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Radiofrequency versus cryoballoon ablation for atrial fibrillation in the setting of left common pulmonary veins. / Coutiño, Hugo-Enrique; Ströker, Erwin; Takarada, Ken; Mugnai, Giacomo; Abugattas, Juan-Pablo; Sieira, Juan; Salghetti, Francesca; Terasawa, Muryo; Varnavas, Varnavas; Maj, Riccardo; Osório, Thiago Guimarães; Neach, Diego; Brugada, Pedro; de Asmundis, Carlo; Chierchia, Gian-Battista.

In: Pacing and Clinical Electrophysiology, Vol. 42, No. 11, 11.2019, p. 1456-1462.

Research output: Contribution to journalArticleResearchpeer-review

Harvard

Coutiño, H-E, Ströker, E, Takarada, K, Mugnai, G, Abugattas, J-P, Sieira, J, Salghetti, F, Terasawa, M, Varnavas, V, Maj, R, Osório, TG, Neach, D, Brugada, P, de Asmundis, C & Chierchia, G-B 2019, 'Radiofrequency versus cryoballoon ablation for atrial fibrillation in the setting of left common pulmonary veins' Pacing and Clinical Electrophysiology, vol. 42, no. 11, pp. 1456-1462. https://doi.org/10.1111/pace.13810

APA

Vancouver

Coutiño H-E, Ströker E, Takarada K, Mugnai G, Abugattas J-P, Sieira J et al. Radiofrequency versus cryoballoon ablation for atrial fibrillation in the setting of left common pulmonary veins. Pacing and Clinical Electrophysiology. 2019 Nov;42(11):1456-1462. https://doi.org/10.1111/pace.13810

Author

Coutiño, Hugo-Enrique ; Ströker, Erwin ; Takarada, Ken ; Mugnai, Giacomo ; Abugattas, Juan-Pablo ; Sieira, Juan ; Salghetti, Francesca ; Terasawa, Muryo ; Varnavas, Varnavas ; Maj, Riccardo ; Osório, Thiago Guimarães ; Neach, Diego ; Brugada, Pedro ; de Asmundis, Carlo ; Chierchia, Gian-Battista. / Radiofrequency versus cryoballoon ablation for atrial fibrillation in the setting of left common pulmonary veins. In: Pacing and Clinical Electrophysiology. 2019 ; Vol. 42, No. 11. pp. 1456-1462.

BibTeX

@article{3088bff64df0419d91a6ff55314a2c79,
title = "Radiofrequency versus cryoballoon ablation for atrial fibrillation in the setting of left common pulmonary veins",
abstract = "BACKGROUND: A left common pulmonary vein (LCPV) accounts as the most frequent pulmonary vein (PV) variation. Our aim was to compare the performance of radiofrequency (RF) versus second-generation cryoballoon (CB-A) ablation in patients with atrial fibrillation (AF) and LCPVs.METHODS: In a total cohort of 716 patients undergoing PV isolation with preprocedural CT-scanning, LCPV+ patients were selected with measurement of PV ostial area and trunk distance. All LCPV+ patients were matched between RF and CB-A group in a 1:1 ratio based on propensity scores, and compared for outcome.RESULTS: Left common pulmonary veins were found in 31{\%} (88/283) RF versus 34{\%} (146/433) CB-A patients, respectively, (P = .44). In the matched population of 83 LCPV+ patients in each group, electrical isolation could be achieved in all left-sided PVs. No significant difference was noted for the rate of AF/left atrial tachyarrhythmia (LAT) recurrence between RF and CB-A group (30{\%} vs 28{\%}, P = .86), with similar AF/LAT-free survival (log rank, P = .71). There were 48 patients with AF/LAT recurrence (29{\%}) during the follow-up. Recurrence rate between paroxysmal versus persistent AF was 27/120 (22.5{\%}) versus 21/46 (46{\%}), P = .004. Cox proportional regression analysis withheld LA volume and persistent AF as independent variables to predict AF/LAT recurrence. No increased hazard for AF/LAT recurrence was observed for patients with a long (>15 mm) vs short (5-15 mm) LCPV trunk (OR 1.14, 95{\%} CI 0.6-2.2, P = .7).CONCLUSIONS: In our study, equal efficacy and outcome was noted in LCPV+ patients between RF and CB-A technology.",
keywords = "atrial fibrillation, left common pulmonary veins, pulmonary vein isolation, radiofrequency, second-generation cryoballoon",
author = "Hugo-Enrique Couti{\~n}o and Erwin Str{\"o}ker and Ken Takarada and Giacomo Mugnai and Juan-Pablo Abugattas and Juan Sieira and Francesca Salghetti and Muryo Terasawa and Varnavas Varnavas and Riccardo Maj and Os{\'o}rio, {Thiago Guimar{\~a}es} and Diego Neach and Pedro Brugada and {de Asmundis}, Carlo and Gian-Battista Chierchia",
note = "{\circledC} 2019 Wiley Periodicals, Inc.",
year = "2019",
month = "11",
doi = "10.1111/pace.13810",
language = "English",
volume = "42",
pages = "1456--1462",
journal = "Pacing and Clinical Electrophysiology",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "11",

}

RIS

TY - JOUR

T1 - Radiofrequency versus cryoballoon ablation for atrial fibrillation in the setting of left common pulmonary veins

AU - Coutiño, Hugo-Enrique

AU - Ströker, Erwin

AU - Takarada, Ken

AU - Mugnai, Giacomo

AU - Abugattas, Juan-Pablo

AU - Sieira, Juan

AU - Salghetti, Francesca

AU - Terasawa, Muryo

AU - Varnavas, Varnavas

AU - Maj, Riccardo

AU - Osório, Thiago Guimarães

AU - Neach, Diego

AU - Brugada, Pedro

AU - de Asmundis, Carlo

AU - Chierchia, Gian-Battista

N1 - © 2019 Wiley Periodicals, Inc.

PY - 2019/11

Y1 - 2019/11

N2 - BACKGROUND: A left common pulmonary vein (LCPV) accounts as the most frequent pulmonary vein (PV) variation. Our aim was to compare the performance of radiofrequency (RF) versus second-generation cryoballoon (CB-A) ablation in patients with atrial fibrillation (AF) and LCPVs.METHODS: In a total cohort of 716 patients undergoing PV isolation with preprocedural CT-scanning, LCPV+ patients were selected with measurement of PV ostial area and trunk distance. All LCPV+ patients were matched between RF and CB-A group in a 1:1 ratio based on propensity scores, and compared for outcome.RESULTS: Left common pulmonary veins were found in 31% (88/283) RF versus 34% (146/433) CB-A patients, respectively, (P = .44). In the matched population of 83 LCPV+ patients in each group, electrical isolation could be achieved in all left-sided PVs. No significant difference was noted for the rate of AF/left atrial tachyarrhythmia (LAT) recurrence between RF and CB-A group (30% vs 28%, P = .86), with similar AF/LAT-free survival (log rank, P = .71). There were 48 patients with AF/LAT recurrence (29%) during the follow-up. Recurrence rate between paroxysmal versus persistent AF was 27/120 (22.5%) versus 21/46 (46%), P = .004. Cox proportional regression analysis withheld LA volume and persistent AF as independent variables to predict AF/LAT recurrence. No increased hazard for AF/LAT recurrence was observed for patients with a long (>15 mm) vs short (5-15 mm) LCPV trunk (OR 1.14, 95% CI 0.6-2.2, P = .7).CONCLUSIONS: In our study, equal efficacy and outcome was noted in LCPV+ patients between RF and CB-A technology.

AB - BACKGROUND: A left common pulmonary vein (LCPV) accounts as the most frequent pulmonary vein (PV) variation. Our aim was to compare the performance of radiofrequency (RF) versus second-generation cryoballoon (CB-A) ablation in patients with atrial fibrillation (AF) and LCPVs.METHODS: In a total cohort of 716 patients undergoing PV isolation with preprocedural CT-scanning, LCPV+ patients were selected with measurement of PV ostial area and trunk distance. All LCPV+ patients were matched between RF and CB-A group in a 1:1 ratio based on propensity scores, and compared for outcome.RESULTS: Left common pulmonary veins were found in 31% (88/283) RF versus 34% (146/433) CB-A patients, respectively, (P = .44). In the matched population of 83 LCPV+ patients in each group, electrical isolation could be achieved in all left-sided PVs. No significant difference was noted for the rate of AF/left atrial tachyarrhythmia (LAT) recurrence between RF and CB-A group (30% vs 28%, P = .86), with similar AF/LAT-free survival (log rank, P = .71). There were 48 patients with AF/LAT recurrence (29%) during the follow-up. Recurrence rate between paroxysmal versus persistent AF was 27/120 (22.5%) versus 21/46 (46%), P = .004. Cox proportional regression analysis withheld LA volume and persistent AF as independent variables to predict AF/LAT recurrence. No increased hazard for AF/LAT recurrence was observed for patients with a long (>15 mm) vs short (5-15 mm) LCPV trunk (OR 1.14, 95% CI 0.6-2.2, P = .7).CONCLUSIONS: In our study, equal efficacy and outcome was noted in LCPV+ patients between RF and CB-A technology.

KW - atrial fibrillation

KW - left common pulmonary veins

KW - pulmonary vein isolation

KW - radiofrequency

KW - second-generation cryoballoon

U2 - 10.1111/pace.13810

DO - 10.1111/pace.13810

M3 - Article

VL - 42

SP - 1456

EP - 1462

JO - Pacing and Clinical Electrophysiology

JF - Pacing and Clinical Electrophysiology

SN - 0147-8389

IS - 11

ER -

ID: 47776456