C-PO05-01 to C-PO05-220

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F27283933%3A_____%2F17%3A00005375" target="_blank" >RIV/27283933:_____/17:00005375 - isvavai.cz</a>

Výsledek na webu

<a href="http://api.elsevier.com/content/article/PII:S1547527117304290?httpAccept=text/xml" target="_blank" >http://api.elsevier.com/content/article/PII:S1547527117304290?httpAccept=text/xml</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.hrthm.2017.04.009" target="_blank" >10.1016/j.hrthm.2017.04.009</a>

Jazyk výsledku

angličtina

Název v původním jazyce

C-PO05-01 to C-PO05-220

Popis výsledku v původním jazyce

Background: Complications of catheter ablation for atrial fibrillation are frequently related to vascular access. Objective: We hypothesized that ultrasound-guided (USG) venipuncture may facilitate the procedure and reduce the complication rates. Methods: We conducted a multicenter, randomized trial in patients undergoing catheter ablation for atrial fibrillation on uninterrupted anticoagulation therapy. Consecutive patients were randomized to USG or conventional (CONV) venipuncture in 1: 1 fashion. Both femoral veins were cannulated with a total 4 sheaths. Insertion success was defined as no need for cross-over to the other venipuncture strategy and no need for take-over the venipuncture by another operator. Procedural data and in-hospital access-site-related major complications were collected and compared between study arms (intention-to-treat) in entire study population and in subgroups of experienced operators and trainees. Results: Study enrolled 320 patients (age: 63±8 years; males: 62%; paroxysmal AF: 67%) and trainees performed 49% of procedures. Outcome measures are shown in Table. While the complication rates did not differ between two study arms, all other outcome measures were in favor of USG approach. This was mainly driven by the results obtained in the subgroup of trainees; however, even expert operators had shorter puncture time and experienced less extra puncture attempts or inadvertent arterial punctures in the USG study arm. Conclusion: USG puncture of femoral veins was associated with faster cannulation and higher success, though the major complication rates were not reduced. Both trainees and experienced operators benefited from USG strategy.

Název v anglickém jazyce

C-PO05-01 to C-PO05-220

Popis výsledku anglicky

Background: Complications of catheter ablation for atrial fibrillation are frequently related to vascular access. Objective: We hypothesized that ultrasound-guided (USG) venipuncture may facilitate the procedure and reduce the complication rates. Methods: We conducted a multicenter, randomized trial in patients undergoing catheter ablation for atrial fibrillation on uninterrupted anticoagulation therapy. Consecutive patients were randomized to USG or conventional (CONV) venipuncture in 1: 1 fashion. Both femoral veins were cannulated with a total 4 sheaths. Insertion success was defined as no need for cross-over to the other venipuncture strategy and no need for take-over the venipuncture by another operator. Procedural data and in-hospital access-site-related major complications were collected and compared between study arms (intention-to-treat) in entire study population and in subgroups of experienced operators and trainees. Results: Study enrolled 320 patients (age: 63±8 years; males: 62%; paroxysmal AF: 67%) and trainees performed 49% of procedures. Outcome measures are shown in Table. While the complication rates did not differ between two study arms, all other outcome measures were in favor of USG approach. This was mainly driven by the results obtained in the subgroup of trainees; however, even expert operators had shorter puncture time and experienced less extra puncture attempts or inadvertent arterial punctures in the USG study arm. Conclusion: USG puncture of femoral veins was associated with faster cannulation and higher success, though the major complication rates were not reduced. Both trainees and experienced operators benefited from USG strategy.

Druh

J_ost - Ostatní články v recenzovaných periodicích

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2017

Kód důvěrnosti údajů

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

Název periodika

Heart Rhythm

ISSN

1547-5271

e-ISSN

—

Svazek periodika

14

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

6

Strana od-do

"S418"-"S513"

Kód UT WoS článku

—

EID výsledku v databázi Scopus

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