scholarly journals Cryoballoon-to-Pulmonary Vein Occlusion Assessment via Capnography Technique: Where Does Occlusion Testing by End-Tidal CO2 Measurement “Fit” as a Predictor of Long-Term Efficacy?

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Robert A Pickett
Keyword(s):  
Pulmonary Vein ◽  
Term Efficacy ◽  
Vein Occlusion ◽  
End Tidal ◽  
End Tidal Co2

scholarly journals Safety and long-term efficacy of thoracoscopic Epicardial ablation in patients with paroxysmal atrial fibrillation: a retrospective study

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
John Johnkoski ◽  
Bryan Miles ◽  
Anna Sudbury ◽  
Mohammed Osman ◽  
Muhammad Bilal Munir ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Paroxysmal Atrial Fibrillation ◽  
Anticoagulation Therapy ◽  
Success Rates ◽  
Loop Recorder ◽  
Term Efficacy ◽  
Single Center Experience ◽  
Atrial Ablation

Abstract Background The aim of this study is to report the long-term efficacy and safety of thoracoscopic epicardial left atrial ablation (TELA) in patients with paroxysmal atrial fibrillation (AF). Methods This was a retrospective review of medical records. We included all patients diagnosed with paroxysmal AF who underwent TELA at our institution between 04/2011 and 06/2017. TELA included pulmonary vein isolation, LA dome lesions and LA appendage exclusion. All (n = 55) patients received an implantable loop recorder (ILR), 30 days post-operatively. Antiarrhythmic and anticoagulation therapy were discontinued at 90 and 180 days postoperatively, respectively, if patients were free of AF recurrence. Failure was defined as ≥two minutes of continuous AF, or atrial tachycardia. Results Fifty-five patients (78% males, mean age = 61.6 years) qualified for the study. The average duration in AF was 3.64 +/− 3.4 years, mean CHA2DS2-VASc Score was 2.0 +/− 1.6. The procedure was attempted in 57 patients and completed successfully in 55 (96.5%). Two patients experienced a minor pulmonary vein bleed that was managed conservatively. Post procedure, one patient experienced pulmonary edema, another experienced a pneumothorax requiring a chest tube and another experienced acute respiratory distress syndrome resulting in longer hospitalization. Otherwise, there were no major procedural complications. Success rates were 89.1% (n = 49/55), 85.5% (n = 47/55) and 76.9% (n = 40/52) at 6, 12 and 24 months, respectively. In the multivariate cox-proportional hazard model, survival at the mean of covariates was 86 and 74% at 12 and 24 months, respectively. Conclusion In this single center experience, TELA was a safe and efficacious procedure for patients with paroxysmal AF.

scholarly journals LONG TERM EFFICACY FOR CRYOBALLOON PULMONARY VEIN ISOLATION IN ATRIAL FIBRILLATION

2020 ◽  
Vol 75 (11) ◽  
pp. 276
Author(s):  
Emily Guhl ◽  
Amr Barakat ◽  
Ankit Medhekar ◽  
Richard Pham ◽  
Raveen Bazaz ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Term Efficacy

Documentation of pulmonary vein isolation improves long term efficacy of persistent atrial fibrillation catheter ablation

2014 ◽  
Vol 171 (2) ◽  
pp. 174-178 ◽  
Author(s):  
Emanuele Bertaglia ◽  
Giuseppe Stabile ◽  
Gaetano Senatore ◽  
Claudio Pratola ◽  
Roberto Verlato ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Persistent Atrial Fibrillation ◽  
Term Efficacy
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