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Persistent left superior vena cava as an arrhythmogenic source in atrial fibrillation: results from a multicenter experience.
- Source :
-
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing [J Interv Card Electrophysiol] 2019 Mar; Vol. 54 (2), pp. 93-100. Date of Electronic Publication: 2018 Sep 27. - Publication Year :
- 2019
-
Abstract
- Background: Persistent left superior vena cava (PLSVC) is one of the most frequently reported congenital anomalies and may be an important source of trigger of atrial fibrillation (AF).<br />Methods: This was a multicenter retrospective experience including 28 patients with PLSVC who were referred for catheter ablation for drug-refractory symptomatic AF. Pulmonary vein and PLSVC isolation were performed (3.5-mm open irrigated tip ablation catheter at maximum power of 20 W, maximum temperature 43 °C with flow rate of 17 ml/min). Clinical outcomes such as complications and long-term freedom from AF were measured.<br />Results: The mean age of the population was 61 ± 8 years, 21% were females, and AF duration was 60 ± 33 months. Sixty-one percent paroxysmal AF (17/28), 25% (7/28) persistent AF, and 14% (4/28) had long-standing persistent AF. There were no major complications that required any intervention. PLSVC isolation was achieved in 96% (27/28). Freedom from AF at 1 year without antiarrhythmic drugs was seen in 75% (21/28) of patients.<br />Conclusions: In PLSVC patients with AF, segmental isolation of PLSVC appears to be feasible and safe and can translate into favorable clinical outcomes.
- Subjects :
- Aged
Atrial Fibrillation diagnosis
Cohort Studies
Electrocardiography methods
Female
Follow-Up Studies
Heart Defects, Congenital diagnostic imaging
Humans
Male
Middle Aged
Pulmonary Veins surgery
Quality of Life
Retrospective Studies
Treatment Outcome
Vena Cava, Superior surgery
Atrial Fibrillation surgery
Catheter Ablation methods
Heart Defects, Congenital surgery
Vena Cava, Superior abnormalities
Subjects
Details
- Language :
- English
- ISSN :
- 1572-8595
- Volume :
- 54
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing
- Publication Type :
- Academic Journal
- Accession number :
- 30259306
- Full Text :
- https://doi.org/10.1007/s10840-018-0444-x