CRYOBALLOON ABLATION IN RUSSIAN SITES OF INTERVENTIONAL ATRIAL FIBRILLATION MANAGEMENT TREATMENT: RESULTS OF THE FIRST NATIONWIDE SURVEY
Aim. The results of cryoballoon ablation (CBA) are known from the studies performed in the experienced centers of catheter treatment of atrial fibrillation (AF). The current study presents the results of CBA in real practice in centers with various experienceMaterial and methods. Among 62 Russian si...
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2015-11-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/461 |
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| author | E. N. Mikhailov D. S. Lebedev E. A. Pokushalov K. V. Davtyan E. A. Ivanitsky A. A. Nechepurenko A. Ya. Kosonogov G. V. Kolunin I. A. Morozov S. A. Termosesov E. B. Maykov D. N. Khomutinin S. A. Eremin I. M. Mayorov A. B. Romanov V. V. Shabanov V. S. Shatachtsyan V. Yu. Tsivkovsky A. V. Patsyuk A. Sh. Revishvili E. V. Shlyakhto |
| author_facet | E. N. Mikhailov D. S. Lebedev E. A. Pokushalov K. V. Davtyan E. A. Ivanitsky A. A. Nechepurenko A. Ya. Kosonogov G. V. Kolunin I. A. Morozov S. A. Termosesov E. B. Maykov D. N. Khomutinin S. A. Eremin I. M. Mayorov A. B. Romanov V. V. Shabanov V. S. Shatachtsyan V. Yu. Tsivkovsky A. V. Patsyuk A. Sh. Revishvili E. V. Shlyakhto |
| author_sort | E. N. Mikhailov |
| collection | DOAJ |
| description | Aim. The results of cryoballoon ablation (CBA) are known from the studies performed in the experienced centers of catheter treatment of atrial fibrillation (AF). The current study presents the results of CBA in real practice in centers with various experienceMaterial and methods. Among 62 Russian sites performing catheter treatment of AF, in 15 the CBA methods were in use to isolate pulmonary veins, in the years 2012-2014. Centers staff were surveyed for the detailed description of all performed CBA till 10.2014. The questionnaire included 74 lines about the centers experience, patients properties and ablation procedures, management of patients and complications. At the second step the questionnaire was used about complications.Results. Thirteen centers provided full data on all patients with CBA (457 procedures; 94% for paroxysmal AF; >95% CBAs in Russia). Six centers were marked as highly experienced for CBA for AF (mean 414,2±339,4 ablations for AF per year), and 7 — with lesser experience (33,2±34,3 ablations for AF per year). Ten centers provided the results of 6/12 month observation, and 11 centers — detalization of the complications data. there were no statistically significant differences in arrhythmia absence in patients from both types of centers (61,9±10,0 versus 61,3±30,4%). Serious complications developed in 1,5% of patients (4 tamponades, 2 strokes and 1 diaphragmal nerve palsy) and were similarly spread among more and less experienced centers (1,4% vs. 2%, p>0,05). Minor adverse events (vascular, transient diaphragm nerve palsy, transient hemoptysis) were found in 37 (8%) patients and were more common in more experienced (teaching) centers. Overall frequency of adverse events and of vascular events was higher in females than males (12% and 4,9% vs. 6% and 0%, resp.; p<0,05).Conclusion. In the real clinical practice CBA is performed with acceptable efficacy and moderate frequency of adverse events development. In less experienced centers of catheter treatment of AF the prevalence of serious adverse events does not differ from less experienced. Women develop vascular complications more often. |
| first_indexed | 2024-04-09T20:48:52Z |
| format | Article |
| id | doaj.art-704c2ceae86e446597202aedb1f71205 |
| institution | Directory Open Access Journal |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| last_indexed | 2024-04-09T20:48:52Z |
| publishDate | 2015-11-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj.art-704c2ceae86e446597202aedb1f712052023-03-29T21:23:25Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202015-11-01011869110.15829/1560-4071-2015-11-86-91461CRYOBALLOON ABLATION IN RUSSIAN SITES OF INTERVENTIONAL ATRIAL FIBRILLATION MANAGEMENT TREATMENT: RESULTS OF THE FIRST NATIONWIDE SURVEYE. N. Mikhailov0D. S. Lebedev1E. A. Pokushalov2K. V. Davtyan3E. A. Ivanitsky4A. A. Nechepurenko5A. Ya. Kosonogov6G. V. Kolunin7I. A. Morozov8S. A. Termosesov9E. B. Maykov10D. N. Khomutinin11S. A. Eremin12I. M. Mayorov13A. B. Romanov14V. V. Shabanov15V. S. Shatachtsyan16V. Yu. Tsivkovsky17A. V. Patsyuk18A. Sh. Revishvili19E. V. Shlyakhto20Federal Almazov North-West Medical Research Centre of the Ministry of Health, Saint-PetersburgFederal Almazov North-West Medical Research Centre of the Ministry of Health, Saint-PetersburgE.N. Meshalkin Novosibirsk Scientific-Research Institute of Circulation Pathology, NovosibirskNational Research Center for Preventive Medicine of the Ministry of Health, MoscowFederal Center of Cardiovascular Surgery, KrasnoyarskFederal Center of Cardiovascular Surgery, AstrakhanSBHI NR City Clinical Hospital №5, Nizhniy NovgorodFilial of SRI of Cardiology Tyumen Cardiological Center, TyumenV. I. Razumovskiy Research Institute of Cardiology of Saratov Medical University, SaratovV.M. Buyanov City Clinical Hospital of Healthcare Department of Moscow, MoscowRussian Cardiological Research and Production Complex of the Ministry of Health, MoscowSBHI TR Regional Clinical Hospital №1, TyumenRepublic Clinical Hospital of the MH of Tatarstan Republic, KazanS.P. Botkin City Clinical Hospital, MoscowE.N. Meshalkin Novosibirsk Scientific-Research Institute of Circulation Pathology, NovosibirskE.N. Meshalkin Novosibirsk Scientific-Research Institute of Circulation Pathology, NovosibirskNational Research Center for Preventive Medicine of the Ministry of Health, MoscowFederal Center of Cardiovascular Surgery, KrasnoyarskFederal Almazov North-West Medical Research Centre of the Ministry of Health, Saint-PetersburgA.N. Bakulev SCCVS of the Ministry of Health, Moscow, Russia.Federal Almazov North-West Medical Research Centre of the Ministry of Health, Saint-PetersburgAim. The results of cryoballoon ablation (CBA) are known from the studies performed in the experienced centers of catheter treatment of atrial fibrillation (AF). The current study presents the results of CBA in real practice in centers with various experienceMaterial and methods. Among 62 Russian sites performing catheter treatment of AF, in 15 the CBA methods were in use to isolate pulmonary veins, in the years 2012-2014. Centers staff were surveyed for the detailed description of all performed CBA till 10.2014. The questionnaire included 74 lines about the centers experience, patients properties and ablation procedures, management of patients and complications. At the second step the questionnaire was used about complications.Results. Thirteen centers provided full data on all patients with CBA (457 procedures; 94% for paroxysmal AF; >95% CBAs in Russia). Six centers were marked as highly experienced for CBA for AF (mean 414,2±339,4 ablations for AF per year), and 7 — with lesser experience (33,2±34,3 ablations for AF per year). Ten centers provided the results of 6/12 month observation, and 11 centers — detalization of the complications data. there were no statistically significant differences in arrhythmia absence in patients from both types of centers (61,9±10,0 versus 61,3±30,4%). Serious complications developed in 1,5% of patients (4 tamponades, 2 strokes and 1 diaphragmal nerve palsy) and were similarly spread among more and less experienced centers (1,4% vs. 2%, p>0,05). Minor adverse events (vascular, transient diaphragm nerve palsy, transient hemoptysis) were found in 37 (8%) patients and were more common in more experienced (teaching) centers. Overall frequency of adverse events and of vascular events was higher in females than males (12% and 4,9% vs. 6% and 0%, resp.; p<0,05).Conclusion. In the real clinical practice CBA is performed with acceptable efficacy and moderate frequency of adverse events development. In less experienced centers of catheter treatment of AF the prevalence of serious adverse events does not differ from less experienced. Women develop vascular complications more often.https://russjcardiol.elpub.ru/jour/article/view/461atrial fibrillationcatheter ablationcryoablationcryoballoonresultscomplications. |
| spellingShingle | E. N. Mikhailov D. S. Lebedev E. A. Pokushalov K. V. Davtyan E. A. Ivanitsky A. A. Nechepurenko A. Ya. Kosonogov G. V. Kolunin I. A. Morozov S. A. Termosesov E. B. Maykov D. N. Khomutinin S. A. Eremin I. M. Mayorov A. B. Romanov V. V. Shabanov V. S. Shatachtsyan V. Yu. Tsivkovsky A. V. Patsyuk A. Sh. Revishvili E. V. Shlyakhto CRYOBALLOON ABLATION IN RUSSIAN SITES OF INTERVENTIONAL ATRIAL FIBRILLATION MANAGEMENT TREATMENT: RESULTS OF THE FIRST NATIONWIDE SURVEY Российский кардиологический журнал atrial fibrillation catheter ablation cryoablation cryoballoon results complications. |
| title | CRYOBALLOON ABLATION IN RUSSIAN SITES OF INTERVENTIONAL ATRIAL FIBRILLATION MANAGEMENT TREATMENT: RESULTS OF THE FIRST NATIONWIDE SURVEY |
| title_full | CRYOBALLOON ABLATION IN RUSSIAN SITES OF INTERVENTIONAL ATRIAL FIBRILLATION MANAGEMENT TREATMENT: RESULTS OF THE FIRST NATIONWIDE SURVEY |
| title_fullStr | CRYOBALLOON ABLATION IN RUSSIAN SITES OF INTERVENTIONAL ATRIAL FIBRILLATION MANAGEMENT TREATMENT: RESULTS OF THE FIRST NATIONWIDE SURVEY |
| title_full_unstemmed | CRYOBALLOON ABLATION IN RUSSIAN SITES OF INTERVENTIONAL ATRIAL FIBRILLATION MANAGEMENT TREATMENT: RESULTS OF THE FIRST NATIONWIDE SURVEY |
| title_short | CRYOBALLOON ABLATION IN RUSSIAN SITES OF INTERVENTIONAL ATRIAL FIBRILLATION MANAGEMENT TREATMENT: RESULTS OF THE FIRST NATIONWIDE SURVEY |
| title_sort | cryoballoon ablation in russian sites of interventional atrial fibrillation management treatment results of the first nationwide survey |
| topic | atrial fibrillation catheter ablation cryoablation cryoballoon results complications. |
| url | https://russjcardiol.elpub.ru/jour/article/view/461 |
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