Catheter ablation of atrial fibrillation facilitated by preprocedural three-dimensional transesophageal echocardiography : long-term outcome
Aim: To evaluate the long-term outcome of catheter ablation of atrial fibrillation (AF) facilitated by preprocedural three-dimensional (3-D) transesophageal echocardiography. Methods: In 50 patients, 3D transesophageal echocardiography (3D TEE) was performed immediately prior to an ablation procedur...
Published in: | World Journal of Cardiology |
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ftunivfrankfurt:oai:publikationen.ub.uni-frankfurt.de:45770 2023-05-15T15:13:45+02:00 Catheter ablation of atrial fibrillation facilitated by preprocedural three-dimensional transesophageal echocardiography : long-term outcome Kettering, Klaus Gramley, Felix Bardeleben, Ralph Stephan von 2017-06-26 application/pdf http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/45770 https://nbn-resolving.org/urn:nbn:de:hebis:30:3-457705 https://doi.org/10.4330/wjc.v9.i6.539 http://publikationen.ub.uni-frankfurt.de/files/45770/WJC-9-539.pdf eng eng http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/45770 urn:nbn:de:hebis:30:3-457705 https://nbn-resolving.org/urn:nbn:de:hebis:30:3-457705 https://doi.org/10.4330/wjc.v9.i6.539 http://publikationen.ub.uni-frankfurt.de/files/45770/WJC-9-539.pdf http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess CC-BY-NC ddc:610 article doc-type:article 2017 ftunivfrankfurt https://doi.org/10.4330/wjc.v9.i6.539 2022-09-11T23:16:28Z Aim: To evaluate the long-term outcome of catheter ablation of atrial fibrillation (AF) facilitated by preprocedural three-dimensional (3-D) transesophageal echocardiography. Methods: In 50 patients, 3D transesophageal echocardiography (3D TEE) was performed immediately prior to an ablation procedure (paroxysmal AF: 30 patients, persistent AF: 20 patients). The images were available throughout the ablation procedure. Two different ablation strategies were used. In most of the patients with paroxysmal AF, the cryoablation technique was used (Arctic Front Balloon, CryoCath Technologies/Medtronic; group A2). In the other patients, a circumferential pulmonary vein ablation was performed using the CARTO system [Biosense Webster; group A1 (paroxysmal AF), group B (persistent AF)]. Success rates and complication rates were analysed at 4-year follow-up. Results: A 3D TEE could be performed successfully in all patients prior to the ablation procedure and all four pulmonary vein ostia could be evaluated in 84% of patients. The image quality was excellent in the majority of patients and several variations of the pulmonary vein anatomy could be visualized precisely (e.g., common pulmonary vein ostia, accessory pulmonary veins, varying diameter of the left atrial appendage and its distance to the left superior pulmonary vein). All ablation procedures could be performed as planned and almost all pulmonary veins could be isolated successfully. At 48-mo follow-up, 68.0% of all patients were free from an arrhythmia recurrence (group A1: 72.7%, group A2: 73.7%, group B: 60.0%). There were no major complications. Conclusion: 3D TEE provides an excellent overview over the left atrial anatomy prior to AF ablation procedures and these procedures are associated with a favourable long-term outcome. Article in Journal/Newspaper Arctic Publication Server of Goethe University Frankfurt am Main Arctic World Journal of Cardiology 9 6 539 |
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ddc:610 Kettering, Klaus Gramley, Felix Bardeleben, Ralph Stephan von Catheter ablation of atrial fibrillation facilitated by preprocedural three-dimensional transesophageal echocardiography : long-term outcome |
topic_facet |
ddc:610 |
description |
Aim: To evaluate the long-term outcome of catheter ablation of atrial fibrillation (AF) facilitated by preprocedural three-dimensional (3-D) transesophageal echocardiography. Methods: In 50 patients, 3D transesophageal echocardiography (3D TEE) was performed immediately prior to an ablation procedure (paroxysmal AF: 30 patients, persistent AF: 20 patients). The images were available throughout the ablation procedure. Two different ablation strategies were used. In most of the patients with paroxysmal AF, the cryoablation technique was used (Arctic Front Balloon, CryoCath Technologies/Medtronic; group A2). In the other patients, a circumferential pulmonary vein ablation was performed using the CARTO system [Biosense Webster; group A1 (paroxysmal AF), group B (persistent AF)]. Success rates and complication rates were analysed at 4-year follow-up. Results: A 3D TEE could be performed successfully in all patients prior to the ablation procedure and all four pulmonary vein ostia could be evaluated in 84% of patients. The image quality was excellent in the majority of patients and several variations of the pulmonary vein anatomy could be visualized precisely (e.g., common pulmonary vein ostia, accessory pulmonary veins, varying diameter of the left atrial appendage and its distance to the left superior pulmonary vein). All ablation procedures could be performed as planned and almost all pulmonary veins could be isolated successfully. At 48-mo follow-up, 68.0% of all patients were free from an arrhythmia recurrence (group A1: 72.7%, group A2: 73.7%, group B: 60.0%). There were no major complications. Conclusion: 3D TEE provides an excellent overview over the left atrial anatomy prior to AF ablation procedures and these procedures are associated with a favourable long-term outcome. |
format |
Article in Journal/Newspaper |
author |
Kettering, Klaus Gramley, Felix Bardeleben, Ralph Stephan von |
author_facet |
Kettering, Klaus Gramley, Felix Bardeleben, Ralph Stephan von |
author_sort |
Kettering, Klaus |
title |
Catheter ablation of atrial fibrillation facilitated by preprocedural three-dimensional transesophageal echocardiography : long-term outcome |
title_short |
Catheter ablation of atrial fibrillation facilitated by preprocedural three-dimensional transesophageal echocardiography : long-term outcome |
title_full |
Catheter ablation of atrial fibrillation facilitated by preprocedural three-dimensional transesophageal echocardiography : long-term outcome |
title_fullStr |
Catheter ablation of atrial fibrillation facilitated by preprocedural three-dimensional transesophageal echocardiography : long-term outcome |
title_full_unstemmed |
Catheter ablation of atrial fibrillation facilitated by preprocedural three-dimensional transesophageal echocardiography : long-term outcome |
title_sort |
catheter ablation of atrial fibrillation facilitated by preprocedural three-dimensional transesophageal echocardiography : long-term outcome |
publishDate |
2017 |
url |
http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/45770 https://nbn-resolving.org/urn:nbn:de:hebis:30:3-457705 https://doi.org/10.4330/wjc.v9.i6.539 http://publikationen.ub.uni-frankfurt.de/files/45770/WJC-9-539.pdf |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_relation |
http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/45770 urn:nbn:de:hebis:30:3-457705 https://nbn-resolving.org/urn:nbn:de:hebis:30:3-457705 https://doi.org/10.4330/wjc.v9.i6.539 http://publikationen.ub.uni-frankfurt.de/files/45770/WJC-9-539.pdf |
op_rights |
http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.4330/wjc.v9.i6.539 |
container_title |
World Journal of Cardiology |
container_volume |
9 |
container_issue |
6 |
container_start_page |
539 |
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1766344272367321088 |