Stroke and left atrial thrombi after cryoballoon ablation of atrial fibrillation: incidence and predictors. Results from a long-term follow-up

2020 ◽  
Author(s):  
Francesco Santoro ◽  
Natale Daniele Brunetti ◽  
Andreas Rillig ◽  
Bruno Reissmann ◽  
Christine Lemeš ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrial ◽  
Cryoballoon Ablation ◽  
Long Term Follow Up ◽  
Atrial Thrombi

scholarly journals Mortality and rate of stroke or embolism in atrial fibrillation during long-term follow-up in the embolism in left atrial thrombi (ELAT) study

2004 ◽  
Vol 27 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Claudia Stöllberger ◽  
Pavel Chnupa ◽  
Christine Abzieher ◽  
Thomas Länger ◽  
Josef Finsterer ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrial ◽  
Long Term Follow Up ◽  
Atrial Thrombi

scholarly journals The detection of left atrial thrombi in patients with atrial fibrillation were associated with thromboembolic events during long-term follow-up

2003 ◽  
Vol 41 (6) ◽  
pp. 103
Author(s):  
Karlheinz Seidl ◽  
Margit Vater ◽  
Monika Rameken ◽  
Andreas Brandt ◽  
Axel Droegemueller ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrial ◽  
Thromboembolic Events ◽  
Long Term Follow Up ◽  
Atrial Thrombi

scholarly journals GW25-e1142 Long-term follow-up outcome of cryoballoon ablation for atrial fibrillation from single center

2014 ◽  
Vol 64 (16) ◽  
pp. C165
Author(s):  
Liu Jun ◽  
Ming Tang ◽  
Yan Kaufmann ◽  
Charalampos Kriatselis ◽  
Eckart Fleck ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cryoballoon Ablation ◽  
Single Center ◽  
Long Term Follow Up

scholarly journals Predictors of early and late left atrial tachycardia and left atrial flutter after catheter ablation of atrial fibrillation: Long-term follow-up

2015 ◽  
Vol 22 (5) ◽  
pp. 557-566 ◽  
Author(s):  
Maciej Wójcik ◽  
Alexander Berkowitsch ◽  
Sergey Zaltsberg ◽  
Christian W. Hamm ◽  
Heinz F. Pitschner ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Atrial Flutter ◽  
Left Atrial ◽  
Atrial Tachycardia ◽  
Long Term Follow Up

scholarly journals Safety and Efficacy of Cryoballoon Ablation of Atrial Fibrillation in relation to the Patients’ Age: Results from a Large Real-World Multicenter Observational Project

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Luigi Sciarra ◽  
Saverio Iacopino ◽  
Giuseppe Arena ◽  
Claudio Tondo ◽  
Paolo Pieragnoli ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Real World ◽  
Age Groups ◽  
Cryoballoon Ablation ◽  
Efficacy And Safety ◽  
Long Term Follow Up ◽  
High Degree ◽  
Af Recurrence

Background. The real-world efficacy and safety of atrial fibrillation (AF) ablation in particularly young and elderly patients are still under debate. The aim of the analysis was to investigate the effect of age on the efficacy and safety of cryoballoon ablation (CBA). Methods. 2,534 patients underwent pulmonary vein isolation (PVI) by way of CBA for paroxysmal or persistent drug-resistant and symptomatic AF. The population was divided into age quartiles for evaluation, including (1) <53 years, (2) ≥53 and <61 years, (3) ≥61 and <67 years, and (4) ≥67 years. Furthermore, outcomes were analyzed in patients <41 years, ≥41 and ≤74, and >74 years old. Procedural data and complications were collected, and atrial fibrillation recurrences were evaluated during follow-up. Results. Procedural-related complications (4.1%) were similar in the four subgroups according to age. At the 12-month follow-up, freedom from AF recurrence was 79.2%, 77.4%, 76.8%, and 75.2% ( p = 0.21 ), respectively (with increasing age). At 24-month follow-up, similar incidences of AF recurrence were observed in the four subgroups. When the sample was arbitrarily divided into the three age groups, a higher rate of recurrence was observed in older patients with regard to long-term follow-up (freedom from AF recurrence was 71.8% and 40.9%, respectively, at 12 and 24-month follow-up). In the univariate and multivariate analysis, age did not result in a significant predictor of AF recurrence during follow-up; however, a trend toward higher AF recurrences rates in patients ≥67 years was observed. Conclusion. The data demonstrated a high degree of safety during CBA across all patient ages. Procedural performance and complications were similar between different ages; AF recurrences seem to be more frequent in patients over 74 years.

scholarly journals Late arrhythmia recurrence after atrial fibrillation ablation: incidence, mechanisms and clinical implications

2022 ◽  
Author(s):  
Nico Erhard ◽  
Andreas Metzner ◽  
Thomas Fink
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Veins ◽  
Treatment Strategies ◽  
Current Evidence ◽  
Cryoballoon Ablation ◽  
Number Of Patients ◽  
Long Term Follow Up ◽  
Time Point

Abstract Background and objectives Catheter ablation of atrial fibrillation (AF) has become a well-established and widely used therapy, with pulmonary vein isolation (PVI) being the key modality of ablation. However, arrhythmia recurrences after PVI are common, with a relevant number of patients undergoing repeat ablation. Arrhythmia recurrence after PVI may vary regarding time point and mode of recurrence. While early arrhythmia recurrences of AF after PVI are mostly found to be the product of electrical reconnection of the pulmonary veins, the exact mechanisms of very late arrhythmia recurrence, occurring later than 12 months after successful PVI, remain unclear. This review provides an overview on the current evidence on time point and mechanisms of arrhythmia recurrence after PVI focussing on late arrhythmia recurrence. Recent findings The incidence of late arrhythmia recurrence after PVI can lie at a rate of up to 30% according to long-term follow-up studies. Mechanisms of recurrence include electrical reconnection of previously isolated pulmonary veins and development of atrial fibrosis. The use of cryoballoon ablation is likely to be more effective in reducing late arrhythmia recurrences compared to radiofrequency ablation. Novel scores such as the MB-LATER score or the APPLE score may become useful tools in predicting arrhythmia recurrence after PVI. Results and conclusion Late arrhythmia recurrence after PVI is common and leads to a relevant impairment of long-term success. Relevant data are currently limited and exact mechanisms of arrhythmia recurrence remain unclear. Further studies are needed to elucidate pathogenetic mechanisms of late arrhythmia recurrence after PVI in order to improve treatment strategies.

scholarly journals Combined atrial fibrillation ablation and left atrial appendage closure: long-term follow-up from a large multicentre registry

EP Europace ◽  
2018 ◽  
Vol 20 (11) ◽  
pp. 1783-1789 ◽  
Author(s):  
Lisette Wintgens ◽  
Aleksandr Romanov ◽  
Karen Phillips ◽  
Gabriel Ballesteros ◽  
Martin Swaans ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Fibrillation Ablation ◽  
Atrial Appendage ◽  
Left Atrial Appendage Closure ◽  
Long Term Follow Up
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