Radiofrequency Catheter Ablation for Atrial Fibrillation Patients on Hemodialysis (From the Kansai Plus Atrial Fibrillation Registry) ― Clinical Impact of Early Recurrence ―

被引：1

作者：

Onishi, Naoaki ^{[1
,2
]}

Kaitani, Kazuaki ^{[1
,2
]}

Nakagawa, Yoshihisa ^{[2
,3
]}

Kobori, Atsushi ^{[4
]}

Inoue, Koichi ^{[5
,6
]}

Kurotobi, Toshiya ^{[7
,8
]}

Morishima, Itsuro ^{[9
]}

Matsui, Yumie ^{[10
]}

Yamaji, Hirosuke ^{[11
]}

Nakazawa, Yuko ^{[3
]}

Kusano, Kengo ^{[12
]}

Shimizu, Yukiko ^{[2
,14
]}

Hanazawa, Koji ^{[2
,15
]}

Tamura, Toshihiro ^{[2
]}

Izumi, Chisato ^{[2
,13
]}

Morimoto, Takeshi ^{[16
]}

Ono, Koh ^{[17
]}

Kimura, Takeshi ^{[17
,18
]}

Shizuta, Satoshi ^{[17
]}

机构：

[1] Japanese Red Cross Otsu Hosp, Div Cardiol, 1-1-35 Nagara, Otsu, Shiga 5208511, Japan

[2] Tenri Hosp, Dept Cardiol, Tenri, Japan

[3] Shiga Univ Med Sci, Dept Cardiovasc Med, Otsu, Japan

[4] Kobe City Med Ctr Gen Hosp, Div Cardiol, Kobe, Japan

[5] Sakurabashi Watanabe Hosp, Cardiovasc Ctr, Osaka, Japan

[6] Natl Hosp Org Osaka Natl Hosp, Div Cardiol, Osaka, Japan

[7] Shiroyama Hosp, Cardiovasc Ctr, Habikino, Japan

[8] Namba Kurotobi Heart Clin, Cardiovasc Ctr, Osaka, Japan

[9] Ogaki Municipal Hosp, Dept Cardiol, Ogaki, Japan

[10] Saiseikai Izuo Hosp, Dept Cardiol, Osaka, Japan

[11] Okayama Heart Clin, Heart Rhythm Ctr, Okayama, Japan

[12] Natl Cerebral & Cardiovasc Ctr, Dept Cardiovasc Med, Suita, Japan

[13] Natl Cerebral & Cardiovasc Ctr, Dept Heart Failure & Transplantat, Suita, Japan

[14] Hyogo Prefectural Amagasaki Gen Med Ctr, Dept Cardiol, Amagasaki, Japan

[15] Nishinomiya Watanabe Cardiovasc Ctr, Div Arrhythmia & Electrophysiol, Nishinomiya, Japan

[16] Hyogo Coll Med, Dept Clin Epidemiol, Nishinomiya, Japan

[17] Kyoto Univ, Grad Sch Med, Dept Cardiovasc Med, Kyoto, Japan

[18] Hirakata Kosai Hosp, Dept Cardiol, Hirakata, Japan

来源：

CIRCULATION JOURNAL | 2024年 / 88卷 / 07期

关键词：

Atrial fibrillation; Blanking period; Catheter ablation; Early recurrence; Hemodialysis; BLANKING PERIOD; OUTCOMES; INSIGHTS; EFFICACY;

D O I：

10.1253/circj.CJ-23-0671

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Catheter ablation (CA) for atrial fibrillation (AF) in patients on hemodialysis (HD) is reported to have a high risk of late recurrence (LR). However, the relationship between early recurrence (ER) within a 90-day blanking period after CA in AF patients and LR in HD patients remains unclear. Methods and Results: Of the 5,010 patients in the Kansai Plus Atrial Fibrillation Registry, 5,009 were included in the present study. Of these patients, 4,942 were not on HD (non-HD group) and 67 were on HD (HD group). HD was an independent risk factor for LR after the initial CA (adjusted hazard ratio 1.6; 95% confidence interval 1.1-2.2; P=0.01). In patients with ER, the rate of sinus rhythm maintenance at 3 years after the initial CA was significantly lower in the HD than non-HD group (11.4% vs. 35.4%, respectively; logrank P=0.004). However, in patients without ER, there was no significant difference in the rate of sinus rhythm maintenance at 3 years between the HD and non-HD groups (67.7% vs. 74.5%, respectively; log-rank P=0.62). Conclusions: ER in HD patients was a strong risk factor for LR. However, even HD patients could expect a good outcome without ER after the initial CA.

引用

页码：1057 / 1064

页数：10

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