Comparison of clinical outcomes and safety of catheter ablation
for atrialfibrillation supported by data from CT scan or
three-dimensional rotationalangiogram of left atrium and
pulmonary veins

J 2015

Comparison of clinical outcomes and safety of catheter ablation for atrialfibrillation supported by data from CT scan or three-dimensional rotationalangiogram of left atrium and pulmonary veins

LEHAR, František; Zdeněk STÁREK; Jiří JEŽ; Miroslav NOVÁK; Jiří WOLF et al.

Základní údaje

Originální název

Comparison of clinical outcomes and safety of catheter ablation for atrialfibrillation supported by data from CT scan or three-dimensional rotationalangiogram of left atrium and pulmonary veins

Autoři

LEHAR, František; Zdeněk STÁREK; Jiří JEŽ; Miroslav NOVÁK; Jiří WOLF; Radka ŠTĚPÁNOVÁ; Peter KRUŽLIAK; Tomáš KULÍK; Alena ŽBÁNKOVÁ; Radek JANČÁR a Jiří VÍTOVEC

Vydání

Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Palacký University, 2015, 1213-8118

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 0.924

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/15:00086036

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

atrial fibrillation; catheter ablation; electrophysiology; three dimensional rotational atriography; computed tomography; imaging; left atrium

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 18. 4. 2016 14:44, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Background. Catheter ablation in the left atrium has become a common therapeutic strategy in the management of atrial fibrillation (AF). The high degree of success and safety profile of this procedure is dependent on precise knowledge of the true anatomy in the chamber. This information is imported mostly from cardiac computed tomography. A novel method for imaging the left atrial anatomy is three-dimensional rotational angiography (3DRA). Methods. The aim of our study was to the compare clinical outcome and safety of catheter ablation for atrial fibrillation guided by 3DRA vs. conventional CT scan. One hundred and twenty-five patients referred for AF catheter ablation at St. Anne's University Hospital Brno were included in the retrospective analysis of clinical outcome within the first year after the procedure. Results. There was a close correlation in overall procedural parameters between the groups. The frequency of recurrent episodes of AF (24% in CT-guided group vs. 27% in 3DRA-guided group, P=0.721) as well as the onset of atypical atrial flutter after the procedure (10% vs. 8%, respectively, P=0.731) were similar in both groups. No difference in the number of patients necessitating repeat ablation (5% vs. 5%, P=0.984) was found. Procedural complications of ablations guided by 3DRA were comparable with those guided by CT (2% vs. 3%, respectively, P=0.568). Conclusion. 3DRA has proven to be a safe and simple method for imaging the left atrium and guiding catheter ablation for AF. This approach is anticipated to become a new standard in 3D reconstruction of the left atrium.

Citovat

LEHAR, František; Zdeněk STÁREK; Jiří JEŽ; Miroslav NOVÁK; Jiří WOLF; Radka ŠTĚPÁNOVÁ; Peter KRUŽLIAK; Tomáš KULÍK; Alena ŽBÁNKOVÁ; Radek JANČÁR a Jiří VÍTOVEC. Comparison of clinical outcomes and safety of catheter ablation for atrialfibrillation supported by data from CT scan or three-dimensional rotationalangiogram of left atrium and pulmonary veins. Biomedical Papers of the Faculty of Medicine of Palacký University. Olomouc: Palacký University, 2015, roč. 159, č. 4, s. 622-628. ISSN 1213-8118. Dostupné z: https://doi.org/10.5507/bp.2014.040.

@article{1331232,
   author = {Lehar, František and Stárek, Zdeněk and Jež, Jiří and Novák, Miroslav and Wolf, Jiří and Štěpánová, Radka and Kružliak, Peter and Kulík, Tomáš and Žbánková, Alena and Jančár, Radek and Vítovec, Jiří},
   article_location = {Olomouc},
   article_number = {4},
   doi = {https://doi.org/10.5507/bp.2014.040},
   keywords = {atrial fibrillation; catheter ablation; electrophysiology; three dimensional rotational atriography; computed tomography; imaging; left atrium},
   language = {eng},
   issn = {1213-8118},
   journal = {Biomedical Papers of the Faculty of Medicine of Palacký University},
   title = {Comparison of clinical outcomes and safety of catheter ablation for atrialfibrillation supported by data from CT scan or three-dimensional rotationalangiogram of left atrium and pulmonary veins},
   url = {http://biomed.papers.upol.cz/artkey/bio-201504-0017_comparison_of_clinical_outcomes_and_safety_of_catheter_ablation_for_atrial_fibrillation_supported_by_data_from.php},
   volume = {159},
   year = {2015}
}

TY  - JOUR
ID  - 1331232
AU  - Lehar, František - Stárek, Zdeněk - Jež, Jiří - Novák, Miroslav - Wolf, Jiří - Štěpánová, Radka - Kružliak, Peter - Kulík, Tomáš - Žbánková, Alena - Jančár, Radek - Vítovec, Jiří
PY  - 2015
TI  - Comparison of clinical outcomes and safety of catheter ablation for atrialfibrillation supported by data from CT scan or three-dimensional rotationalangiogram of left atrium and pulmonary veins
JF  - Biomedical Papers of the Faculty of Medicine of Palacký University
VL  - 159
IS  - 4
SP  - 622-628
EP  - 622-628
PB  - Palacký University
SN  - 12138118
KW  - atrial fibrillation
KW  - catheter ablation
KW  - electrophysiology
KW  - three dimensional rotational atriography
KW  - computed tomography
KW  - imaging
KW  - left atrium
UR  - http://biomed.papers.upol.cz/artkey/bio-201504-0017_comparison_of_clinical_outcomes_and_safety_of_catheter_ablation_for_atrial_fibrillation_supported_by_data_from.php
N2  - Background. Catheter ablation in the left atrium has become a common therapeutic strategy in the management of atrial fibrillation (AF). The high degree of success and safety profile of this procedure is dependent on precise knowledge of the true anatomy in the chamber. This information is imported mostly from cardiac computed tomography. A novel method for imaging the left atrial anatomy is three-dimensional rotational angiography (3DRA). Methods. The aim of our study was to the compare clinical outcome and safety of catheter ablation for atrial fibrillation guided by 3DRA vs. conventional CT scan. One hundred and twenty-five patients referred for AF catheter ablation at St. Anne's University Hospital Brno were included in the retrospective analysis of clinical outcome within the first year after the procedure. Results. There was a close correlation in overall procedural parameters between the groups. The frequency of recurrent episodes of AF (24% in CT-guided group vs. 27% in 3DRA-guided group, P=0.721) as well as the onset of atypical atrial flutter after the procedure (10% vs. 8%, respectively, P=0.731) were similar in both groups. No difference in the number of patients necessitating repeat ablation (5% vs. 5%, P=0.984) was found. Procedural complications of ablations guided by 3DRA were comparable with those guided by CT (2% vs. 3%, respectively, P=0.568). Conclusion. 3DRA has proven to be a safe and simple method for imaging the left atrium and guiding catheter ablation for AF. This approach is anticipated to become a new standard in 3D reconstruction of the left atrium.
ER  -

LEHAR, František; Zdeněk STÁREK; Jiří JEŽ; Miroslav NOVÁK; Jiří WOLF; Radka ŠTĚPÁNOVÁ; Peter KRUŽLIAK; Tomáš KULÍK; Alena ŽBÁNKOVÁ; Radek JANČÁR a Jiří VÍTOVEC. Comparison of clinical outcomes and safety of catheter ablation for atrialfibrillation supported by data from CT scan or three-dimensional rotationalangiogram of left atrium and pulmonary veins. \textit{Biomedical Papers of the Faculty of Medicine of Palacký University}. Olomouc: Palacký University, 2015, roč.~159, č.~4, s.~622-628. ISSN~1213-8118. Dostupné z: https://doi.org/10.5507/bp.2014.040.

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