Impact of Systematic Use of Intracardiac Ultrasound during Transseptal Catheterization in the Electrophysiology Laboratory
Aims: To explore the impact of the use of intracardiac echocardiography (ICE) in the ablation of supraventricular arrhythmias requiring transseptal catheterization (TSC), whilst analyzing the reduction in periprocedural complications and complications specifically related to TSC. Methods: A retrospe...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/10/2/62 |
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| author | Nicola Bottoni Paolo Donateo Luca Rossi Michele Malagù Luca Tomasi Fabio Quartieri Andrea Biagi Matteo Iori Giacomo Mugnai Antonella Battista Stefano Cló Michele Brignole Matteo Bertini |
| author_facet | Nicola Bottoni Paolo Donateo Luca Rossi Michele Malagù Luca Tomasi Fabio Quartieri Andrea Biagi Matteo Iori Giacomo Mugnai Antonella Battista Stefano Cló Michele Brignole Matteo Bertini |
| author_sort | Nicola Bottoni |
| collection | DOAJ |
| description | Aims: To explore the impact of the use of intracardiac echocardiography (ICE) in the ablation of supraventricular arrhythmias requiring transseptal catheterization (TSC), whilst analyzing the reduction in periprocedural complications and complications specifically related to TSC. Methods: A retrospective multicenter study collecting data from consecutive atrial fibrillation (AF) and supraventricular ablation procedures that required TSC was performed in five Italian centers. Based on physician discretion, TSC was performed with or without ICE. Periprocedural complications, separating all complications from complications directly related to TSC, were collected. Independent predictors of periprocedural complications and TSC-related complications were investigated. Results: A total of 2181 TSCs were performed on 1862 patients at five Italian centers from 2006 to 2021, in 76% of cases by AF ablation and in 24% by ablation of other arrhythmias with a circuit in the left atrium. Overall, 1134 (52%) procedures were performed with ICE support and 1047 (48%) without ICE. A total of 67 (3.1%) complications were detected, 19 (1.7%) in the ICE group and 48 (4.6%) in the no ICE group, <i>p</i> < 0.001. A total of 42 (1.5%) complications directly related to TSC: 0.9% in the ICE group and 3.1% in the no ICE group (<i>p</i> < 0.001). The independent predictors of all complications were age (OR 1,02 95% C.I 1.00–1.05; <i>p</i> = 0.036), TSC with the use of ICE (OR 0.27 95% C.I 0.15–0.46; <i>p</i> < 0.001) and AF ablation (OR 2,25 95%C.I 1.05–4.83; <i>p</i> = 0.037). The independent predictors for TSC complications were age (OR 1.03 95% C.I 1.01–1.06; <i>p</i> = 0.013) and TSC with the use of ICE (OR 0.24 95% C.I 0.11–0.49; <i>p</i> < 0.001). Conclusions: ICE reduced periprocedural and TSC-related complications during electrophysiological procedures for ablation of left atrial arrhythmias. |
| first_indexed | 2024-03-11T08:38:35Z |
| format | Article |
| id | doaj.art-50a60a7fb1fe4f038916c295343c263b |
| institution | Directory Open Access Journal |
| issn | 2308-3425 |
| language | English |
| last_indexed | 2024-03-11T08:38:35Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj.art-50a60a7fb1fe4f038916c295343c263b2023-11-16T21:16:30ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-02-011026210.3390/jcdd10020062Impact of Systematic Use of Intracardiac Ultrasound during Transseptal Catheterization in the Electrophysiology LaboratoryNicola Bottoni0Paolo Donateo1Luca Rossi2Michele Malagù3Luca Tomasi4Fabio Quartieri5Andrea Biagi6Matteo Iori7Giacomo Mugnai8Antonella Battista9Stefano Cló10Michele Brignole11Matteo Bertini12Cardiology Unit, S. Maria Nuova Hospital, 42100 Reggio Emilia, ItalyArrhythmologic Center, Lavagna Hospital, 16033 Lavagn, ItalyGuglielmo da Saliceto Hospital, 29121 Piacenza, ItalyCardiogy Unit, University Hospital of Ferrara, 8-44124 Cona, ItalyElectrophysiology and Cardiac Pacing, Division of Cardiology, Cardio-Thoracic Department, University Hospital of Verona, 1-37126 Verona, ItalyCardiology Unit, S. Maria Nuova Hospital, 42100 Reggio Emilia, ItalyGuglielmo da Saliceto Hospital, 29121 Piacenza, ItalyCardiology Unit, S. Maria Nuova Hospital, 42100 Reggio Emilia, ItalyElectrophysiology and Cardiac Pacing, Division of Cardiology, Cardio-Thoracic Department, University Hospital of Verona, 1-37126 Verona, ItalyCardiology Unit, S. Maria Nuova Hospital, 42100 Reggio Emilia, ItalyCardiogy Unit, University Hospital of Ferrara, 8-44124 Cona, ItalyArrhythmologic Center, Lavagna Hospital, 16033 Lavagn, ItalyCardiogy Unit, University Hospital of Ferrara, 8-44124 Cona, ItalyAims: To explore the impact of the use of intracardiac echocardiography (ICE) in the ablation of supraventricular arrhythmias requiring transseptal catheterization (TSC), whilst analyzing the reduction in periprocedural complications and complications specifically related to TSC. Methods: A retrospective multicenter study collecting data from consecutive atrial fibrillation (AF) and supraventricular ablation procedures that required TSC was performed in five Italian centers. Based on physician discretion, TSC was performed with or without ICE. Periprocedural complications, separating all complications from complications directly related to TSC, were collected. Independent predictors of periprocedural complications and TSC-related complications were investigated. Results: A total of 2181 TSCs were performed on 1862 patients at five Italian centers from 2006 to 2021, in 76% of cases by AF ablation and in 24% by ablation of other arrhythmias with a circuit in the left atrium. Overall, 1134 (52%) procedures were performed with ICE support and 1047 (48%) without ICE. A total of 67 (3.1%) complications were detected, 19 (1.7%) in the ICE group and 48 (4.6%) in the no ICE group, <i>p</i> < 0.001. A total of 42 (1.5%) complications directly related to TSC: 0.9% in the ICE group and 3.1% in the no ICE group (<i>p</i> < 0.001). The independent predictors of all complications were age (OR 1,02 95% C.I 1.00–1.05; <i>p</i> = 0.036), TSC with the use of ICE (OR 0.27 95% C.I 0.15–0.46; <i>p</i> < 0.001) and AF ablation (OR 2,25 95%C.I 1.05–4.83; <i>p</i> = 0.037). The independent predictors for TSC complications were age (OR 1.03 95% C.I 1.01–1.06; <i>p</i> = 0.013) and TSC with the use of ICE (OR 0.24 95% C.I 0.11–0.49; <i>p</i> < 0.001). Conclusions: ICE reduced periprocedural and TSC-related complications during electrophysiological procedures for ablation of left atrial arrhythmias.https://www.mdpi.com/2308-3425/10/2/62ablationTSCICEcomplications |
| spellingShingle | Nicola Bottoni Paolo Donateo Luca Rossi Michele Malagù Luca Tomasi Fabio Quartieri Andrea Biagi Matteo Iori Giacomo Mugnai Antonella Battista Stefano Cló Michele Brignole Matteo Bertini Impact of Systematic Use of Intracardiac Ultrasound during Transseptal Catheterization in the Electrophysiology Laboratory Journal of Cardiovascular Development and Disease ablation TSC ICE complications |
| title | Impact of Systematic Use of Intracardiac Ultrasound during Transseptal Catheterization in the Electrophysiology Laboratory |
| title_full | Impact of Systematic Use of Intracardiac Ultrasound during Transseptal Catheterization in the Electrophysiology Laboratory |
| title_fullStr | Impact of Systematic Use of Intracardiac Ultrasound during Transseptal Catheterization in the Electrophysiology Laboratory |
| title_full_unstemmed | Impact of Systematic Use of Intracardiac Ultrasound during Transseptal Catheterization in the Electrophysiology Laboratory |
| title_short | Impact of Systematic Use of Intracardiac Ultrasound during Transseptal Catheterization in the Electrophysiology Laboratory |
| title_sort | impact of systematic use of intracardiac ultrasound during transseptal catheterization in the electrophysiology laboratory |
| topic | ablation TSC ICE complications |
| url | https://www.mdpi.com/2308-3425/10/2/62 |
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