A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation
Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Wesselink, Robin [verfasserIn] Vroomen, Mindy [verfasserIn] Overeinder, Ingrid [verfasserIn] Neefs, Jolien [verfasserIn] van den Berg, Nicoline W.E. [verfasserIn] Meulendijks, Eva R. [verfasserIn] Piersma, Femke R. [verfasserIn] Al-Shama, Rushd F.M. [verfasserIn] de Vries, Tim A.C. [verfasserIn] Verstraelen, Tom E. [verfasserIn] Luermans, Justin [verfasserIn] Maesen, Bart [verfasserIn] de Asmundis, Carlo [verfasserIn] Chierchia, Gian-Battista [verfasserIn] La Meir, Mark [verfasserIn] Pison, Laurent [verfasserIn] van Boven, Wim Jan P. [verfasserIn] Driessen, Antoine H.G. [verfasserIn] de Groot, Joris R. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Revista española de cardiología / English version - Madrid : Elsevier España [u.a.], 2002, 76 |
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| Übergeordnetes Werk: |
volume:76 |
| DOI / URN: |
10.1016/j.rec.2022.09.006 |
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ELV009933921 |
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| 100 | 1 | |a Wesselink, Robin |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation |
| 264 | 1 | |c 2022 | |
| 336 | |a nicht spezifiziert |b zzz |2 rdacontent | ||
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| 520 | |a Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation. | ||
| 650 | 4 | |a Atrial fibrillation | |
| 650 | 4 | |a Thoracoscopic surgical ablation | |
| 650 | 4 | |a Catheter ablation | |
| 650 | 4 | |a Propensity score | |
| 700 | 1 | |a Vroomen, Mindy |e verfasserin |4 aut | |
| 700 | 1 | |a Overeinder, Ingrid |e verfasserin |4 aut | |
| 700 | 1 | |a Neefs, Jolien |e verfasserin |4 aut | |
| 700 | 1 | |a van den Berg, Nicoline W.E. |e verfasserin |4 aut | |
| 700 | 1 | |a Meulendijks, Eva R. |e verfasserin |4 aut | |
| 700 | 1 | |a Piersma, Femke R. |e verfasserin |4 aut | |
| 700 | 1 | |a Al-Shama, Rushd F.M. |e verfasserin |4 aut | |
| 700 | 1 | |a de Vries, Tim A.C. |e verfasserin |4 aut | |
| 700 | 1 | |a Verstraelen, Tom E. |e verfasserin |4 aut | |
| 700 | 1 | |a Luermans, Justin |e verfasserin |4 aut | |
| 700 | 1 | |a Maesen, Bart |e verfasserin |4 aut | |
| 700 | 1 | |a de Asmundis, Carlo |e verfasserin |4 aut | |
| 700 | 1 | |a Chierchia, Gian-Battista |e verfasserin |4 aut | |
| 700 | 1 | |a La Meir, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a Pison, Laurent |e verfasserin |4 aut | |
| 700 | 1 | |a van Boven, Wim Jan P. |e verfasserin |4 aut | |
| 700 | 1 | |a Driessen, Antoine H.G. |e verfasserin |4 aut | |
| 700 | 1 | |a de Groot, Joris R. |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Revista española de cardiología / English version |d Madrid : Elsevier España [u.a.], 2002 |g 76 |h Online-Ressource |w (DE-627)64509417X |w (DE-600)2592481-3 |w (DE-576)336963335 |x 1885-5857 |7 nnns |
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| 936 | b | k | |a 44.85 |j Kardiologie |j Angiologie |q VZ |
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2022 |
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10.1016/j.rec.2022.09.006 doi (DE-627)ELV009933921 (ELSEVIER)S1885-5857(22)00241-9 DE-627 ger DE-627 rda eng 610 VZ 44.85 bkl Wesselink, Robin verfasserin aut A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation. Atrial fibrillation Thoracoscopic surgical ablation Catheter ablation Propensity score Vroomen, Mindy verfasserin aut Overeinder, Ingrid verfasserin aut Neefs, Jolien verfasserin aut van den Berg, Nicoline W.E. verfasserin aut Meulendijks, Eva R. verfasserin aut Piersma, Femke R. verfasserin aut Al-Shama, Rushd F.M. verfasserin aut de Vries, Tim A.C. verfasserin aut Verstraelen, Tom E. verfasserin aut Luermans, Justin verfasserin aut Maesen, Bart verfasserin aut de Asmundis, Carlo verfasserin aut Chierchia, Gian-Battista verfasserin aut La Meir, Mark verfasserin aut Pison, Laurent verfasserin aut van Boven, Wim Jan P. verfasserin aut Driessen, Antoine H.G. verfasserin aut de Groot, Joris R. verfasserin aut Enthalten in Revista española de cardiología / English version Madrid : Elsevier España [u.a.], 2002 76 Online-Ressource (DE-627)64509417X (DE-600)2592481-3 (DE-576)336963335 1885-5857 nnns volume:76 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 44.85 Kardiologie Angiologie VZ AR 76 |
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10.1016/j.rec.2022.09.006 doi (DE-627)ELV009933921 (ELSEVIER)S1885-5857(22)00241-9 DE-627 ger DE-627 rda eng 610 VZ 44.85 bkl Wesselink, Robin verfasserin aut A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation. Atrial fibrillation Thoracoscopic surgical ablation Catheter ablation Propensity score Vroomen, Mindy verfasserin aut Overeinder, Ingrid verfasserin aut Neefs, Jolien verfasserin aut van den Berg, Nicoline W.E. verfasserin aut Meulendijks, Eva R. verfasserin aut Piersma, Femke R. verfasserin aut Al-Shama, Rushd F.M. verfasserin aut de Vries, Tim A.C. verfasserin aut Verstraelen, Tom E. verfasserin aut Luermans, Justin verfasserin aut Maesen, Bart verfasserin aut de Asmundis, Carlo verfasserin aut Chierchia, Gian-Battista verfasserin aut La Meir, Mark verfasserin aut Pison, Laurent verfasserin aut van Boven, Wim Jan P. verfasserin aut Driessen, Antoine H.G. verfasserin aut de Groot, Joris R. verfasserin aut Enthalten in Revista española de cardiología / English version Madrid : Elsevier España [u.a.], 2002 76 Online-Ressource (DE-627)64509417X (DE-600)2592481-3 (DE-576)336963335 1885-5857 nnns volume:76 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 44.85 Kardiologie Angiologie VZ AR 76 |
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10.1016/j.rec.2022.09.006 doi (DE-627)ELV009933921 (ELSEVIER)S1885-5857(22)00241-9 DE-627 ger DE-627 rda eng 610 VZ 44.85 bkl Wesselink, Robin verfasserin aut A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation. Atrial fibrillation Thoracoscopic surgical ablation Catheter ablation Propensity score Vroomen, Mindy verfasserin aut Overeinder, Ingrid verfasserin aut Neefs, Jolien verfasserin aut van den Berg, Nicoline W.E. verfasserin aut Meulendijks, Eva R. verfasserin aut Piersma, Femke R. verfasserin aut Al-Shama, Rushd F.M. verfasserin aut de Vries, Tim A.C. verfasserin aut Verstraelen, Tom E. verfasserin aut Luermans, Justin verfasserin aut Maesen, Bart verfasserin aut de Asmundis, Carlo verfasserin aut Chierchia, Gian-Battista verfasserin aut La Meir, Mark verfasserin aut Pison, Laurent verfasserin aut van Boven, Wim Jan P. verfasserin aut Driessen, Antoine H.G. verfasserin aut de Groot, Joris R. verfasserin aut Enthalten in Revista española de cardiología / English version Madrid : Elsevier España [u.a.], 2002 76 Online-Ressource (DE-627)64509417X (DE-600)2592481-3 (DE-576)336963335 1885-5857 nnns volume:76 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 44.85 Kardiologie Angiologie VZ AR 76 |
| allfieldsGer |
10.1016/j.rec.2022.09.006 doi (DE-627)ELV009933921 (ELSEVIER)S1885-5857(22)00241-9 DE-627 ger DE-627 rda eng 610 VZ 44.85 bkl Wesselink, Robin verfasserin aut A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation. Atrial fibrillation Thoracoscopic surgical ablation Catheter ablation Propensity score Vroomen, Mindy verfasserin aut Overeinder, Ingrid verfasserin aut Neefs, Jolien verfasserin aut van den Berg, Nicoline W.E. verfasserin aut Meulendijks, Eva R. verfasserin aut Piersma, Femke R. verfasserin aut Al-Shama, Rushd F.M. verfasserin aut de Vries, Tim A.C. verfasserin aut Verstraelen, Tom E. verfasserin aut Luermans, Justin verfasserin aut Maesen, Bart verfasserin aut de Asmundis, Carlo verfasserin aut Chierchia, Gian-Battista verfasserin aut La Meir, Mark verfasserin aut Pison, Laurent verfasserin aut van Boven, Wim Jan P. verfasserin aut Driessen, Antoine H.G. verfasserin aut de Groot, Joris R. verfasserin aut Enthalten in Revista española de cardiología / English version Madrid : Elsevier España [u.a.], 2002 76 Online-Ressource (DE-627)64509417X (DE-600)2592481-3 (DE-576)336963335 1885-5857 nnns volume:76 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 44.85 Kardiologie Angiologie VZ AR 76 |
| allfieldsSound |
10.1016/j.rec.2022.09.006 doi (DE-627)ELV009933921 (ELSEVIER)S1885-5857(22)00241-9 DE-627 ger DE-627 rda eng 610 VZ 44.85 bkl Wesselink, Robin verfasserin aut A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation. Atrial fibrillation Thoracoscopic surgical ablation Catheter ablation Propensity score Vroomen, Mindy verfasserin aut Overeinder, Ingrid verfasserin aut Neefs, Jolien verfasserin aut van den Berg, Nicoline W.E. verfasserin aut Meulendijks, Eva R. verfasserin aut Piersma, Femke R. verfasserin aut Al-Shama, Rushd F.M. verfasserin aut de Vries, Tim A.C. verfasserin aut Verstraelen, Tom E. verfasserin aut Luermans, Justin verfasserin aut Maesen, Bart verfasserin aut de Asmundis, Carlo verfasserin aut Chierchia, Gian-Battista verfasserin aut La Meir, Mark verfasserin aut Pison, Laurent verfasserin aut van Boven, Wim Jan P. verfasserin aut Driessen, Antoine H.G. verfasserin aut de Groot, Joris R. verfasserin aut Enthalten in Revista española de cardiología / English version Madrid : Elsevier España [u.a.], 2002 76 Online-Ressource (DE-627)64509417X (DE-600)2592481-3 (DE-576)336963335 1885-5857 nnns volume:76 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 44.85 Kardiologie Angiologie VZ AR 76 |
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Wesselink, Robin @@aut@@ Vroomen, Mindy @@aut@@ Overeinder, Ingrid @@aut@@ Neefs, Jolien @@aut@@ van den Berg, Nicoline W.E. @@aut@@ Meulendijks, Eva R. @@aut@@ Piersma, Femke R. @@aut@@ Al-Shama, Rushd F.M. @@aut@@ de Vries, Tim A.C. @@aut@@ Verstraelen, Tom E. @@aut@@ Luermans, Justin @@aut@@ Maesen, Bart @@aut@@ de Asmundis, Carlo @@aut@@ Chierchia, Gian-Battista @@aut@@ La Meir, Mark @@aut@@ Pison, Laurent @@aut@@ van Boven, Wim Jan P. @@aut@@ Driessen, Antoine H.G. @@aut@@ de Groot, Joris R. @@aut@@ |
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We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. 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Wesselink, Robin |
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Wesselink, Robin ddc 610 bkl 44.85 misc Atrial fibrillation misc Thoracoscopic surgical ablation misc Catheter ablation misc Propensity score A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation |
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610 VZ 44.85 bkl A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation Atrial fibrillation Thoracoscopic surgical ablation Catheter ablation Propensity score |
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ddc 610 bkl 44.85 misc Atrial fibrillation misc Thoracoscopic surgical ablation misc Catheter ablation misc Propensity score |
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A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation |
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A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation |
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Wesselink, Robin |
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Revista española de cardiología / English version |
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Wesselink, Robin Vroomen, Mindy Overeinder, Ingrid Neefs, Jolien van den Berg, Nicoline W.E. Meulendijks, Eva R. Piersma, Femke R. Al-Shama, Rushd F.M. de Vries, Tim A.C. Verstraelen, Tom E. Luermans, Justin Maesen, Bart de Asmundis, Carlo Chierchia, Gian-Battista La Meir, Mark Pison, Laurent van Boven, Wim Jan P. Driessen, Antoine H.G. de Groot, Joris R. |
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a failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation |
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A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation |
| abstract |
Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation. |
| abstractGer |
Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation. |
| abstract_unstemmed |
Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation.Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia> 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution.Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9± 12.5 vs 43.0±12.5 mL/m, P= .048), less congestive heart failure (1.5% vs 8.9%, P= .001), and less persistent AF (52.2% vs 60.3%, P= .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P< .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P= .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n=198), patients with a failed catheter ablation had a higher density of collagen fibers.Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation. |
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| title_short |
A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation |
| remote_bool |
true |
| author2 |
Vroomen, Mindy Overeinder, Ingrid Neefs, Jolien van den Berg, Nicoline W.E. Meulendijks, Eva R. Piersma, Femke R. Al-Shama, Rushd F.M. de Vries, Tim A.C. Verstraelen, Tom E. Luermans, Justin Maesen, Bart de Asmundis, Carlo Chierchia, Gian-Battista La Meir, Mark Pison, Laurent van Boven, Wim Jan P. Driessen, Antoine H.G. de Groot, Joris R. |
| author2Str |
Vroomen, Mindy Overeinder, Ingrid Neefs, Jolien van den Berg, Nicoline W.E. Meulendijks, Eva R. Piersma, Femke R. Al-Shama, Rushd F.M. de Vries, Tim A.C. Verstraelen, Tom E. Luermans, Justin Maesen, Bart de Asmundis, Carlo Chierchia, Gian-Battista La Meir, Mark Pison, Laurent van Boven, Wim Jan P. Driessen, Antoine H.G. de Groot, Joris R. |
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c |
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| doi_str |
10.1016/j.rec.2022.09.006 |
| up_date |
2024-07-07T00:51:34.230Z |
| _version_ |
1803879442529910784 |
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|
| score |
7.401019 |