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- Title
Association between the use of contact force-sensing catheters and cardiac tamponade in atrial fibrillation ablation.
- Authors
Liu, Nian; Zhao, Qianqian; Li, Linling; Zhang, Mengxia; Huang, Jiao; Wei, Sheng; Wen, Songnan; Ruan, Yanfei; Guo, Xueyuan; Li, Songnan; Jiang, Chengxi; Tang, Ribo; Sang, Caihua; Long, Deyong; Yu, Ronghui; Bai, Rong; Du, Xin; Dong, Jianzeng; Ma, Changsheng
- Abstract
<bold>Introduction: </bold>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.<bold>Methods and Results: </bold>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.<bold>Conclusions: </bold>CF-sensing catheters increase the risk of cardiac tamponade during AF ablation.
- Subjects
CARDIAC tamponade; ATRIAL fibrillation; CATHETERS; LOGISTIC regression analysis; CATHETER ablation
- Publication
Journal of Interventional Cardiac Electrophysiology, 2019, Vol 55, Issue 2, p137
- ISSN
1383-875X
- Publication type
journal article
- DOI
10.1007/s10840-019-00516-z