Thoracoscopic ablation of atrial fibrillation – Should we still be concerned about periprocedural complications

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F17%3AN0000009" target="_blank" >RIV/00064173:_____/17:N0000009 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/17:43913456

Result on the web

<a href="http://dx.doi.org/10.1016/j.crvasa.2017.06.004" target="_blank" >http://dx.doi.org/10.1016/j.crvasa.2017.06.004</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.crvasa.2017.06.004" target="_blank" >10.1016/j.crvasa.2017.06.004</a>

Result language

angličtina

Original language name

Thoracoscopic ablation of atrial fibrillation – Should we still be concerned about periprocedural complications

Original language description

Introduction: Minimally invasive surgical ablations are becoming an interesting treatment option for patients with stand-alone atrial fibrillation (AF). However, they are in general connected with higher rates of perioperative complications. The aim of this study was to summarize the complications of all such procedures performed in our center and compare them with similar recent papers. Material and methods: All perioperative and 30-days complications of thoracoscopic ablations of AF performed in our center were collected and analyzed. Recent literature was searched for studies describing the outcomes of thoracoscopic and hybrid ablations. Rates of complications were then compared with our outcomes and also with catheter ablations. Results: A total of 112 patients underwent a thoracoscopic ablation of AF in our center between 2006 and 2017, with use of three different devices. Mean age was 61.4. ±. 8.8 years, 66% were males and 53% of patients had long-standing persistent AF. A life-threatening complications occurred in 2 (1.8%) patients, including 1 conversion to sternotomy and 1 stroke. Severe complications occurred in 6 (5.4%) patients including 2 re-explorations for bleeding, 3 cases of phrenic nerve palsy and 1 respiratory failure. A minor od moderate complications occurred in 17 (15.2%) patients. Twenty-seven suitable papers were identified in recent literature for comparison (total of 1869 patients). The rates of significant complications varied between 0 and 16% over different centers, mean rate was 4.8%. Regarding the catheter ablation studies, 5-7% of patients suffer from some severe complication after ablation of AF. Conclusions: Rates of 30-days, life-threatening and severe complications are comparable between mini-invasive surgical and catheter ablations of AF. Rates of minor complications appear to be higher in surgical ablations. To keep the rates low or even to decrease them, those surgical or hybrid procedures should be performed in experienced centers.

Czech name

—

Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

<a href="/en/project/NV16-32478A" target="_blank" >NV16-32478A: EndoMaze HYBRID project-a detailed assessment of efficacy and safety of hybrid ablation of persistent and long-standing persistent atrial fibrillation</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Cor et Vasa

ISSN

0010-8650

e-ISSN

1803-7712

Volume of the periodical

59

Issue of the periodical within the volume

4

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

8

Pages from-to

e317-e324

UT code for WoS article

000410033600007

EID of the result in the Scopus database

2-s2.0-85023631234