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tim.hodson Thu, 04/24/2025 - 09:52 April 24, 2025 The Heart Rhythm Society (HRS) and the American College of Cardiology (ACC) have released a scientific statement on new guiding principles for Same-Day Discharge (SDD) for patients undergoing intracardiac catheter ablation procedures.
Patients who undergo catheter ablation for atrial fibrillation (AFib) who also have heart failure with preserved ejection fraction (HFpEF) experienced a greater benefit from ablation in terms of clinical outcome, AFib recurrence and functional status, according to findings from the CABANA trial.
Distribution Variance of Focal Atrial Tachycardia Foci and Long-Term Outcomes After Ablation. We aimed to evaluate age differences in foci and factors influencing recurrence after radiofrequency catheter ablation in adult and juvenile patients with FAT. After a mean follow-up of 47.2 months, FAT recurred in 57 patients.
BackgroundInstant atrial fibrillation termination (AFT) during radiofrequency ablation has been suggested as a predictor of prognosis in persistent atrial fibrillation (AF). However, its role in cryoballoon ablation remains unclear. Propensity score matching (PSM) was applied to eliminate covariate imbalances. years] were included.
(MedPage Today) -- For patients undergoing catheter ablation for atrial fibrillation (Afib), there was no signal that a brief course of colchicine reduced atrial arrhythmia recurrence or improved clinical outcomes when taken for 10 days starting.
tim.hodson Wed, 03/12/2025 - 15:36 Broward Health recently announced it is now offering the Farapulse Pulsed Field Ablation System to treat atrial fibrillation (A-Fib). This innovative treatment represents a significant advancement over traditional thermal ablation methods and provides a more effective solution for patients.
This study investigates the relationship between triglyceride-glucose (TyG) index trajectories and the results of ablation in patients with stage 3D atrial fibrillation (AF).
Atrial fibrillation catheter ablation (AFCA) improved clinical outcomes compared with medical treatment alone, and early AFCA was associated with better outcomes than late AFCA, particularly decreased risk of heart failure (HF) hospitalization and atrial fibrillation (AFib) recurrence.
a medical device company dedicated to advancing ablation treatment for cardiac arrythmias, announced its participation at the Heart Rhythm 2024 conference, taking place in person at the Boston Convention & Exhibition Center and virtually, May 16-19, 2024. milla1cf Wed, 05/15/2024 - 19:05 May 15, 2024 — CardioFocus, Inc. ,
Based on continuous monitoring of early recurrence of atrial tachyarrhythmia immediately after patients have undergone atrial fibrillation ablation, Musat et al. Early recurrence of atrial tachyarrhythmia (ERAT) is commonly seen following catheter ablation of AF, with reported incidences of up to 61% in the first three months.
Expanding the potential patient population for pulsed field ablation, results from the SINGLE SHOT CHAMPION study suggest PFA might be just as good as cryoballoon ablation for patients with paroxysmal AFib. PFA has shown advantages in procedure time and safety, but its effectiveness is unproven compared to cryoballoon ablation.
Outcomes of ablation with the FARAPULSE PFA System – a nonthermal treatment in which electric fields selectively ablate heart tissue – will be compared to outcomes following use of anti-arrhythmic drug (AAD) therapy, which is commonly prescribed for patients living with persistent AF. The company now anticipates U.S.
After atrial fibrillation ablation, left atrial appendage closure was associated with a lower risk of bleeding than oral anticoagulation and was noninferior to oral anticoagulation with respect to clinical outcomes at 36 months.
Titled "Real-world Data Affirms Safety and Effectiveness of Low/Zero Fluoroscopy Atrial Fibrillation Ablation," the study was presented as a late-breaker at the 29th Annual International AF Symposium. Biosense Webster's zero fluoroscopy workflow is the first and only such workflow available in a radiofrequency (RF) cardiac ablation device.
Ablation index (AI)-guided pulmonary vein isolation (PVI) has enhanced procedural outcomes for atrial fibrillation (AF).1 1 However, patients with persistent AF present higher recurrence rates due to advanced atrial remodeling,2-3 represented by the left atrial low voltage area (LVA), compared to those with paroxysmal AF.
Data on long-term effects of catheter ablation versus antiarrhythmic drugs (AAD) on health-related quality of life (HRQoL) and atrial fibrillation (AF) burden are limited.
In a study published in Heart Rhythm, researchers from Brigham and Women's Hospital, a founding member of the Mass General Brigham health care system, analyzed real-world clinical data to measure the impact of evidence-based best-practices on patient outcomes for the most common AF procedure: radiofrequency (RF)-based ablation.
Among patients with ventricular tachycardia and ischemic cardiomyopathy, catheter ablation as an initial therapy led to a lower risk of adverse outcomes than antiarrhythmic drug therapy.
EGF mapping allows physicians to detect EGF sources and is designed to individualize ablation strategies based on underlying pathophysiologic mechanisms to potentially improve outcomes. By guiding ablation therapy, [EGF mapping] can enable clinicians to provide personalized, highly targeted treatment."
Patients undergoing atrial fibrillation (AFib) ablation who were not properly anticoagulated and did not undergo preprocedural transesophageal echocardiogram (TEE) were significantly more likely to suffer from transient ischemic attack (TIA) or pulmonary embolism (PE).
Background Efforts to maintain sinus rhythm in patients with persistent atrial fibrillation (PsAF) remain challenging, with suboptimal long-term outcomes. Methods All patients undergoing convergent PsAF ablation at our centre were retrospectively analysed.
Background Pulmonary vein isolation with wide antral ablation leads to better clinical outcomes for the treatment of atrial fibrillation, but the isolation lesion is invisible in conventional cryoballoon ablation.
What are the outcomes of patients referred for ventricular tachycardia (VT) ablation according to left ventricular ejection fraction (LVEF), tolerance of VT, and acute ablationoutcome?
Additional rhythm-control strategies are frequently continued after index ablation for atrial fibrillation (AFib), according to a study published Feb. 12 in JACC: Clinical Electrophysiology.
Abstract Introduction Some previous studies have reported that a first-step ethanol infusion into the vein of Marshall (EIVOM) with touch-up radiofrequency (RF) ablation can facilitate mitral isthmus (MI) block and improves the ablationoutcomes in persistent atrial fibrillation (PeAF) patients. 0.78, p = .006).
Introduction Catheter ablation is an effective and safe strategy for treating atrial fibrillation patients. Nevertheless, studies on the long-term outcomes of catheter ablation in patients with dilated cardiomyopathy are limited. Among the catheter ablation group, 58.7% ( n = 27) had persistent atrial fibrillation.
Peri-Aortic ventricular tachycardia (peri-Ao VT) is frequently encountered in LMNA and TTN non-ischemic cardiomyopathy (NICM) and ablationoutcomes remain suboptimal. The impact of the underlying genotype on VT ablationoutcomes are largely unknown.
What are the patient characteristics, population rates, and 30-day outcomes of pulmonary vein isolation (PVI) in a nationwide sample of US adults aged >65 years?
The decision to perform catheter ablation for atrial fibrillation (AF) is often driven by symptom severity. However, ablationoutcomes in asymptomatic patients compared to symptomatic patients remain underexplored.
Background Catheter ablation (CA) for symptomatic atrial fibrillation (AF) offers the best outcomes for patients. Data were collected from the MPH AF Ablation Registry with the approval of the institutional research board. We present real-world 5-year follow-up data of AI-guided pulmonary vein isolation.
Catheter ablation effectively restores sinus rhythm in patients with atrial fibrillation (AF). However, recurrence rates after ablation remain significant. While shorter diagnosis-to-ablation times improve outcomes for de novo catheter ablation, the impact of timing on repeat ablations for recurrent AF is unclear.
Limited information exists regarding the effects of concurrent atrial flutter on the long-term outcomes of rhythm control. This study investigated the association between concurrent typical atrial flutter and cavotricuspid isthmus (CTI) ablation and the recurrence of atrial arrhythmia.
Catheter ablation of atrial fibrillation (AF) is the preferred strategy for improving survival and reducing heart failure (HF) hospitalizations in patients with heart failure with reduced ejection fraction (HFrEF) and AF.
Chagasic cardiomyopathy has been associated with high defibrillator shock rates and poor clinical outcomes. The benefits of VT ablation in patients with Chagasic cardiomyopathy have been evaluated in only a few studies. Chagas disease is an endemic condition in Latin America.
Non-pulmonary vein triggers (NPVT) may be identified during AF ablation. Previous studies have included various definitions for NPVTs and reported equivocal findings about their impact on ablationoutcomes. Hence, it is still debatable whether NPVT mapping and ablation could influence recurrence after ablation.
Long-term outcomes from AF ablation correlates poorly with acute outcome. We studied whether there are phenotypes linking or discordant between these outcomes.
Programmed ventricular stimulation (PVS) has been a key procedural endpoint for scar-related ventricular tachycardia (VT) ablation since the 1970s. However, in some patients with clinical VT detected as an outpatient, VT is non-inducible in the lab pre-ablation limiting the ability to utilize this procedural endpoint.
In this weeks View, Dr. Eagle examines the effects on patients who have undergone pre-ablation transesophageal echocardiogram (TEE) versus those who have not.
Acute post-procedure inducibility is a widely used endpoint in scar-related ventricular tachycardia (VT) ablation, despite imperfect predictive value. With advances in ablation catheters, mapping systems, and techniques, we evaluated its predictive capacity for clinical outcomes in patients undergoing VT ablation.
Vein of Marshall ethanol infusion (VoMEI) may improve outcomes among patients with persistent atrial fibrillation (AF) undergoing catheter ablation procedures. Prior investigations used heterogeneous ablation strategies, limiting the understanding of VoMEI utility.
Atrial fibrillation (AF) ablation achieves a 6080% success rate in maintaining sinus rhythm at 1 year. Redo ablation procedures are often performed to improve rhythm control and alleviate symptoms, but comprehensive data on long-term outcomes and the optimal timing of these repeat interventions remain limited.
Catheter ablation is the primary approach for managing ventricular tachycardia (VT) along with antiarrhythmic drugs. However, there is a paucity of long-term data to understand the characteristics and outcomes of VT ablation in patients with periprocedural acute hemodynamic instability (AHD).
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