Real-world safety of catheter ablation for atrial fibrillation with contact force or cryoballoon ablation
Abstract Purpose Real-world data can help medical administrators, physicians, and payers make evidence-based decisions regarding treatment choices. The objective of this study was to compare real-world safety outcomes with the latest catheter technologies used for the treatment of atrial fibrillatio...
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Online Access: | http://dx.doi.org/10.1007/s10840-020-00734-w https://link.springer.com/content/pdf/10.1007/s10840-020-00734-w.pdf https://link.springer.com/article/10.1007/s10840-020-00734-w/fulltext.html |
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crspringernat:10.1007/s10840-020-00734-w 2023-05-15T15:13:57+02:00 Real-world safety of catheter ablation for atrial fibrillation with contact force or cryoballoon ablation Natale, Andrea Mohanty, Sanghamitra Goldstein, Laura Gomez, Tara Hunter, Tina D. Biosense Webster 2020 http://dx.doi.org/10.1007/s10840-020-00734-w https://link.springer.com/content/pdf/10.1007/s10840-020-00734-w.pdf https://link.springer.com/article/10.1007/s10840-020-00734-w/fulltext.html en eng Springer Science and Business Media LLC https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 CC-BY Journal of Interventional Cardiac Electrophysiology volume 60, issue 3, page 445-452 ISSN 1383-875X 1572-8595 Physiology (medical) Cardiology and Cardiovascular Medicine journal-article 2020 crspringernat https://doi.org/10.1007/s10840-020-00734-w 2022-01-04T12:18:41Z Abstract Purpose Real-world data can help medical administrators, physicians, and payers make evidence-based decisions regarding treatment choices. The objective of this study was to compare real-world safety outcomes with the latest catheter technologies used for the treatment of atrial fibrillation (AF). Methods The Vizient Health Systems database, a large US hospital database, was used to compare acute complications in AF ablation with the contact force sensing THERMOCOOL SMARTTOUCH® Catheter or the THERMOCOOL SMARTTOUCH® SF Catheter (ST) versus the second-generation Arctic Front Advance™ Cryoablation Catheter (CB2) between September 2015 and June 2017. The primary outcome was a composite safety endpoint of acute ablation-related complications defined via ICD-10 diagnosis and procedure codes, including tamponade and other pericardial events, respiratory complications, stroke, cerebral or pre-cerebral occlusion/stenosis without infarction, vascular access complications, hemorrhage, phrenic nerve injury, myocardial infarction, and pulmonary embolism. Results In total, 1473 ablations met all inclusion criteria (407 ST, 1066 CB2). Ablations for paroxysmal AF (PAF) had a lower complication rate than ablations for persistent AF (PsAF) (6.1% vs. 7.3%), as did ablations with ST compared with CB2 within each AF type (PAF 6.0% vs. 6.1%, PsAF 6.3% vs. 7.8%). Neither ablation catheter nor AF type was statistically significant after controlling for site volume, patient age, and comorbid conditions (ST vs. CB2: OR 0.86, p = 0.5544; PsAF vs. PAF: OR 1.08, p = 0.7376). Conclusion Acute ablation-related complication rates were low and were not significantly associated with catheter technology. Increased risk of complication was attributable to low-volume sites and baseline patient characteristics. Article in Journal/Newspaper Arctic Springer Nature (via Crossref) Arctic Journal of Interventional Cardiac Electrophysiology 60 3 445 452 |
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Springer Nature (via Crossref) |
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topic |
Physiology (medical) Cardiology and Cardiovascular Medicine |
spellingShingle |
Physiology (medical) Cardiology and Cardiovascular Medicine Natale, Andrea Mohanty, Sanghamitra Goldstein, Laura Gomez, Tara Hunter, Tina D. Real-world safety of catheter ablation for atrial fibrillation with contact force or cryoballoon ablation |
topic_facet |
Physiology (medical) Cardiology and Cardiovascular Medicine |
description |
Abstract Purpose Real-world data can help medical administrators, physicians, and payers make evidence-based decisions regarding treatment choices. The objective of this study was to compare real-world safety outcomes with the latest catheter technologies used for the treatment of atrial fibrillation (AF). Methods The Vizient Health Systems database, a large US hospital database, was used to compare acute complications in AF ablation with the contact force sensing THERMOCOOL SMARTTOUCH® Catheter or the THERMOCOOL SMARTTOUCH® SF Catheter (ST) versus the second-generation Arctic Front Advance™ Cryoablation Catheter (CB2) between September 2015 and June 2017. The primary outcome was a composite safety endpoint of acute ablation-related complications defined via ICD-10 diagnosis and procedure codes, including tamponade and other pericardial events, respiratory complications, stroke, cerebral or pre-cerebral occlusion/stenosis without infarction, vascular access complications, hemorrhage, phrenic nerve injury, myocardial infarction, and pulmonary embolism. Results In total, 1473 ablations met all inclusion criteria (407 ST, 1066 CB2). Ablations for paroxysmal AF (PAF) had a lower complication rate than ablations for persistent AF (PsAF) (6.1% vs. 7.3%), as did ablations with ST compared with CB2 within each AF type (PAF 6.0% vs. 6.1%, PsAF 6.3% vs. 7.8%). Neither ablation catheter nor AF type was statistically significant after controlling for site volume, patient age, and comorbid conditions (ST vs. CB2: OR 0.86, p = 0.5544; PsAF vs. PAF: OR 1.08, p = 0.7376). Conclusion Acute ablation-related complication rates were low and were not significantly associated with catheter technology. Increased risk of complication was attributable to low-volume sites and baseline patient characteristics. |
author2 |
Biosense Webster |
format |
Article in Journal/Newspaper |
author |
Natale, Andrea Mohanty, Sanghamitra Goldstein, Laura Gomez, Tara Hunter, Tina D. |
author_facet |
Natale, Andrea Mohanty, Sanghamitra Goldstein, Laura Gomez, Tara Hunter, Tina D. |
author_sort |
Natale, Andrea |
title |
Real-world safety of catheter ablation for atrial fibrillation with contact force or cryoballoon ablation |
title_short |
Real-world safety of catheter ablation for atrial fibrillation with contact force or cryoballoon ablation |
title_full |
Real-world safety of catheter ablation for atrial fibrillation with contact force or cryoballoon ablation |
title_fullStr |
Real-world safety of catheter ablation for atrial fibrillation with contact force or cryoballoon ablation |
title_full_unstemmed |
Real-world safety of catheter ablation for atrial fibrillation with contact force or cryoballoon ablation |
title_sort |
real-world safety of catheter ablation for atrial fibrillation with contact force or cryoballoon ablation |
publisher |
Springer Science and Business Media LLC |
publishDate |
2020 |
url |
http://dx.doi.org/10.1007/s10840-020-00734-w https://link.springer.com/content/pdf/10.1007/s10840-020-00734-w.pdf https://link.springer.com/article/10.1007/s10840-020-00734-w/fulltext.html |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Journal of Interventional Cardiac Electrophysiology volume 60, issue 3, page 445-452 ISSN 1383-875X 1572-8595 |
op_rights |
https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1007/s10840-020-00734-w |
container_title |
Journal of Interventional Cardiac Electrophysiology |
container_volume |
60 |
container_issue |
3 |
container_start_page |
445 |
op_container_end_page |
452 |
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1766344464116219904 |