Thoracoscopic ablation of atrial fibrillation – Should we still be concerned about periprocedural complications
Identifikátory výsledku
Kód výsledku v 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>
Nalezeny alternativní kódy
RIV/00216208:11120/17:43913456
Výsledek na webu
<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>
Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
Thoracoscopic ablation of atrial fibrillation – Should we still be concerned about periprocedural complications
Popis výsledku v původním jazyce
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.
Název v anglickém jazyce
Thoracoscopic ablation of atrial fibrillation – Should we still be concerned about periprocedural complications
Popis výsledku anglicky
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.
Klasifikace
Druh
J<sub>SC</sub> - Článek v periodiku v databázi SCOPUS
CEP obor
—
OECD FORD obor
30201 - Cardiac and Cardiovascular systems
Návaznosti výsledku
Projekt
<a href="/cs/project/NV16-32478A" target="_blank" >NV16-32478A: Projekt EndoMaze HYBRID- podrobné zhodnocení bezpečnosti a efektivity hybridní ablace perzistentní a dlouhodobě perzistentní fibrilace síní</a><br>
Návaznosti
P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)
Ostatní
Rok uplatnění
2017
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
Cor et Vasa
ISSN
0010-8650
e-ISSN
1803-7712
Svazek periodika
59
Číslo periodika v rámci svazku
4
Stát vydavatele periodika
NL - Nizozemsko
Počet stran výsledku
8
Strana od-do
e317-e324
Kód UT WoS článku
000410033600007
EID výsledku v databázi Scopus
2-s2.0-85023631234