scholarly journals Risk factors for venous bleeding complication at the femoral puncture site after catheter ablation of atrial fibrillation

2020 ◽  
Vol 36 (4) ◽  
pp. 678-684
Author(s):  
Hirofumi Arai ◽  
Akira Mizukami ◽  
Yoshihiro Hanyu ◽  
Takuya Kawakami ◽  
Yuki Shimizu ◽  
...  

2014 ◽  
Vol 21 (5) ◽  
pp. 580-590 ◽  
Author(s):  
Arun Kanmanthareddy ◽  
Martin Emert ◽  
Rhea Pimentel ◽  
Yeruva Reddy ◽  
Sudharani Bommana ◽  
...  


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Yubi Lin ◽  
Hairui Li ◽  
Xianwu Lan ◽  
Xianghui Chen ◽  
Aidong Zhang ◽  
...  

Diabetes mellitus (DM) is one of the most important risk factors for atrial fibrillation (AF) and is a predictor of stroke and thromboembolism. DM may increase the incidence of AF, and when it is combined with other risk factors, the incidence of stroke and thromboembolism may also be higher; furthermore, hospitalization due to heart failure appears to increase. Maintenance of well-controlled blood glucose and low levels of HbA1c in accordance with guidelines may decrease the incidence of AF. The mechanisms of AF associated with DM are autonomic remodeling, electrical remodeling, structural remodeling, and insulin resistance. Inhibition of the renin-angiotensin system is suggested to be an upstream therapy for this type of AF. Studies have indicated that catheter ablation may be effective for AF associated with DM, restoring sinus rhythm and improving prognosis. Catheter ablation combined with hypoglycemic agents may further increase the rate of maintenance of sinus rhythm and reduce the need for reablation.



2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J Plasek ◽  
J Plasek ◽  
P Peichl ◽  
D Wichterle ◽  
R Cihak ◽  
...  

Abstract Background Catheter ablation is an established treatment modality for atrial fibrillation (AF). The risk of procedural complications is not negligible. Some studies suggested that female patients have a higher risk of complications. Purpose To identify gender-specific predictors of major complications (MCs) in patients undergoing catheter ablation for AF in a tertiary ablation centre. Methods A total of 4733 catheter ablations for AF (65% paroxysmal, 26% repeated procedures) were performed at our centre between January 2006 and August 2018. Patients (71% males) aged 60±10 years and had body mass index of 29±4 kg/m2 at the time of the procedure. Radiofrequency point-by-point ablation was employed in 96.3% procedures with the use of 3D navigation systems and facilitated by intracardiac echocardiography. Pulmonary vein isolation was mandatory; cavotricuspid isthmus and left atrial substrate ablation were performed in 22% and 38% procedures, respectively. MCs were defined as those that resulted in permanent injury, required intervention or prolonged hospitalization. Variables were assessed by uni- and multivariate analysis, two-sided α<0.05 was considered significant. Results A total of 160 (3.4%) MCs were detected - 60 (4.4%) in females and 100 (2.9%) in males (P=0.012). Both lower body height and the presence of bundle branch block (BBB) were associated with MCs only in females; for left bundle branch block (LBBB), the effect size was higher. On the contrary, higher left ventricular end-diastolic diameter (LVEDd) and persistent AF were associated with MCs in males (Table). Conclusion Females have a higher risk of MCs during catheter ablation for AF. Body height, AF type, BBB, and LVEDd may belong among gender-specific risk factors for MCs in AF ablation procedures. Whether BBB and LVEDd represent true risk factors warrants a validation in further studies. Funding Acknowledgement Type of funding source: None



2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Yun Gi Kim ◽  
Jaemin Shim ◽  
Suk-Kyu Oh ◽  
Kwang-No Lee ◽  
Jong-Il Choi ◽  
...  






EP Europace ◽  
2008 ◽  
Vol 10 (3) ◽  
pp. 276-279 ◽  
Author(s):  
Y.-F. Hu ◽  
C.-T. Tai ◽  
Y.-J. Lin ◽  
S.-L. Chang ◽  
L.-W. Lo ◽  
...  


EP Europace ◽  
2013 ◽  
Vol 15 (11) ◽  
pp. 1581-1586 ◽  
Author(s):  
Y. Sotomi ◽  
K. Inoue ◽  
N. Ito ◽  
R. Kimura ◽  
Y. Toyoshima ◽  
...  


2020 ◽  
Vol 16 ◽  
Author(s):  
Judit Szilágyi ◽  
László Sághy

: Atrial fibrillation is the most common supraventricular arrhythmia affecting an increasing proportion of the population in which the mainstream therapy, catheter ablation provides freedom from arrhythmia for only a limited number of patients. Understanding the mechanism is key in order to find more effective therapies and to improve patient selection. In this review, we will detail the structural and electrophysiological changes of the atrial musculature that constitute atrial remodeling in atrial fibrillaton and how risk factors and markers of disease progression can predict catheter ablation outcome.





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