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The impact of basic atrial rhythm during catheter ablation of atrial fibrillation on clinical outcomes: Lessons from the German Ablation Registry

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The impact of basic atrial rhythm during catheter ablation of atrial fibrillation on clinical outcomes: Lessons from the German Ablation Registry. / Rottner, Laura; Brachmann, Johannes; Lewalter, Thorsten; Kuck, Karl-Heinz; Willems, Stephan; Eckardt, Lars; Hochadel, Matthias; Andresen, Dietrich; Senges, Jochen; Rillig, Andreas; Metzner, Andreas.

in: J CARDIOVASC ELECTR, Jahrgang 32, Nr. 7, 07.2021, S. 1833-1841.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Rottner, L, Brachmann, J, Lewalter, T, Kuck, K-H, Willems, S, Eckardt, L, Hochadel, M, Andresen, D, Senges, J, Rillig, A & Metzner, A 2021, 'The impact of basic atrial rhythm during catheter ablation of atrial fibrillation on clinical outcomes: Lessons from the German Ablation Registry', J CARDIOVASC ELECTR, Jg. 32, Nr. 7, S. 1833-1841. https://doi.org/10.1111/jce.15072

APA

Rottner, L., Brachmann, J., Lewalter, T., Kuck, K-H., Willems, S., Eckardt, L., Hochadel, M., Andresen, D., Senges, J., Rillig, A., & Metzner, A. (2021). The impact of basic atrial rhythm during catheter ablation of atrial fibrillation on clinical outcomes: Lessons from the German Ablation Registry. J CARDIOVASC ELECTR, 32(7), 1833-1841. https://doi.org/10.1111/jce.15072

Vancouver

Rottner L, Brachmann J, Lewalter T, Kuck K-H, Willems S, Eckardt L et al. The impact of basic atrial rhythm during catheter ablation of atrial fibrillation on clinical outcomes: Lessons from the German Ablation Registry. J CARDIOVASC ELECTR. 2021 Jul;32(7):1833-1841. https://doi.org/10.1111/jce.15072

Bibtex

@article{64c0cc3c98b541958b591ef21dad6daa,
title = "The impact of basic atrial rhythm during catheter ablation of atrial fibrillation on clinical outcomes: Lessons from the German Ablation Registry",
abstract = "BACKGROUND: The impact of basic atrial rhythm (sinus rhythm [SR] vs. atrial fibrillation [AF]) during AF ablation on efficacy and safety is unknown.METHODS: About 3375 patients from the German Ablation Registry undergoing first-time AF ablation were divided according to the type of AF and the basic atrial rhythm during the ablation procedure: paroxysmal AF (PAF) and SR [group Ia], PAF and AF [group Ib]), persistent AF and SR (IIa), and persistent AF and AF (IIb).RESULTS: Patients in SR (n = 2312 [67%]) underwent cryoballoon ablation more often (Ia vs. Ib p = .002 and IIa vs. IIb p = .010, whereas in patients in AF (n = 1063 [33%]) radiofrequency (RF)-based ablation (Ia vs. Ib p = .006 and IIa vs. IIb p = .014) including left and/or right atrial substrate modification was more frequently performed. Depending on the basic rhythm there was no difference regarding arrhythmia recurrence during long-term follow-up. For patients suffering from persistent AF acute procedure-related complications were more often documented when ablated in AF (9.1% vs. 4.6%, p = .012). which was mainly driven by the higher occurrence of pericardial effusion/tamponade. For patients suffering from persistent AF, favorable results were found regarding 366-day Kaplan-Meier estimates of the incidence of MACCE (death, myocardial infarction, and stroke; p = .011) and the composite endpoint of death, myocardial infarction, stroke, and major bleeding (p = .006), when ablated in SR.CONCLUSION: Basic atrial rhythm at the time of AF ablation did not affect long-term rhythm outcome. For patients suffering from persistent AF a more favorable acute and long-term safety profile was observed when ablated in SR.",
keywords = "Atrial Fibrillation/diagnosis, Catheter Ablation/adverse effects, Heart Atria, Humans, Recurrence, Registries, Treatment Outcome",
author = "Laura Rottner and Johannes Brachmann and Thorsten Lewalter and Karl-Heinz Kuck and Stephan Willems and Lars Eckardt and Matthias Hochadel and Dietrich Andresen and Jochen Senges and Andreas Rillig and Andreas Metzner",
note = "{\textcopyright} 2021 The Authors. Journal of Cardiovascular Electrophysiology Published by Wiley Periodicals LLC.",
year = "2021",
month = jul,
doi = "10.1111/jce.15072",
language = "English",
volume = "32",
pages = "1833--1841",
journal = "J CARDIOVASC ELECTR",
issn = "1045-3873",
publisher = "Wiley-Blackwell",
number = "7",

}

RIS

TY - JOUR

T1 - The impact of basic atrial rhythm during catheter ablation of atrial fibrillation on clinical outcomes: Lessons from the German Ablation Registry

AU - Rottner, Laura

AU - Brachmann, Johannes

AU - Lewalter, Thorsten

AU - Kuck, Karl-Heinz

AU - Willems, Stephan

AU - Eckardt, Lars

AU - Hochadel, Matthias

AU - Andresen, Dietrich

AU - Senges, Jochen

AU - Rillig, Andreas

AU - Metzner, Andreas

N1 - © 2021 The Authors. Journal of Cardiovascular Electrophysiology Published by Wiley Periodicals LLC.

PY - 2021/7

Y1 - 2021/7

N2 - BACKGROUND: The impact of basic atrial rhythm (sinus rhythm [SR] vs. atrial fibrillation [AF]) during AF ablation on efficacy and safety is unknown.METHODS: About 3375 patients from the German Ablation Registry undergoing first-time AF ablation were divided according to the type of AF and the basic atrial rhythm during the ablation procedure: paroxysmal AF (PAF) and SR [group Ia], PAF and AF [group Ib]), persistent AF and SR (IIa), and persistent AF and AF (IIb).RESULTS: Patients in SR (n = 2312 [67%]) underwent cryoballoon ablation more often (Ia vs. Ib p = .002 and IIa vs. IIb p = .010, whereas in patients in AF (n = 1063 [33%]) radiofrequency (RF)-based ablation (Ia vs. Ib p = .006 and IIa vs. IIb p = .014) including left and/or right atrial substrate modification was more frequently performed. Depending on the basic rhythm there was no difference regarding arrhythmia recurrence during long-term follow-up. For patients suffering from persistent AF acute procedure-related complications were more often documented when ablated in AF (9.1% vs. 4.6%, p = .012). which was mainly driven by the higher occurrence of pericardial effusion/tamponade. For patients suffering from persistent AF, favorable results were found regarding 366-day Kaplan-Meier estimates of the incidence of MACCE (death, myocardial infarction, and stroke; p = .011) and the composite endpoint of death, myocardial infarction, stroke, and major bleeding (p = .006), when ablated in SR.CONCLUSION: Basic atrial rhythm at the time of AF ablation did not affect long-term rhythm outcome. For patients suffering from persistent AF a more favorable acute and long-term safety profile was observed when ablated in SR.

AB - BACKGROUND: The impact of basic atrial rhythm (sinus rhythm [SR] vs. atrial fibrillation [AF]) during AF ablation on efficacy and safety is unknown.METHODS: About 3375 patients from the German Ablation Registry undergoing first-time AF ablation were divided according to the type of AF and the basic atrial rhythm during the ablation procedure: paroxysmal AF (PAF) and SR [group Ia], PAF and AF [group Ib]), persistent AF and SR (IIa), and persistent AF and AF (IIb).RESULTS: Patients in SR (n = 2312 [67%]) underwent cryoballoon ablation more often (Ia vs. Ib p = .002 and IIa vs. IIb p = .010, whereas in patients in AF (n = 1063 [33%]) radiofrequency (RF)-based ablation (Ia vs. Ib p = .006 and IIa vs. IIb p = .014) including left and/or right atrial substrate modification was more frequently performed. Depending on the basic rhythm there was no difference regarding arrhythmia recurrence during long-term follow-up. For patients suffering from persistent AF acute procedure-related complications were more often documented when ablated in AF (9.1% vs. 4.6%, p = .012). which was mainly driven by the higher occurrence of pericardial effusion/tamponade. For patients suffering from persistent AF, favorable results were found regarding 366-day Kaplan-Meier estimates of the incidence of MACCE (death, myocardial infarction, and stroke; p = .011) and the composite endpoint of death, myocardial infarction, stroke, and major bleeding (p = .006), when ablated in SR.CONCLUSION: Basic atrial rhythm at the time of AF ablation did not affect long-term rhythm outcome. For patients suffering from persistent AF a more favorable acute and long-term safety profile was observed when ablated in SR.

KW - Atrial Fibrillation/diagnosis

KW - Catheter Ablation/adverse effects

KW - Heart Atria

KW - Humans

KW - Recurrence

KW - Registries

KW - Treatment Outcome

U2 - 10.1111/jce.15072

DO - 10.1111/jce.15072

M3 - SCORING: Journal article

C2 - 33955108

VL - 32

SP - 1833

EP - 1841

JO - J CARDIOVASC ELECTR

JF - J CARDIOVASC ELECTR

SN - 1045-3873

IS - 7

ER -