1. Low incidence of permanent complications during catheter ablation for atrial fibrillation using open-irrigated catheters: A multicentre registry
- Author
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Giuseppe Stabile, Sakis Themistoclakis, Antonio De Simone, Matteo Anselmino, Leonardo Corò, Vittorio Calzolari, Luca Rebellato, Andrea Avella, Alessia Pappone, Giuseppe Arena, Maurizio Del Greco, Carlo Pappone, Emanuele Bertaglia, Nicola Bottoni, Claudio Tondo, Stabile, G., Bertaglia, E., Pappone, A., Themistoclakis, S., Tondo, C., Calzolari, V., Bottoni, N., Arena, G., Rebellato, L., Del Greco, M., De Simone, A., Coro, L., Avella, A., Anselmino, M., and Pappone, C.
- Subjects
Male ,Registrie ,Time Factors ,medicine.medical_treatment ,Pericardial effusion ,Cardiac Catheters ,Postoperative Complications ,Risk Factors ,Cardiac tamponade ,Atrial Fibrillation ,Odds Ratio ,Medicine ,Prospective Studies ,Registries ,Multivariate Analysi ,Incidence ,Atrial fibrillation ,Equipment Design ,Middle Aged ,Hemothorax ,Catheter ,Treatment Outcome ,Italy ,Catheter Ablation ,Female ,Cardiology and Cardiovascular Medicine ,Human ,medicine.medical_specialty ,Logistic Model ,Time Factor ,Catheter ablation ,Pericarditis ,Permanent complication ,Physiology (medical) ,Humans ,Therapeutic Irrigation ,Aged ,Chi-Square Distribution ,business.industry ,Risk Factor ,Odds ratio ,medicine.disease ,Surgery ,Prospective Studie ,Logistic Models ,Multivariate Analysis ,Postoperative Complication ,business - Abstract
Aims Despite catheter ablation (CA) has become an accepted treatment option for symptomatic, drug-resistant atrial fibrillation (AF), the safety of this procedure continues to be cause for concern. The aim of the present study was to assess the incidence of complications with permanent sequelae of CA for AF using open-irrigated catheters in a contemporary, unselected population of consecutive patients. Methods and results From 1 January 2011 to 31 December 2011, data from 2167 consecutive patients who underwent CA for AF using an open-irrigated catheter in 29 Italian centres were collected. All the complications occurring to the patient from admission to the 30th post-procedural day were recorded. No procedure-related death was observed. Complications occurred in 81 patients (3.7%): 46 patients (2.1%) suffered vascular access complications; 13 patients (0.6%) cardiac tamponade, successfully drained in all the cases; six patients (0.3%) arterial thromboembolism (four transient ischaemic attack and two ischaemic strokes); five (0.2%) patients conservatively treated pericardial effusion; three patients (0.1%) phrenic nerve paralysis; three patients (0.1%) pericarditis; three patients (0.1%) haemothorax, and two patients (0.1%) other isolated adverse events. At multivariate analysis, only female sex [odds ratio (OR) 2.5, confidence interval (CI): 1.5-3.7, P < 001] and the operator experience (OR 0.5, CI: 0.4-0.7, P < 001) related to the complications. Only five (0.2%) patients developed permanent sequelae from their complications. Conclusion Catheter ablation for AF with the use of open-irrigated catheters is currently affected by a very low rate of complications leading to permanent sequelae. © 2014 Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014.
- Published
- 2014