Higher Rate of Recurrent Atrial Flutter and Atrial Fibrillation Following Atrial Flutter Ablation After Cardiac Surgery

被引:16
|
作者
Aktas, Mehmet K. [2 ]
Khan, Mohammed N. [3 ]
Di Biase, Luigi [1 ,4 ,5 ]
Elayi, Claude [6 ]
Martin, David [7 ]
Saliba, Walid [7 ]
Cummings, Jennifer [8 ]
Schweikert, Robert [8 ]
Natale, Andrea [1 ]
机构
[1] St Davids Med Ctr, Texas Cardiac Arrhythmia Inst, Austin, TX 78705 USA
[2] Univ Rochester, Med Ctr, Rochester, NY 14642 USA
[3] Cardiovascular Associates, Chicago, IL USA
[4] Univ Texas Austin, Dept Biomed Engn, Austin, TX 78712 USA
[5] Univ Foggia, Dept Cardiol, Foggia, Italy
[6] Univ Kentucky, Gill Heart Inst, Lexington, KY USA
[7] Cleveland Clin, Cleveland, OH 44106 USA
[8] Akron Gen Hosp, Akron, OH USA
关键词
atrial fibrillation; atrial flutter; cardiac surgery; catheter ablation; cavotricuspid isthmus; CONGENITAL HEART-DISEASE; INTRAATRIAL REENTRANT TACHYCARDIA; RADIOFREQUENCY CATHETER ABLATION; CAVOTRICUSPID ISTHMUS ABLATION; TRICUSPID-VALVE ISTHMUS; BYPASS GRAFT-SURGERY; CARDIOPULMONARY BYPASS; COMPLICATING SURGERY; INTRAVENOUS SOTALOL; FOCAL ABLATION;
D O I
10.1111/j.1540-8167.2009.01709.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Methods and Results: We retrospectively studied all patients who underwent mapping and ablation for AFL after cardiac surgery from January 1990 to July 2004. One hundred randomly selected patients without prior cardiac surgery (PCS) who underwent mapping and ablation of AFL served as the control population. A total of 236 patients formed the study population (mean age 62 + 13 years, 22% female) and 100 patients formed the control population (mean age 60 + 13 years, 25% female). The majority of patients without PCS had cavo-tricuspid isthmus (CTI)-dependent AFL when compared to patients with PCS (93% vs 72%, respectively, P < 0.0001). In contrast, scar-related AFL was more common in patients with PCS as compared to patients without PCS (22% vs 3%, P < 0.0001). Predictors of scar related AFL in multivariable regression analysis included PCS and left-sided AFL. Acute success rates and complications were similar between the groups. When compared to patients with AFL ablation without PCS, those that had AFL after PCS had higher rates of recurrence of both AFL (1% vs 12%, P < 0.0001; mean time to recurrence 1.85 years) and AF (16% vs 28%, P = 0.02; mean time to recurrence 2.67 years). Conclusion: Despite ablation of AFL, patients with PCS have a higher rate of AFL and AF when compared to patients without PCS who underwent ablation of atrial flutter during long-term follow-up. (J Cardiovasc Electrophysiol, Vol. pp. 760-765, July 2010).
引用
收藏
页码:760 / 765
页数:6
相关论文
共 50 条
  • [21] Risk of atrial fibrillation and stroke after catheter ablation of common atrial flutter
    Okubo, K.
    Takahashi, Y.
    Kuroda, S.
    Kawaguchi, N.
    Nakashima, E.
    Fujino, T.
    Takagi, K.
    Kuwahara, T.
    Takahashi, A.
    EUROPEAN HEART JOURNAL, 2011, 32 : 1108 - 1109
  • [22] Factors associated with early Atrial Fibrillation after ablation of common Atrial Flutter
    Da Costa, A
    Romeyer, C
    Mourot, S
    Cerisier, A
    Faure, E
    Isaaz, K
    EUROPEAN HEART JOURNAL, 2001, 22 : 181 - 181
  • [23] Incidence and predictive factors of atrial fibrillation after ablation of typical atrial flutter
    Laurent, Valerie
    Fauchier, Laurent
    Pierre, Bertrand
    Grimard, Caroline
    Babuty, Dominique
    JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2009, 24 (02) : 119 - 125
  • [24] Combining ablation of atrial fibrillation with ablation of atrial flutter: Are we there yet?
    Olshansky, B
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (11) : 2063 - 2065
  • [25] Left atrial flutter after radiofrequency catheter ablation of focal atrial fibrillation
    Villacastín, J
    Pérez-Castellano, N
    Moreno, J
    González, R
    JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2003, 14 (04) : 417 - 421
  • [26] Endurance sports is a risk factor for atrial fibrillation after ablation for atrial flutter
    Heidbüchel, H
    Anné, W
    Willems, R
    Adriaenssens, B
    Van de Werf, F
    Ector, H
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2006, 107 (01) : 67 - 72
  • [27] Endurance sports is related to atrial fibrillation development after atrial flutter ablation
    Heidbüchel, H
    Anné, W
    Willems, R
    Adams, J
    Van De Werf, F
    Ector, H
    EUROPEAN HEART JOURNAL, 2003, 24 : 594 - 594
  • [28] Prognostic value of atrial fibrillation inducibility after right atrial flutter ablation
    Joza, Jacqueline
    Filion, Kristian B.
    Eberg, Maria
    Proietti, Riccardo
    Nascimento, Thais
    Bernier, Martin
    Hadjis, Tomy
    Essebag, Vidal
    HEART RHYTHM, 2014, 11 (11) : 1870 - 1876
  • [29] Incidence and predictive factors of atrial fibrillation after ablation of typical atrial flutter
    Valérie Laurent
    Laurent Fauchier
    Bertrand Pierre
    Caroline Grimard
    Dominique Babuty
    Journal of Interventional Cardiac Electrophysiology, 2009, 24 : 119 - 125
  • [30] Atrial flutter after surgical radiofrequency ablation of the left atrium for atrial fibrillation
    Golovchiner, G
    Mazur, A
    Kogan, A
    Strasberg, B
    Shapira, Y
    Fridman, M
    Kuzniec, J
    Vidne, BA
    Raanani, E
    ANNALS OF THORACIC SURGERY, 2005, 79 (01): : 108 - 112