医学
透视
烧蚀
导管消融
导管
外科
心房扑动
前瞻性队列研究
放射科
心脏病学
作者
Benoît Robaye,Olivier Deceuninck,Dominique Blommaert,Véronique Godeaux,Fabien Dormal,Benoît Collet,Elisabeth Ballant,Florence Huys,Philippe Purnode,Olivier Xhaët
标识
DOI:10.1080/00015385.2022.2135240
摘要
We aimed to share our methods and experience of persistent AF ablation without a circular mapping catheter (CMC), thereby avoiding femoral venous and transseptal punctures, decreasing the cost of the procedure, and possibly reducing the duration of the procedure and fluoroscopy time.We report our experience with 261 persistent AF ablations performed without a CMC over the past 3 years.The procedures were performed with no apparent loss of efficacy or safety. Freedom from recurrence was defined as a 1-year absence of AF/atrial flutter (AFL) episodes >30 s, beyond the 3-month blanking period. At 1 year, 72% of the patients were free from arrythmias.Persistent AF ablation is feasible without a CMC, reducing the need for venous and transseptal punctures and the cost of the procedure. We suggest that prospective studies should aim to characterise the reduction in procedure and fluoroscopy times as a result of this technique.
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