Efficacy and Safety of Figure-of-Eight Suture for Hemostasis After Radiofrequency Catheter Ablation for Atrial Fibrillation
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- Okada Masato
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Inoue Koichi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Tanaka Koji
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Ninomiya Yuichi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Hirao Yuko
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Oka Takafumi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Tanaka Nobuaki
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Inoue Hiroyuki
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Nakamaru Ryo
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Koyama Yasushi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Okamura Atsunori
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Iwakura Katsuomi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Sakata Yasushi
- Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine
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- Fujii Kenshi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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説明
<p>Background:This study evaluated the safety and efficacy of venous figure-of-eight (FoE) suture to achieve femoral venous hemostasis after radiofrequency (RF) catheter ablation (CA) for atrial fibrillation (AF).</p><p>Methods and Results:We retrospectively examined 517 consecutive patients undergoing RFCA for AF. The control group (n=247) underwent manual compression for femoral venous hemostasis after sheath removal with 6 h of bed rest. The FoE group (n=270) underwent FoE suture technique with 4 h of bed rest. All patients achieved successful hemostasis within 24 h after CA. Although the incidence of hematoma was similar between the groups, the incidence of rebleeding was lower in the FoE group than in the control group (FoE vs. control, 3.7% vs. 18.6%, P<0.001). The post-procedural use of analgesic and/or anti-emetic agents was less frequent in the FoE group (19.3% vs. 32.0%, P<0.001). On multiple logistic regression analysis after adjustment for age and sex, the use of a vitamin K antagonist (OR, 2.42; 95% CI: 1.18–4.99, P=0.02) and the FoE suture technique (OR, 0.17; 95% CI: 0.08–0.35, P<0.001) were independent predictors of rebleeding after CA.</p><p>Conclusions:FoE suture technique effectively achieved femoral venous hemostasis after RFCA for AF. It reduced the risk of rebleeding, shortened bed rest duration, and relieved patient discomfort.</p>
収録刊行物
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- Circulation Journal
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Circulation Journal 82 (4), 956-964, 2018
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205106500352
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- NII論文ID
- 130006528575
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 028894863
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- PubMed
- 29375108
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 使用不可