Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study
Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy are scanty. We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group of patients. T...
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Published in | Journal of clinical medicine Vol. 11; no. 6; p. 1481 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , |
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Language | English |
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08.03.2022
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Abstract | Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy are scanty. We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group of patients.
Twenty consecutive patients (8 females, 40%; median age 65.2 years old) with a history of pneumonectomy/lobectomy and paroxysmal or persistent AF, treated by means of pulmonary vein isolation (PVI) at ten participating centers were included. Procedural success, intra-procedural complications, and AF recurrences were considered.
Fifteen patients had a previous lobectomy and five patients had a complete pneumonectomy. A large proportion (65%) of PV stumps were electrically active and represented a source of firing in 20% of cases. PVI was performed by radiofrequency ablation in 13 patients (65%) and by cryoablation in the remaining 7 cases. Over a median follow up of 29.7 months, a total of 7 (33%) AF recurrences were recorded with neither a difference between patients treated with cryoablation or radiofrequency ablation or between the two genders.
Catheter ablation by radiofrequency ablation or cryoablation in patients with pulmonary stumps is feasible and safe. Long-term outcomes are favorable, and a similar efficacy of catheter ablation has been noticed in both males and females. |
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AbstractList | Introduction: Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients’ previous history of pulmonary lobectomy/pneumonectomy are scanty. We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group of patients. Material and Methods: Twenty consecutive patients (8 females, 40%; median age 65.2 years old) with a history of pneumonectomy/lobectomy and paroxysmal or persistent AF, treated by means of pulmonary vein isolation (PVI) at ten participating centers were included. Procedural success, intra-procedural complications, and AF recurrences were considered. Results: Fifteen patients had a previous lobectomy and five patients had a complete pneumonectomy. A large proportion (65%) of PV stumps were electrically active and represented a source of firing in 20% of cases. PVI was performed by radiofrequency ablation in 13 patients (65%) and by cryoablation in the remaining 7 cases. Over a median follow up of 29.7 months, a total of 7 (33%) AF recurrences were recorded with neither a difference between patients treated with cryoablation or radiofrequency ablation or between the two genders. Conclusions: Catheter ablation by radiofrequency ablation or cryoablation in patients with pulmonary stumps is feasible and safe. Long-term outcomes are favorable, and a similar efficacy of catheter ablation has been noticed in both males and females. INTRODUCTIONData regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy are scanty. We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group of patients. MATERIAL AND METHODSTwenty consecutive patients (8 females, 40%; median age 65.2 years old) with a history of pneumonectomy/lobectomy and paroxysmal or persistent AF, treated by means of pulmonary vein isolation (PVI) at ten participating centers were included. Procedural success, intra-procedural complications, and AF recurrences were considered. RESULTSFifteen patients had a previous lobectomy and five patients had a complete pneumonectomy. A large proportion (65%) of PV stumps were electrically active and represented a source of firing in 20% of cases. PVI was performed by radiofrequency ablation in 13 patients (65%) and by cryoablation in the remaining 7 cases. Over a median follow up of 29.7 months, a total of 7 (33%) AF recurrences were recorded with neither a difference between patients treated with cryoablation or radiofrequency ablation or between the two genders. CONCLUSIONSCatheter ablation by radiofrequency ablation or cryoablation in patients with pulmonary stumps is feasible and safe. Long-term outcomes are favorable, and a similar efficacy of catheter ablation has been noticed in both males and females. Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy are scanty. We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group of patients. Twenty consecutive patients (8 females, 40%; median age 65.2 years old) with a history of pneumonectomy/lobectomy and paroxysmal or persistent AF, treated by means of pulmonary vein isolation (PVI) at ten participating centers were included. Procedural success, intra-procedural complications, and AF recurrences were considered. Fifteen patients had a previous lobectomy and five patients had a complete pneumonectomy. A large proportion (65%) of PV stumps were electrically active and represented a source of firing in 20% of cases. PVI was performed by radiofrequency ablation in 13 patients (65%) and by cryoablation in the remaining 7 cases. Over a median follow up of 29.7 months, a total of 7 (33%) AF recurrences were recorded with neither a difference between patients treated with cryoablation or radiofrequency ablation or between the two genders. Catheter ablation by radiofrequency ablation or cryoablation in patients with pulmonary stumps is feasible and safe. Long-term outcomes are favorable, and a similar efficacy of catheter ablation has been noticed in both males and females. |
Author | Geelen, Peter Bourenane, Hamed Auricchio, Angelo Carabelli, Adrien Manninger, Martin Kochhäuser, Simon Scherr, Daniel Spera, Francesco R Boveda, Serge Cornara, Stefano Lo, Li-Wei Chen, Wei-Tso Mont, Lluis Defaye, Pascal Klersy, Catherine Demarchi, Andrea Reichlin, Tobias Pentimalli, Francesco Roten, Laurent Riesinger, Lisa De Potter, Tom Conte, Giulio Sarkozy, Andrea Caixal, Gala Chen, Shih-Ann |
AuthorAffiliation | 5 Cardiovascular Center, Department of Cardiology, Electrophysiology Section, Onze-Lieve-Vrouwziekenhuis (OLV) Hospital, 9300 Aalst, Belgium; tom.de.potter@olvz-aalst.be (T.D.P.); peter.geelen@olvz-aalst.be (P.G.) 7 University of Antwerp, 2650 Edegem, Belgium 11 Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium 12 Klinik für Kardiologie und Angiologie, 45138 Essen, Germany; lisa.riesinger@uk-essen.de (L.R.); simon.kochhause@uk-essen.de (S.K.) 6 Cardiology Department, Antwerp University Hospital, 2650 Edegem, Belgium; andreasarkozy@yahoo.ca (A.S.); francesco0802@gmail.com (F.R.S.) 13 Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08036 Barcelona, Spain; gcaixal@clinic.cat (G.C.); lmont@clinic.cat (L.M.) 4 Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan 10 Cardiology-Heart Rhythm Management Department, Clinique Pasteur, 31076 Toulouse, France; sboveda@clinique-pasteur.com (S.B.); hamedbourena |
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Keywords | follow-up atrial fibrillation lobectomy pulmonary vein stump ablation pneumonectomy pulmonary vein isolation |
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Snippet | Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy... Introduction: Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients’ previous history of pulmonary... INTRODUCTIONData regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary... |
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SubjectTerms | Ablation atrial fibrillation Cardiac arrhythmia Cardioversion Catheters Clinical medicine follow-up Hospitals lobectomy Patients Pneumonectomy pulmonary vein isolation pulmonary vein stump Veins & arteries |
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Title | Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study |
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