Success rate of one-stop procedure for atrial fibrillation ablation and its impact on cardiac function: a propensity-matched study.
10.12122/j.issn.1673-4254.2020.10.06
- Author:
Shijie ZHU
1
;
Muhan ZHENG
2
;
Ruyu YAN
1
;
Zhenlin TAN
1
;
Haiyu ZHAO
1
;
Jianwu ZHANG
1
;
Jian PENG
1
Author Information
1. Department of Cardiovascular Diseases, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
2. Department of Rheumatology and Immunology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
- Publication Type:Journal Article
- Keywords:
atrial fibrillation;
cardiac function;
one-stop procedure;
recurrence
- MeSH:
Atrial Appendage/surgery*;
Atrial Fibrillation/surgery*;
Catheter Ablation;
Humans;
Retrospective Studies;
Treatment Outcome
- From:
Journal of Southern Medical University
2020;40(10):1415-1421
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the effect of the combination of atrial fibrillation (AF) ablation and left atrial appendage closure (LAAC) on cardiac function and the success rate of AF ablation.
METHODS:We retrospectively analyzed the data of 56 patients with AF undergoing a one-stop procedure for AF ablation and LAAC in our hospital between May, 2015 and May, 2019. Propensity score matching (PSM) at the ratio of 1:1 was used to select 56 control patients undergoing AF ablation at high risk of stroke, for matching with the hybrid procedure group. The perioperative complications, thromboembolic events, recurrence of atrial arrhythmia and cardiac function were compared between the groups.
RESULTS:The two groups of patients were comparable for age, gender, BMI, duration and type of AF, concomitant diseases, CHA2DS2-VASc and HAS-BLED scores (
CONCLUSIONS:The combination of AF ablation and LAAC is safe but does not improve the success rate of AF ablation. The one-stop procedure can improve cardiac function of the patients, but AF ablation alone can achieve better improvement of cardiac function.
