Clinical characteristics and outcome comparison between atrial fibrillation patients underwent catheter ablation under general aesthesia or local anesthesia and sedation

• Published in: Zhōnghuá xīnxuèguănbìng zázhì Vol. 45; no. 11; p. 935
• Main Authors: Xu, J J, Gao, L J, Chang, D, Xiao, X J, Zhang, R F, Lin, J, Zhao, Z M, Zhang, H, Xia, Y L, Yin, X M, Yang, Y Z
• Format: Journal Article
• Language: Chinese
• Published: China 24.11.2017
• Subjects: Anesthesia, General; Anesthesia, Local; Atrial Fibrillation - therapy; Atrial Flutter; Catheter Ablation; Electrocardiography; Electrocardiography, Ambulatory; Fluoroscopy; Heart Atria; Humans; Recurrence; Retrospective Studies; Tachycardia; Tachycardia, Atrioventricular Nodal Reentry; Treatment Outcome; Atrial fibrillation; Catheter ablation; Anesthesia, general
• ISSN: 0253-3758
• DOI: 10.3760/cma.j.issn.0253-3758.2017.11.008

To compare the outcome of radiofrequency catheter ablation under local anesthesia/sedation (S) or general anesthesia(GA) in atrial fibrillation patients. Data of 498 patients with atrial fibrillation undergoing radiofrequency catheter ablation in our departmentfrom January 2014 to December 2015 were retrospectively analyzed. Two hundred and twenty patients assigned to the GA group, the other 278 patients to the S group. Patients were followed clinically every 3 months within one year after procedure. Immediate electrocardiogram was performed in patients with palpitation or choking sensation in chest. The end point of the study was recurrence of any atrial tachyarrhythmia lasting >30 seconds in device interrogation, 24-hour Holter monitoring or 12-lead electrocardiogram after a single procedure. After the ablation procedure, a blanking period of 3 months was allowed according to the guidelines. Procedure time, radiofrequency time, fluoroscopy time, the detection of paroxysmal supraventricular tachycardia, the