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Predictors for permanent pacemaker implantation after concomitant surgical ablation for atrial fibrillation

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Predictors for permanent pacemaker implantation after concomitant surgical ablation for atrial fibrillation. / Pecha, Simon; Schäfer, Timm; Yildirim, Yalin; Ahmadzade, Teymour; Willems, Stephan; Reichenspurner, Hermann; Wagner, Florian Mathias.

In: J THORAC CARDIOV SUR, Vol. 147, No. 3, 03.2014, p. 984-988.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Pecha, S, Schäfer, T, Yildirim, Y, Ahmadzade, T, Willems, S, Reichenspurner, H & Wagner, FM 2014, 'Predictors for permanent pacemaker implantation after concomitant surgical ablation for atrial fibrillation', J THORAC CARDIOV SUR, vol. 147, no. 3, pp. 984-988. https://doi.org/10.1016/j.jtcvs.2013.03.012

APA

Pecha, S., Schäfer, T., Yildirim, Y., Ahmadzade, T., Willems, S., Reichenspurner, H., & Wagner, F. M. (2014). Predictors for permanent pacemaker implantation after concomitant surgical ablation for atrial fibrillation. J THORAC CARDIOV SUR, 147(3), 984-988. https://doi.org/10.1016/j.jtcvs.2013.03.012

Vancouver

Pecha S, Schäfer T, Yildirim Y, Ahmadzade T, Willems S, Reichenspurner H et al. Predictors for permanent pacemaker implantation after concomitant surgical ablation for atrial fibrillation. J THORAC CARDIOV SUR. 2014 Mar;147(3):984-988. https://doi.org/10.1016/j.jtcvs.2013.03.012

Bibtex

@article{1e37c5b1870d4da58c4b824bcca53fec,
title = "Predictors for permanent pacemaker implantation after concomitant surgical ablation for atrial fibrillation",
abstract = "Objectives: Concomitant surgical atrial fibrillation (AF) ablation is a safe and feasible procedure, recommended in guidelines. Pacemaker dependency is a known complication of AF ablation. We sought to determine independent predictors for pacemaker implantation after surgical AF ablation. Methods: Between January 2003 and November 2012, 594 patients underwent concomitant surgical AF ablation. Various energy sources, including cryoablation (n = 139), unipolar radiofrequency (n = 278), and bipolar radiofrequency (n = 177), were used. Left atrial (n = 463, 77.9%) and biatrial (n = 131, 22.1%) ablation was performed. Univariate and multivariate logistic regression analysis was used to identify independent predictors for pacemaker implantation within 30 days after surgical AF ablation. Results: The mean patient's age was 68.6 ± 9.4 years, and 66.8% were male. No major ablation-related complications occurred. A total of 41 (6.9%) of patients received pacemaker implantation during the 30-day follow-up period. Indications for pacemaker implantation were atrioventricular block in 25 (60.9%) of patients, sinus bradycardia or sinus arrest in 9 (22.0%) of patients, and bradyarrhythmia in 7 (17.1%) of patients. Demographic data, type of surgical procedure, and type of energy source did not have a significant impact on pacemaker implantation rate. However, biatrial ablation led to a significant pacemaker implantation rate compared with isolated left-sided ablation (6.3% vs 13.6%; P =.028). Conclusions: Concomitant surgical AF ablation showed a pacemaker implantation rate of 6.9% after 30-day follow-up. Univariate and multivariate analysis showed biatrial lesion set as the only statistically significant predictor for pacemaker implantation after surgical AF ablation.",
author = "Simon Pecha and Timm Sch{\"a}fer and Yalin Yildirim and Teymour Ahmadzade and Stephan Willems and Hermann Reichenspurner and Wagner, {Florian Mathias}",
year = "2014",
month = mar,
doi = "10.1016/j.jtcvs.2013.03.012",
language = "English",
volume = "147",
pages = "984--988",
journal = "J THORAC CARDIOV SUR",
issn = "0022-5223",
publisher = "Mosby Inc.",
number = "3",

}

RIS

TY - JOUR

T1 - Predictors for permanent pacemaker implantation after concomitant surgical ablation for atrial fibrillation

AU - Pecha, Simon

AU - Schäfer, Timm

AU - Yildirim, Yalin

AU - Ahmadzade, Teymour

AU - Willems, Stephan

AU - Reichenspurner, Hermann

AU - Wagner, Florian Mathias

PY - 2014/3

Y1 - 2014/3

N2 - Objectives: Concomitant surgical atrial fibrillation (AF) ablation is a safe and feasible procedure, recommended in guidelines. Pacemaker dependency is a known complication of AF ablation. We sought to determine independent predictors for pacemaker implantation after surgical AF ablation. Methods: Between January 2003 and November 2012, 594 patients underwent concomitant surgical AF ablation. Various energy sources, including cryoablation (n = 139), unipolar radiofrequency (n = 278), and bipolar radiofrequency (n = 177), were used. Left atrial (n = 463, 77.9%) and biatrial (n = 131, 22.1%) ablation was performed. Univariate and multivariate logistic regression analysis was used to identify independent predictors for pacemaker implantation within 30 days after surgical AF ablation. Results: The mean patient's age was 68.6 ± 9.4 years, and 66.8% were male. No major ablation-related complications occurred. A total of 41 (6.9%) of patients received pacemaker implantation during the 30-day follow-up period. Indications for pacemaker implantation were atrioventricular block in 25 (60.9%) of patients, sinus bradycardia or sinus arrest in 9 (22.0%) of patients, and bradyarrhythmia in 7 (17.1%) of patients. Demographic data, type of surgical procedure, and type of energy source did not have a significant impact on pacemaker implantation rate. However, biatrial ablation led to a significant pacemaker implantation rate compared with isolated left-sided ablation (6.3% vs 13.6%; P =.028). Conclusions: Concomitant surgical AF ablation showed a pacemaker implantation rate of 6.9% after 30-day follow-up. Univariate and multivariate analysis showed biatrial lesion set as the only statistically significant predictor for pacemaker implantation after surgical AF ablation.

AB - Objectives: Concomitant surgical atrial fibrillation (AF) ablation is a safe and feasible procedure, recommended in guidelines. Pacemaker dependency is a known complication of AF ablation. We sought to determine independent predictors for pacemaker implantation after surgical AF ablation. Methods: Between January 2003 and November 2012, 594 patients underwent concomitant surgical AF ablation. Various energy sources, including cryoablation (n = 139), unipolar radiofrequency (n = 278), and bipolar radiofrequency (n = 177), were used. Left atrial (n = 463, 77.9%) and biatrial (n = 131, 22.1%) ablation was performed. Univariate and multivariate logistic regression analysis was used to identify independent predictors for pacemaker implantation within 30 days after surgical AF ablation. Results: The mean patient's age was 68.6 ± 9.4 years, and 66.8% were male. No major ablation-related complications occurred. A total of 41 (6.9%) of patients received pacemaker implantation during the 30-day follow-up period. Indications for pacemaker implantation were atrioventricular block in 25 (60.9%) of patients, sinus bradycardia or sinus arrest in 9 (22.0%) of patients, and bradyarrhythmia in 7 (17.1%) of patients. Demographic data, type of surgical procedure, and type of energy source did not have a significant impact on pacemaker implantation rate. However, biatrial ablation led to a significant pacemaker implantation rate compared with isolated left-sided ablation (6.3% vs 13.6%; P =.028). Conclusions: Concomitant surgical AF ablation showed a pacemaker implantation rate of 6.9% after 30-day follow-up. Univariate and multivariate analysis showed biatrial lesion set as the only statistically significant predictor for pacemaker implantation after surgical AF ablation.

UR - http://www.scopus.com/inward/record.url?scp=84894045001&partnerID=8YFLogxK

U2 - 10.1016/j.jtcvs.2013.03.012

DO - 10.1016/j.jtcvs.2013.03.012

M3 - SCORING: Journal article

C2 - 23566511

AN - SCOPUS:84894045001

VL - 147

SP - 984

EP - 988

JO - J THORAC CARDIOV SUR

JF - J THORAC CARDIOV SUR

SN - 0022-5223

IS - 3

ER -