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General anesthesia or conscious sedation in paroxysmal atrial fibrillation catheter ablation

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F21%3AN0000063" target="_blank" >RIV/00098892:_____/21:N0000063 - isvavai.cz</a>

  • Alternative codes found

    RIV/61989592:15110/21:73608196

  • Result on the web

    <a href="http://biomed.papers.upol.cz/artkey/bio-202102-0008_general-anesthesia-or-conscious-sedation-in-paroxysmal-atrial-fibrillation-catheter-ablation.php?back=%2Fsearch.php%3Fquery%3DGeneral%2Banesthesia%2Bor%2Bconscious%2Bsedation%2Bin%2Bparoxysmal%2Batrial%2Bfibrillation%2Bcatheter%2Bablation%2Bin%253Aauth%2Bname%2Bkey%2Babstr%26sfrom%3D0%26spage%3D30" target="_blank" >http://biomed.papers.upol.cz/artkey/bio-202102-0008_general-anesthesia-or-conscious-sedation-in-paroxysmal-atrial-fibrillation-catheter-ablation.php?back=%2Fsearch.php%3Fquery%3DGeneral%2Banesthesia%2Bor%2Bconscious%2Bsedation%2Bin%2Bparoxysmal%2Batrial%2Bfibrillation%2Bcatheter%2Bablation%2Bin%253Aauth%2Bname%2Bkey%2Babstr%26sfrom%3D0%26spage%3D30</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.5507/bp.2020.012" target="_blank" >10.5507/bp.2020.012</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    General anesthesia or conscious sedation in paroxysmal atrial fibrillation catheter ablation

  • Original language description

    Background. Catheter ablation of paroxysmal atrial fibrillation (AF) can be performed under general anesthesia or conscious sedation. The influence of type of anesthesiology care on procedural characteristics and ablation outcome in patients in whom intracardiac echocardiography (ICE) and elimination of adenosine-mediated dormant conduction (DC) is used is not entirely known. Methods. 150 patients with paroxysmal AF were randomized to point-by-point radiofrequency catheter isolation of pulmonary veins (PVI) under general anesthesia (n=77) or conscious sedation (n=73). Adenosine-mediated dormant conduction was eliminated in all patients. Antiarrhythmic medication was discontinued after PVI. During twelve months of follow-up, all patients underwent four times 7-day ECG monitorings. Results. There was no difference between groups in AF recurrence (28.6% vs. 31.5%, P=0.695). Patients in conscious sedation had longer procedure times (160 ± 32.1 vs. 132 ± 31.5 min, P<0.001), longer RF energy application times (40 ± 15 vs. 29 ± 11 min, P<0.001) and longer fluoroscopy times (6.2 min ± 5.3 vs. 4.3 min ± 2.2, P<0.001) with similar complication rates. Conclusion. Conscious sedation is not inferior to general anesthesia in regard to arrhythmia recurrence or complication rates of catheter ablation of paroxysmal atrial fibrillation. However, it is associated with longer procedure times, longer time of radiofrequency energy application and longer fluoroscopy times.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30201 - Cardiac and Cardiovascular systems

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2021

  • Confidentiality

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

Data specific for result type

  • Name of the periodical

    Biomedical Papers-Olomouc  

  • ISSN

    1213-8118

  • e-ISSN

    1804-7521

  • Volume of the periodical

    165

  • Issue of the periodical within the volume

    2

  • Country of publishing house

    CZ - CZECH REPUBLIC

  • Number of pages

    7

  • Pages from-to

    162-168

  • UT code for WoS article

    000660244900008

  • EID of the result in the Scopus database

    2-s2.0-85108785939