Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study

Introduction: Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy are scanty. We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group...

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Autores: Demarchi, Andrea, Conte, Giulio, Chen, Shih-Ann, Lo, Li-Wei, Chen, Wei-Tso, Potter, Tom de, Geelen, Peter, Sarkozy, Andrea, Spera, Francesco R., Reichlin, Tobias, Roten, Laurent, Defaye, Pascal, Carabelli, Adrien, Boveda, Serge, Bourenane, Hamed, Riesinger, Lisa, Kochhäuser, Simon, Caixal Vila, Gala, Mont Girbau, Lluís, Scherr, Daniel, Manninger, Martin, Pentimalli, Francesco, Cornara, Stefano, Klersy, Catherine, Auricchio, Angelo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/201450
Acceso en línea:https://hdl.handle.net/2445/201450
Access Level:acceso abierto
Palabra clave:Fibril·lació auricular
Ablació percutània
Pulmó
Atrial fibrillation
Catheter ablation
Lung
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spelling Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter StudyDemarchi, AndreaConte, GiulioChen, Shih-AnnLo, Li-WeiChen, Wei-TsoPotter, Tom deGeelen, PeterSarkozy, AndreaSpera, Francesco R.Reichlin, TobiasRoten, LaurentDefaye, PascalCarabelli, AdrienBoveda, SergeBourenane, HamedRiesinger, LisaKochhäuser, SimonCaixal Vila, GalaMont Girbau, LluísScherr, DanielManninger, MartinPentimalli, FrancescoCornara, StefanoKlersy, CatherineAuricchio, AngeloFibril·lació auricularAblació percutàniaPulmóAtrial fibrillationCatheter ablationLungIntroduction: Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy are scanty. We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group of patients. Material and Methods: Twenty consecutive patients (8 females, 40%; median age 65.2 years old) with a history of pneumonectomy/lobectomy and paroxysmal or persistent AF, treated by means of pulmonary vein isolation (PVI) at ten participating centers were included. Procedural success, intra-procedural complications, and AF recurrences were considered. Results: Fifteen patients had a previous lobectomy and five patients had a complete pneumonectomy. A large proportion (65%) of PV stumps were electrically active and represented a source of firing in 20% of cases. PVI was performed by radiofrequency ablation in 13 patients (65%) and by cryoablation in the remaining 7 cases. Over a median follow up of 29.7 months, a total of 7 (33%) AF recurrences were recorded with neither a difference between patients treated with cryoablation or radiofrequency ablation or between the two genders. Conclusions: Catheter ablation by radiofrequency ablation or cryoablation in patients with pulmonary stumps is feasible and safe. Long-term outcomes are favorable, and a similar efficacy of catheter ablation has been noticed in both males and females.MDPI2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/201450Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/jcm11061481Journal of Clinical Medicine, 2022, vol. 11, num. 6, p. 1481https://doi.org/10.3390/jcm11061481cc by (c) Demarchi, Andrea et al., 2022http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2014502026-05-27T06:46:51Z
dc.title.none.fl_str_mv Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study
title Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study
spellingShingle Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study
Demarchi, Andrea
Fibril·lació auricular
Ablació percutània
Pulmó
Atrial fibrillation
Catheter ablation
Lung
title_short Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study
title_full Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study
title_fullStr Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study
title_full_unstemmed Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study
title_sort Catheter Ablation of Atrial Fibrillation in Patients with Previous Lobectomy or Partial Lung Resection: Long-Term Results of an International Multicenter Study
dc.creator.none.fl_str_mv Demarchi, Andrea
Conte, Giulio
Chen, Shih-Ann
Lo, Li-Wei
Chen, Wei-Tso
Potter, Tom de
Geelen, Peter
Sarkozy, Andrea
Spera, Francesco R.
Reichlin, Tobias
Roten, Laurent
Defaye, Pascal
Carabelli, Adrien
Boveda, Serge
Bourenane, Hamed
Riesinger, Lisa
Kochhäuser, Simon
Caixal Vila, Gala
Mont Girbau, Lluís
Scherr, Daniel
Manninger, Martin
Pentimalli, Francesco
Cornara, Stefano
Klersy, Catherine
Auricchio, Angelo
author Demarchi, Andrea
author_facet Demarchi, Andrea
Conte, Giulio
Chen, Shih-Ann
Lo, Li-Wei
Chen, Wei-Tso
Potter, Tom de
Geelen, Peter
Sarkozy, Andrea
Spera, Francesco R.
Reichlin, Tobias
Roten, Laurent
Defaye, Pascal
Carabelli, Adrien
Boveda, Serge
Bourenane, Hamed
Riesinger, Lisa
Kochhäuser, Simon
Caixal Vila, Gala
Mont Girbau, Lluís
Scherr, Daniel
Manninger, Martin
Pentimalli, Francesco
Cornara, Stefano
Klersy, Catherine
Auricchio, Angelo
author_role author
author2 Conte, Giulio
Chen, Shih-Ann
Lo, Li-Wei
Chen, Wei-Tso
Potter, Tom de
Geelen, Peter
Sarkozy, Andrea
Spera, Francesco R.
Reichlin, Tobias
Roten, Laurent
Defaye, Pascal
Carabelli, Adrien
Boveda, Serge
Bourenane, Hamed
Riesinger, Lisa
Kochhäuser, Simon
Caixal Vila, Gala
Mont Girbau, Lluís
Scherr, Daniel
Manninger, Martin
Pentimalli, Francesco
Cornara, Stefano
Klersy, Catherine
Auricchio, Angelo
author2_role author
author
author
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 Fibril·lació auricular
Ablació percutània
Pulmó
Atrial fibrillation
Catheter ablation
Lung
topic Fibril·lació auricular
Ablació percutània
Pulmó
Atrial fibrillation
Catheter ablation
Lung
description Introduction: Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy are scanty. We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group of patients. Material and Methods: Twenty consecutive patients (8 females, 40%; median age 65.2 years old) with a history of pneumonectomy/lobectomy and paroxysmal or persistent AF, treated by means of pulmonary vein isolation (PVI) at ten participating centers were included. Procedural success, intra-procedural complications, and AF recurrences were considered. Results: Fifteen patients had a previous lobectomy and five patients had a complete pneumonectomy. A large proportion (65%) of PV stumps were electrically active and represented a source of firing in 20% of cases. PVI was performed by radiofrequency ablation in 13 patients (65%) and by cryoablation in the remaining 7 cases. Over a median follow up of 29.7 months, a total of 7 (33%) AF recurrences were recorded with neither a difference between patients treated with cryoablation or radiofrequency ablation or between the two genders. Conclusions: Catheter ablation by radiofrequency ablation or cryoablation in patients with pulmonary stumps is feasible and safe. Long-term outcomes are favorable, and a similar efficacy of catheter ablation has been noticed in both males and females.
publishDate 2022
dc.date.none.fl_str_mv 2022
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/2445/201450
url https://hdl.handle.net/2445/201450
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/jcm11061481
Journal of Clinical Medicine, 2022, vol. 11, num. 6, p. 1481
https://doi.org/10.3390/jcm11061481
dc.rights.none.fl_str_mv cc by (c) Demarchi, Andrea et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Demarchi, Andrea et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
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
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score 15,300724

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