early AF recurrence (HR: 1.906, 95% CI: 1.103-3.291, P = 0.021), and Arc-Adv-CB use (HR: 0.472, 95% CI: 0.239-0.931, P = 0.030) were independent predictors for late AF recurrence. Conclusion Our study has shown that Arc-Adv-CB use is associated with lower late AF recurrences at the cost of an increased risk for PNP.
Yazarlar (11)
1
Kudret Aytemir
2
Kadri Murat Gurses
3
Muhammed Ulvi Yalçın
4
Duygu Kocyigit
5
Muhammet Dural
6
Banu Evranos
7
Hikmet Yorgun
8
Ahmet Hakan Ateş
9
Mehmet Levent Şahiner
10
Ergün Barış Kaya
11
Mehmet Ali Oto
Anahtar Kelimeler
Ablation
Atrial fibrillation
Cryoballoon
Efficacy
Safety
Kurumlar
Hacettepe Üniversitesi
Ankara Turkey
Metrikler
86
Atıf
11
Yazar
5
Anahtar Kelime