지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 360 - 367 (8page)
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초록· 키워드
오류제보하기
Purpose: Catheter ablation for atrial fibrillation (AF) requires heavy anticoagulation and uncomfortable post-procedural hemostasis. We compared patient satisfaction with and the safety of unilateral groin (UG) puncture-single trans-septal (ST) ablationwith conventional bilateral groin (BG) puncture-double trans-septal (DT) ablation in paroxysmal AF patients. Materials and Methods: We enrolled 222 patients with paroxysmal AF (59.4±10.7 years old) who were randomized in a 2:1 mannerinto UG-ST ablation (n=148) and BG-DT ablation (n=74) groups. If circumferential pulmonary vein isolation could not be achievedafter three attempts of touch-up ablation in the UG-ST group, the patient was crossed over to BG-DT by performing a left groinpuncture. Results: Ten patients in the UG-ST group (6.8%) required crossover to the BG-DT approach. There were no significant differencesin procedure time (p=0.144) and major complications rate (p>0.999) between the UG-ST and BG-DT groups. Access site pain(p=0.014), back pain (p=0.023), and total pain (p=0.015) scores were significantly lower for the UG-ST than BG-DT group as assessedby the Visual Analog Scale. Over 20.2±8.7 months of follow up, there was no difference in AF recurrence free-survival ratesbetween the two groups (Log rank, p=0.984). Conclusion: UG-ST AF ablation is feasible and safe, and was found to significantly reduce post-procedural hemostasis-related discomfort,compared to the conventional DT approach, in patients with paroxysmal AF.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Wilber DJ / 2010 / Comparison of antiarrhythmic drug therapy and radiofrequency catheter ablation in patients with paroxysmal atrial fibrillation : a randomized controlled trial / JAMA 303:333~340
Kirchhof P / 2016 / 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS / Eur Heart J 37:2893~2962
Haïssaguerre M / 1998 / Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins / N Engl J Med 339:659~666
Wazni OM / 2005 / Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of symptomatic atrial fibrillation : a randomized trial / JAMA 293:2634~2640
Haïssaguerre M / 2000 / Electrophysiological breakthroughs from the left atrium to the pulmonary veins / Circulation 102:2463~2465
Kirchhof P / 2016 / 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS / Eur Heart J 37:2893~2962
Haïssaguerre M / 1998 / Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins / N Engl J Med 339:659~666
Wazni OM / 2005 / Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of symptomatic atrial fibrillation : a randomized trial / JAMA 293:2634~2640
Haïssaguerre M / 2000 / Electrophysiological breakthroughs from the left atrium to the pulmonary veins / Circulation 102:2463~2465
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