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Střednědobá úspěšnost single stage hybridní ablace perzistující a dlouhodobě perzistující fibrilace síní.

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00209775%3A_____%2F22%3AN0000025" target="_blank" >RIV/00209775:_____/22:N0000025 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216224:14110/22:00127173

  • Result on the web

    <a href="https://www.casopisvnitrnilekarstvi.cz/pdfs/vnl/2022/05/16.pdf" target="_blank" >https://www.casopisvnitrnilekarstvi.cz/pdfs/vnl/2022/05/16.pdf</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.36290/vnl.2022.069" target="_blank" >10.36290/vnl.2022.069</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Střednědobá úspěšnost single stage hybridní ablace perzistující a dlouhodobě perzistující fibrilace síní.

  • Original language description

    Introduction: Single stage thoracoscopic radiofrequency ablation (RFA) is a treatment method for persistent and long-term persistent atrial fibrillation (AF) offering the possibility for patients otherwise inconsolable by conventional catheter RFA. We present a pilot group of patients after the introduction of the new method at our clinical center. Patients group: A total of 52 patients aged 61.82 ± 9.7 years underwent single stage hybrid ablation (thoracoscopic isolation of pulmonary veins and box lesion followed by catheter verification of the surgical procedure effectivness) for symptomatic persistent and long-term persistent AF with significantly dilated left atrium 57.9 ± 11.0mm in the period September 2016-March 2019. Results: The median duration of the procedure was 232 minutes and the median duration of hospitalization was 10 days. At discharge, 52 patients (100%) had sinus rhythm. 48 of 52 patients (92.3%) had a 6-month follow-up. 41 of 48 (85.4%) and 38 of 44 (86.4%) of patients were AF free at 3-month and 6-month follow-up, respectively. Acute complications were: one left atrial perforation resolved successfully by suture and one transient ischaemic attack without permanent sequelae. Late complications involved one massive pulmonary embolization and an atrioesophageal fistula. There was no periprocedural myocardial infarction or stroke with permanent sequelae. Conclusion: Hybrid thoracoscopic-catheter ablation performed during one procedure is an effective and relatively safe mini-invasive method of treatment for long-term persistent atrial fibrillation. Key words: persistent atrial fibrillation, catheter ablation, thoracoscopic ablation, hybrid single stage ablation.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>SC</sub> - Article in a specialist periodical, which is included in the SCOPUS database

  • CEP classification

  • OECD FORD branch

    30201 - Cardiac and Cardiovascular systems

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2022

  • Confidentiality

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

Data specific for result type

  • Name of the periodical

    Vnitřní lékařství

  • ISSN

    0042-773X

  • e-ISSN

    1801-7592

  • Volume of the periodical

    65

  • Issue of the periodical within the volume

    5

  • Country of publishing house

    CZ - CZECH REPUBLIC

  • Number of pages

    7

  • Pages from-to

    20-26

  • UT code for WoS article

  • EID of the result in the Scopus database

    2-s2.0-85137322920