Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)

Background/Objectives: Patient-reported outcome after treatment is an important factor that positively correlates with the quality of care and can influence the patient's future health choices. Both radiofrequency ablation (RFA) and cryoballoon ablation (CBA) are effective techniques for pulmon...

Descripción completa

Detalles Bibliográficos
Autores: Nesti, Martina, Lucà, Fabiana, Mirizzi, Gianluca, Bakytzhanuly, Abay, Adelino, Raquel, Doundoulakis, Ioannis, Tsiachris, Dimitrios, Mitropoulou, Fotini, Jordan, Ana, Vanduynhoven, Philippe, Faga, Valentina, Papakonstantinou, Panteleimon E., Xydonas, Sotirios, Gezzi, Iacopo, Rossi, Andrea, Garibaldi, Silvia, Sciarra, Luigi, Russo, Vincenzo, Palamà, Zefferino, Masi de Luca, Gabriele de, Gianluca Robles, Antonio, Landra, Federico
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/224181
Acceso en línea:https://hdl.handle.net/2445/224181
Access Level:acceso abierto
Palabra clave:Ablació percutània
Vena cava inferior
Anestèsia en cardiologia
Embòlia pulmonar
Catheter ablation
Anesthesia in cardiology
Pulmonary embolism
id ES_32bc9b63c4591eaf48952fbea5352eb3
oai_identifier_str oai:diposit.ub.edu:2445/224181
network_acronym_str ES
network_name_str España
repository_id_str
spelling Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)Nesti, MartinaLucà, FabianaMirizzi, GianlucaBakytzhanuly, AbayAdelino, RaquelDoundoulakis, IoannisTsiachris, DimitriosMitropoulou, FotiniJordan, AnaVanduynhoven, PhilippeFaga, ValentinaPapakonstantinou, Panteleimon E. Xydonas, SotiriosGezzi, IacopoRossi, AndreaGaribaldi, SilviaSciarra, LuigiRusso, VincenzoPalamà, ZefferinoMasi de Luca, Gabriele deGianluca Robles, AntonioLandra, FedericoAblació percutàniaVena cava inferiorAnestèsia en cardiologiaEmbòlia pulmonarCatheter ablationVena cava inferiorAnesthesia in cardiologyPulmonary embolismBackground/Objectives: Patient-reported outcome after treatment is an important factor that positively correlates with the quality of care and can influence the patient's future health choices. Both radiofrequency ablation (RFA) and cryoballoon ablation (CBA) are effective techniques for pulmonary vein isolation in patients with atrial fibrillation (AF) and have shown similar results in efficacy and safety, but they have not been thoroughly compared in terms of patient satisfaction. The aim of this study is to assess the satisfaction of paroxysmal AF patients who underwent RFA and CBA after their first procedure. Methods: Consecutive patients who underwent their first procedure of pulmonary vein isolation with RFA or CBA in eight international centres were included. A ten-point Likert scale was used for measuring patient-reported outcomes, evaluating anxiety before procedure, pain during and after ablation, motivation to repeat the procedure in future if necessary, and real and perceived procedural time. Results: A total of 483 patients were enrolled. Median age was 63 [56-69] years, and 281 (58.1%) patients were men. In total, 385 (79.7%) patients underwent RFA and 98 (20.3%) underwent CBA. RFA and CBA were equivalent in terms of the satisfaction of the patient, with the only exception being groin pain, which was lower in the CBA group (2 [0-3] vs. 3 [1-4], p = 0.002). Conscious sedation was used in 414 (86.7%) patients and general anaesthesia in 69 (14.3%) patients. The use of general anaesthesia reduced the perceived pain during and after the procedure in both techniques (p < 0.05), but it resulted in lower pre-procedural anxiety only in RFA patients compared to those under conscious sedation (4 [2-6] vs. 5 [3-7], p = 0.007). Anaesthetic management alone did not affect the willingness to repeat the procedure in RFA patients, while CBA patients under general anaesthesia were more motivated to repeat the procedure than those under conscious sedation (10 [8-10] vs. 7 [6-8], p < 0.001). The perceived procedure time was shorter than the actual time in all settings. Conclusions: Anaesthetic management seems to have a greater impact on patient-reported outcome than the technique used during ablation. Despite this, patients most motivated to repeat the procedure were those who underwent CBA under general anaesthesia.MDPI AG2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/224181Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/jcm14196711Journal of Clinical Medicine, 2025, vol. 14, num. 19, 6711https://doi.org/10.3390/jcm14196711cc-by (c) Nesti, Martina et al., 2025https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2241812026-05-27T06:46:51Z
dc.title.none.fl_str_mv Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)
title Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)
spellingShingle Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)
Nesti, Martina
Ablació percutània
Vena cava inferior
Anestèsia en cardiologia
Embòlia pulmonar
Catheter ablation
Vena cava inferior
Anesthesia in cardiology
Pulmonary embolism
title_short Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)
title_full Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)
title_fullStr Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)
title_full_unstemmed Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)
title_sort Patient-Reported Outcomes After First Pulmonary Vein Isolation for ParoxYsmal Atrial Fibrillation: Cryoballoon vs. Radiofrequency (SPY-AF)
dc.creator.none.fl_str_mv Nesti, Martina
Lucà, Fabiana
Mirizzi, Gianluca
Bakytzhanuly, Abay
Adelino, Raquel
Doundoulakis, Ioannis
Tsiachris, Dimitrios
Mitropoulou, Fotini
Jordan, Ana
Vanduynhoven, Philippe
Faga, Valentina
Papakonstantinou, Panteleimon E.
Xydonas, Sotirios
Gezzi, Iacopo
Rossi, Andrea
Garibaldi, Silvia
Sciarra, Luigi
Russo, Vincenzo
Palamà, Zefferino
Masi de Luca, Gabriele de
Gianluca Robles, Antonio
Landra, Federico
author Nesti, Martina
author_facet Nesti, Martina
Lucà, Fabiana
Mirizzi, Gianluca
Bakytzhanuly, Abay
Adelino, Raquel
Doundoulakis, Ioannis
Tsiachris, Dimitrios
Mitropoulou, Fotini
Jordan, Ana
Vanduynhoven, Philippe
Faga, Valentina
Papakonstantinou, Panteleimon E.
Xydonas, Sotirios
Gezzi, Iacopo
Rossi, Andrea
Garibaldi, Silvia
Sciarra, Luigi
Russo, Vincenzo
Palamà, Zefferino
Masi de Luca, Gabriele de
Gianluca Robles, Antonio
Landra, Federico
author_role author
author2 Lucà, Fabiana
Mirizzi, Gianluca
Bakytzhanuly, Abay
Adelino, Raquel
Doundoulakis, Ioannis
Tsiachris, Dimitrios
Mitropoulou, Fotini
Jordan, Ana
Vanduynhoven, Philippe
Faga, Valentina
Papakonstantinou, Panteleimon E.
Xydonas, Sotirios
Gezzi, Iacopo
Rossi, Andrea
Garibaldi, Silvia
Sciarra, Luigi
Russo, Vincenzo
Palamà, Zefferino
Masi de Luca, Gabriele de
Gianluca Robles, Antonio
Landra, Federico
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Ablació percutània
Vena cava inferior
Anestèsia en cardiologia
Embòlia pulmonar
Catheter ablation
Vena cava inferior
Anesthesia in cardiology
Pulmonary embolism
topic Ablació percutània
Vena cava inferior
Anestèsia en cardiologia
Embòlia pulmonar
Catheter ablation
Vena cava inferior
Anesthesia in cardiology
Pulmonary embolism
description Background/Objectives: Patient-reported outcome after treatment is an important factor that positively correlates with the quality of care and can influence the patient's future health choices. Both radiofrequency ablation (RFA) and cryoballoon ablation (CBA) are effective techniques for pulmonary vein isolation in patients with atrial fibrillation (AF) and have shown similar results in efficacy and safety, but they have not been thoroughly compared in terms of patient satisfaction. The aim of this study is to assess the satisfaction of paroxysmal AF patients who underwent RFA and CBA after their first procedure. Methods: Consecutive patients who underwent their first procedure of pulmonary vein isolation with RFA or CBA in eight international centres were included. A ten-point Likert scale was used for measuring patient-reported outcomes, evaluating anxiety before procedure, pain during and after ablation, motivation to repeat the procedure in future if necessary, and real and perceived procedural time. Results: A total of 483 patients were enrolled. Median age was 63 [56-69] years, and 281 (58.1%) patients were men. In total, 385 (79.7%) patients underwent RFA and 98 (20.3%) underwent CBA. RFA and CBA were equivalent in terms of the satisfaction of the patient, with the only exception being groin pain, which was lower in the CBA group (2 [0-3] vs. 3 [1-4], p = 0.002). Conscious sedation was used in 414 (86.7%) patients and general anaesthesia in 69 (14.3%) patients. The use of general anaesthesia reduced the perceived pain during and after the procedure in both techniques (p < 0.05), but it resulted in lower pre-procedural anxiety only in RFA patients compared to those under conscious sedation (4 [2-6] vs. 5 [3-7], p = 0.007). Anaesthetic management alone did not affect the willingness to repeat the procedure in RFA patients, while CBA patients under general anaesthesia were more motivated to repeat the procedure than those under conscious sedation (10 [8-10] vs. 7 [6-8], p < 0.001). The perceived procedure time was shorter than the actual time in all settings. Conclusions: Anaesthetic management seems to have a greater impact on patient-reported outcome than the technique used during ablation. Despite this, patients most motivated to repeat the procedure were those who underwent CBA under general anaesthesia.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/224181
url https://hdl.handle.net/2445/224181
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/jcm14196711
Journal of Clinical Medicine, 2025, vol. 14, num. 19, 6711
https://doi.org/10.3390/jcm14196711
dc.rights.none.fl_str_mv cc-by (c) Nesti, Martina et al., 2025
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Nesti, Martina et al., 2025
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI AG
publisher.none.fl_str_mv MDPI AG
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869405694210342912
score 15,811543

Similares en LA Referencia