Laser Balloon or Wide-Area Circumferential Irrigated Radiofrequency Ablation for Persistent Atrial Fibrillation

DOI Web Site 被引用文献5件
  • Boris Schmidt
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Petr Neuzil
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Armin Luik
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Joaquin Osca Asensi
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Jan Wilko Schrickel
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Thomas Deneke
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Stefano Bordignon
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Jan Petru
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Matthias Merkel
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Lucie Sediva
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Annemarie Klostermann
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Laura Perrotta
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • Oscar Cano
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).
  • K.R. Julian Chun
    From the Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (B.S., S.B., A.K., L.P., K.R.J.C.); Na Homolce Hospital, Prague, Czech Republic (P.N., J.P., L.S.); Städtisches Klinikum, Karlsruhe, Germany (A.L., M.M.); Hospital Universitari i Politècnic la Fe, Valencia, Spain (J.O.A., O.C.); University Hospital Bonn, Germany (J.W.S.); and Herzzentrum, Bad Neustadt, Germany (T.D.).

書誌事項

タイトル別名
  • A Multicenter Prospective Randomized Study

説明

<jats:sec> <jats:title>Background</jats:title> <jats:p>Pulmonary vein isolation is the cornerstone of ablation for persistent atrial fibrillation (AF). The role of balloon catheters in this patient population remains ill defined. We sought to compare efficacy and safety of the laser balloon (LB) with wide-area circumferential pulmonary vein isolation using irrigated radiofrequency current (RF) ablation and 3-dimensional mapping.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods and Results</jats:title> <jats:p> In 6 European centers, patients with persistent AF were prospectively randomized. Follow-up included 3-day Holter ECG recordings and office visits at 3, 6, and 12 months. The primary efficacy end point was freedom from AF between 90 and 365 days after a single ablation. The primary safety end point was the incidence of any periprocedural complications. Of 152 enrolled patients, 134 (n=68 LB and 66 RF; 63% men; mean age, 66+10 years) with persistent AF (median AF history, 14 months; Q1–Q3, 7–36 months) underwent pulmonary vein isolation and completed the entire follow-up. Baseline parameters were similar in both groups. Procedure and fluoroscopy times were similar in both groups (135±38 and 14±9 minutes (LB) versus 128±51 and 11±9 minutes). The primary efficacy end point was met by 71.2% versus 69.3%, in the LB and RF groups, respectively ( <jats:italic>P</jats:italic> =0.40). In the LB group, stroke (n=1), a false aneurysm (n=1), and phrenic nerve palsy (n=1) were observed. In the RF group, 2 patients developed a false aneurysm, and 1 patient needed surgical repair. </jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>An LB-guided strategy was associated with similar efficacy as wide-area circumferential pulmonary vein isolation using irrigated RF in patients with persistent AF.</jats:p> </jats:sec> <jats:sec> <jats:title>Clinical Trial Registration</jats:title> <jats:p> <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="https://www.clinicaltrials.org">https://www.clinicaltrials.org</jats:ext-link> . Unique identifier: NCT01863472. </jats:p> </jats:sec>

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