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02.02.2019 | MULTIMEDIA REPORT Open Access

Association between the use of contact force-sensing catheters and cardiac tamponade in atrial fibrillation ablation

Zeitschrift:
Journal of Interventional Cardiac Electrophysiology
Autoren:
Nian Liu, Qianqian Zhao, Linling Li, Mengxia Zhang, Jiao Huang, Sheng Wei, Songnan Wen, Yanfei Ruan, Xueyuan Guo, Songnan Li, Chengxi Jiang, Ribo Tang, Caihua Sang, Deyong Long, Ronghui Yu, Rong Bai, Xin Du, Jianzeng Dong, Changsheng Ma
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10840-019-00516-z) contains supplementary material, which is available to authorized users.

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Abstract

Introduction

Cardiac tamponade is a rare but life-threatening complication during atrial fibrillation (AF) catheter ablation. Contact force (CF)–sensing catheters improve ablation effectiveness. However, the impact of the application of CF-sensing catheters on the occurrence of cardiac tamponade remains unclear. The aim of this study is to evaluate the “real-world” impact of CF-sensing catheters on cardiac tamponade during AF ablation in an experienced medical center.

Methods and results

This was a retrospective study of consecutive de novo AF ablation procedures at Beijing Anzhen Hospital between 2013 and 2016. The ablation procedure was divided into a CF group and a non-CF group. Logistic regression analysis was used to evaluate the association between the use of CF-sensing catheters and the risk of cardiac tamponade. A total of 5313 patients with AF were involved in this study. The incidence of cardiac tamponade in the CF group was significantly higher than that in the non-CF group (1.07% vs. 0.44%, P = 0.009). Of the cardiac tamponade cases in the non-CF group, 45.45% were delayed compared with 10% in the CF group (P = 0.011). Multivariate logistic regression analysis showed that CF-sensing catheters increased the risk of cardiac tamponade (OR = 2.34, 95% CI = 1.17–4.26, P = 0.015). Stratified analysis revealed patients with a smaller left atrium dimension, lower ejection fraction, longer procedure duration, or longer ablation duration had a greater risk of cardiac tamponade during ablation with CF-sensing catheters.

Conclusions

CF-sensing catheters increase the risk of cardiac tamponade during AF ablation.

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Zusatzmaterial
ESM 1 (DOCX 50 kb)
10840_2019_516_MOESM1_ESM.docx
Literatur
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