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SHR Neuro Krebs Kardio Lipid

Busch, S; Forkmann, M; Kuck, KH; Lewalter, T; Ince, H; Straube, F; Wieneke, H; Julian Chun, KR; Eckardt, L; Schmitt, C; Hochadel, M; Senges, J; Brachmann, J.
Acute and long-term outcome of focal atrial tachycardia ablation in the real world: results of the german ablation registry.
Clin Res Cardiol. 2018; 107(5):430-436
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Abstract:
Catheter ablation of focal atrial tachycardia (FAT) can be a challenging procedure and results have been rarely described. The purpose of this study was to determine the characteristics and results of FAT ablation in the large cohort of the German Ablation Registry. The German Ablation Registry is a nationwide prospective multicenter database including 12566 patients who underwent an ablation procedure between 2007 and 2010. Among them 431 (3.4%) underwent an FAT ablation and 413 patients with documented locations were analyzed. Patients were divided into three groups according to the FAT location: biatrial (BiA, n = 31, 7.5%), left atrial (LA, n = 110, 26.5%), and right atrial (RA, n = 272, 66%). Acute success rate was 84% (68 vs. 85 vs. 85% in biA, LA, and RA, respectively, p = 0.038). 4.8% of patients had an early recurrence during hospitalization, most in biatrial location (p < 0.001). No major acute complication occurred. At 12 months, 81% were asymptomatic or improved. The incidence of major adverse cardiovascular and cerebrovascular events (MACCE) was 3.7%. Arrhythmia freedom without antiarrhythmic drugs was 58% and was lower in biA (34 vs. 56% in LA vs. 62% in RA, p = 0.019). Early recurrence during hospitalization was an outstanding predictive factor for recurrence during follow-up. In this large patient population, FAT ablation had a relatively high acute success rate with a low complication rate. During follow-up, the recurrence rate was high, particularly in biatrial location. This was frequently predicted by an early recurrence during hospitalization.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Anti-Arrhythmia Agents - therapeutic use
Atrial Function, Left -
Atrial Function, Right -
Catheter Ablation - adverse effects
Catheter Ablation - methods
Databases, Factual -
Disease-Free Survival -
Female -
Germany -
Heart Atria - physiopathology
Heart Atria - surgery
Humans -
Male -
Middle Aged -
Prospective Studies -
Recurrence -
Registries -
Risk Factors -
Tachycardia, Supraventricular - diagnosis
Tachycardia, Supraventricular - physiopathology
Tachycardia, Supraventricular - surgery
Time Factors -
Treatment Outcome -

Find related publications in this database (Keywords)
Focal atrial tachycardia
Catheter ablation
Results
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