Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Demarchi, A; Conte, G; Chen, SA; Lo, LW; Chen, WT; De, Potter, T; Geelen, P; Sarkozy, A; Spera, FR; Reichlin, T; Roten, L; Defaye, P; Carabelli, A; Boveda, S; Bourenane, H; Riesinger, L; Kochhäuser, S; Caixal, G; Mont, L; Scherr, D; Manninger, M; Pentimalli, F; Cornara, S; Klersy, C; Auricchio, A.
Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study.
J Clin Med. 2022; 11(6):
Doi: 10.3390/jcm11061481
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- Co-Autor*innen der Med Uni Graz
- Manninger-Wünscher Martin
- Scherr Daniel
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- Abstract:
- INTRODUCTION: Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy are scanty. We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group of patients. MATERIAL AND METHODS: Twenty consecutive patients (8 females, 40%; median age 65.2 years old) with a history of pneumonectomy/lobectomy and paroxysmal or persistent AF, treated by means of pulmonary vein isolation (PVI) at ten participating centers were included. Procedural success, intra-procedural complications, and AF recurrences were considered. RESULTS: Fifteen patients had a previous lobectomy and five patients had a complete pneumonectomy. A large proportion (65%) of PV stumps were electrically active and represented a source of firing in 20% of cases. PVI was performed by radiofrequency ablation in 13 patients (65%) and by cryoablation in the remaining 7 cases. Over a median follow up of 29.7 months, a total of 7 (33%) AF recurrences were recorded with neither a difference between patients treated with cryoablation or radiofrequency ablation or between the two genders. CONCLUSIONS: Catheter ablation by radiofrequency ablation or cryoablation in patients with pulmonary stumps is feasible and safe. Long-term outcomes are favorable, and a similar efficacy of catheter ablation has been noticed in both males and females.
- Find related publications in this database (Keywords)
- atrial fibrillation
- ablation
- pulmonary vein stump
- pulmonary vein isolation
- follow-up
- lobectomy
- pneumonectomy