Approach and strategy for repeat catheter ablation of recurrent atrial fibrillation

2019 ◽  
Vol 31 (7) ◽  
pp. 1874-1876
Author(s):  
Emrie Tomaiko ◽  
Andrew Tseng ◽  
William B. Reichert ◽  
Wilber W. Su
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Recurrent Atrial Fibrillation

Repeat Catheter Ablation for Recurrent Atrial Fibrillation: Electrophysiologic Findings and Clinical Outcomes

2021 ◽  
Author(s):  
Usama A. Daimee ◽  
Tauseef Akhtar ◽  
Thomas A. Boyle ◽  
Leah Jager ◽  
Armin Arbab‐Zadeh ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Clinical Outcomes ◽  
Recurrent Atrial Fibrillation

scholarly journals Catheter ablation or surgical therapy in moderate-severe tricuspid regurgitation caused by long-standing persistent atrial fibrillation. Propensity score analysis

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Jiangang Wang ◽  
Songnan Li ◽  
Qing Ye ◽  
Xiaolong Ma ◽  
Yichen Zhao ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Tricuspid Regurgitation ◽  
Propensity Score Analysis ◽  
Survival Rates ◽  
Group Analysis ◽  
Tricuspid Valve Repair ◽  
Surgical Ablation ◽  
Severe Tricuspid Regurgitation ◽  
Recurrent Atrial Fibrillation

Abstract Background This study aimed to describe the mid-term outcomes of different treatments in patients with atrial fibrillation caused tricuspid regurgitation. Methods A retrospective study of patients diagnosed as atrial fibrillation caused moderate-severe tricuspid regurgitation undergoing ablation (n = 411) were reviewed. The surgical cohort (n = 114) underwent surgical ablation and tricuspid valve repair; the catheter cohort (n = 279) was selected from those patients who had catheter ablation. Results The estimated actuarial 5-year survival rates were 96.8% (95% CI: 92.95–97.78) and 92.0% (95% CI: 85.26–95.78) in the catheter and surgical cohort, respectively. Tethering height was showed as independent risk factors for recurrent atrial fibrillation and tricuspid regurgitation in both cohorts. A matched group analysis using propensity-matched was conducted after categorizing total patients by tethering height < 6 mm and ≥ 6 mm. Kaplan–Meier analysis showed in patients with tethering height < 6 mm, there were no differences in survival from mortality, stroke, recurrent atrial fibrillation and tricuspid regurgitation between two groups. In patients with tethering height ≥ 6 mm, there were significantly higher cumulative incidence of stroke (95% CI, 0.047–0.849; P = 0.029), recurrent atrial fibrillation (95% CI, 0.357–09738; P = 0.039) and tricuspid regurgitation (95% CI, 0.359–0.981; P = 0.042) in catheter group. Conclusions Atrial fibrillation caused tricuspid regurgitation resulted in less leaflets coaptation, which risk the recurrence of atrial fibrillation and tricuspid regurgitation. Patients whose tethering height was less than 6 mm showed satisfying improvement in tricuspid regurgitation with the restoration of sinus rhythm after catheter ablation. However, in patients with severe leaflets tethering, the results favored surgical over catheter.

Durability of posterior wall isolation after catheter ablation among patients with recurrent atrial fibrillation

Heart Rhythm ◽  
2020 ◽  
Vol 17 (10) ◽  
pp. 1740-1744 ◽  
Author(s):  
Timothy M. Markman ◽  
Matthew C. Hyman ◽  
Ramanan Kumareswaran ◽  
Jeffrey S. Arkles ◽  
Pasquale Santangeli ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Posterior Wall ◽  
Recurrent Atrial Fibrillation

Relationship between renal function and the risk of recurrent atrial fibrillation following catheter ablation

Heart ◽  
2010 ◽  
Vol 97 (2) ◽  
pp. 137-142 ◽  
Author(s):  
M. Tokuda ◽  
T. Yamane ◽  
S. Matsuo ◽  
K. Ito ◽  
R. Narui ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Renal Function ◽  
Catheter Ablation ◽  
Recurrent Atrial Fibrillation

scholarly journals Catheter Ablation or Surgical Therapy in Moderate-Severe Tricuspid Regurgitation Caused by Long-standing Persistent Atrial Fibrillation. Propensity Score Analysis

2020 ◽  
Author(s):  
Jiangang Wang ◽  
Songnan Li ◽  
Qing Ye ◽  
Xiaolong Ma ◽  
Yichen Zhao ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Tricuspid Regurgitation ◽  
Propensity Score Analysis ◽  
Survival Rates ◽  
Group Analysis ◽  
Tricuspid Valve Repair ◽  
Surgical Ablation ◽  
Severe Tricuspid Regurgitation ◽  
Recurrent Atrial Fibrillation

Abstract Background This study aimed to describe the mid-term outcomes of different treatments in patients with atrial fibrillation caused tricuspid regurgitation. Methods A retrospective study of patients diagnosed as atrial fibrillation caused moderate-severe tricuspid regurgitation undergoing ablation (n = 411) were reviewed. The surgical cohort (n = 114) underwent surgical ablation and tricuspid valve repair; the catheter cohort (n = 279) was selected from those patients who had catheter ablation. Results The estimated actuarial 5-year survival rates were 96.8% (95% CI: 92.95-97.78) and 92.0% (95% CI: 85.26-95.78) in the catheter and surgical cohort, respectively. Tethering height was showed as independent risk factors for recurrent atrial fibrillation and tricuspid regurgitation in both cohorts. A matched group analysis using propensity-matched was conducted after categorizing total patients by tethering height < 6mm and >= 6mm. Kaplan–Meier analysis showed in patients with tethering height < 6mm, there were no differences in survival from mortality, stroke, recurrent atrial fibrillation and tricuspid regurgitation between two groups. In patients with tethering height >= 6mm, there were significantly higher cumulative incidence of stroke (95% CI, 0.047–0.849; P = 0.029), recurrent atrial fibrillation (95% CI, 0.357–09738; P = 0.039) and tricuspid regurgitation (95% CI, 0.359–0.981; P = 0.042) in catheter group. Conclusions Atrial fibrillation caused tricuspid regurgitation resulted in less leaflets coaptation, which risk the recurrence of atrial fibrillation and tricuspid regurgitation. Patients whose tethering height was less than 6mm showed satisfying improvement in tricuspid regurgitation with the restoration of sinus rhythm after catheter ablation. However, in patients with severe leaflets tethering, the results favored surgical over catheter.

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