General anesthesia or conscious sedation in paroxysmal atrial fibrillation catheter ablation

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>

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

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2021

Confidentiality

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

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