Clinical benefits of deep sedation with a supraglottic airway while monitoring the bispectral index during catheter ablation of atrial fibrillation
Background: Pulmonary vein antrum isolation (PVAI) under sedation has proven to be a useful strategy for catheter ablation of atrial fibrillation (AF). Methods: To evaluate the clinical benefits of respiratory management using supraglottic airways (SGAs) under deep sedation while monitoring the bisp...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2017-08-01
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| Series: | Journal of Arrhythmia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1880427617300492 |
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| author | Satoru Hida, M.D. Masao Takemoto, M.D., Ph.D. Akihiro Masumoto, M.D., Ph.D. Takahiro Mito, M.D., Ph.D. Kazuhiro Nagaoka, M.D., Ph.D. Hiroshi Kumeda, M.D. Yuki Kawano, M.D. Ryota Aoki, M.D. Honsa Kang, M.D. Atsushi Tanaka, M.D., Ph.D. Atsutoshi Matsuo, M.D. Kiyoshi Hironaga, M.D., Ph.D. Teiji Okazaki, M.D., Ph.D. Kiyonobu Yoshitake, M.D. Kei-ichiro Tayama, M.D., Ph.D. Ken-ichi Kosuga, M.D., Ph.D. |
| author_facet | Satoru Hida, M.D. Masao Takemoto, M.D., Ph.D. Akihiro Masumoto, M.D., Ph.D. Takahiro Mito, M.D., Ph.D. Kazuhiro Nagaoka, M.D., Ph.D. Hiroshi Kumeda, M.D. Yuki Kawano, M.D. Ryota Aoki, M.D. Honsa Kang, M.D. Atsushi Tanaka, M.D., Ph.D. Atsutoshi Matsuo, M.D. Kiyoshi Hironaga, M.D., Ph.D. Teiji Okazaki, M.D., Ph.D. Kiyonobu Yoshitake, M.D. Kei-ichiro Tayama, M.D., Ph.D. Ken-ichi Kosuga, M.D., Ph.D. |
| author_sort | Satoru Hida, M.D. |
| collection | DOAJ |
| description | Background: Pulmonary vein antrum isolation (PVAI) under sedation has proven to be a useful strategy for catheter ablation of atrial fibrillation (AF).
Methods: To evaluate the clinical benefits of respiratory management using supraglottic airways (SGAs) under deep sedation while monitoring the bispectral (BIS) index during the PVAI and the durations from admission to the catheterization room to starting the radiofrequency energy delivery (Time α), and from starting the radiofrequency energy delivery to completion of the PVAI (Time β), X-ray time, frequency of dislocations of the three-dimensional maps (D3DM), procedure-related complications, and proportion of an AF-free rate 15 months after the PVAI (PAFFR) in patients who received deep sedation without SGAs (Group A: n=48) and those with SGAs (Group B: n=51) were evaluated.
Results: There were no significant differences in patient characteristics, Time α (77±3 versus 78±2 min; p=0.816), complications of cardiac tamponade (2% versus 2%; p=0.966), or PAFFR (81% versus 88%; p=0.313) between the two groups. However, the Time β (84±4 versus 67±3; p=0.001), X-ray time (53±2 versus 34±2; p<0.001), and minor complications of nasal bleeding (25% versus 0%; p=0.001) were significantly shorter and lower in Group B than in Group A, in accordance with a reduction in the hypoxia (15% versus 0%; p=0.007) and D3DM (31% versus 8%; p=0.003).
Conclusions: These results may demonstrate the clinical benefits of deep sedation with SGAs while monitoring the BIS index without any hypoxia during PVAI in patients with AF. |
| first_indexed | 2024-12-14T00:27:50Z |
| format | Article |
| id | doaj.art-8f84a1c3e53344d5a1e9aaa70cf44834 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 |
| language | English |
| last_indexed | 2024-12-14T00:27:50Z |
| publishDate | 2017-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-8f84a1c3e53344d5a1e9aaa70cf448342022-12-21T23:24:58ZengWileyJournal of Arrhythmia1880-42762017-08-0133428328810.1016/j.joa.2017.04.001Clinical benefits of deep sedation with a supraglottic airway while monitoring the bispectral index during catheter ablation of atrial fibrillationSatoru Hida, M.D.0Masao Takemoto, M.D., Ph.D.1Akihiro Masumoto, M.D., Ph.D.2Takahiro Mito, M.D., Ph.D.3Kazuhiro Nagaoka, M.D., Ph.D.4Hiroshi Kumeda, M.D.5Yuki Kawano, M.D.6Ryota Aoki, M.D.7Honsa Kang, M.D.8Atsushi Tanaka, M.D., Ph.D.9Atsutoshi Matsuo, M.D.10Kiyoshi Hironaga, M.D., Ph.D.11Teiji Okazaki, M.D., Ph.D.12Kiyonobu Yoshitake, M.D.13Kei-ichiro Tayama, M.D., Ph.D.14Ken-ichi Kosuga, M.D., Ph.D.15Cardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanCardiology, Fukuoka Kinen Hospital, Fukuoka, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanHeart Center, Fukuoka City Hospital, Fukuoka, JapanCardiology, Fukuoka Kinen Hospital, Fukuoka, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanHeart Center, Fukuoka City Hospital, Fukuoka, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanCardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, JapanBackground: Pulmonary vein antrum isolation (PVAI) under sedation has proven to be a useful strategy for catheter ablation of atrial fibrillation (AF). Methods: To evaluate the clinical benefits of respiratory management using supraglottic airways (SGAs) under deep sedation while monitoring the bispectral (BIS) index during the PVAI and the durations from admission to the catheterization room to starting the radiofrequency energy delivery (Time α), and from starting the radiofrequency energy delivery to completion of the PVAI (Time β), X-ray time, frequency of dislocations of the three-dimensional maps (D3DM), procedure-related complications, and proportion of an AF-free rate 15 months after the PVAI (PAFFR) in patients who received deep sedation without SGAs (Group A: n=48) and those with SGAs (Group B: n=51) were evaluated. Results: There were no significant differences in patient characteristics, Time α (77±3 versus 78±2 min; p=0.816), complications of cardiac tamponade (2% versus 2%; p=0.966), or PAFFR (81% versus 88%; p=0.313) between the two groups. However, the Time β (84±4 versus 67±3; p=0.001), X-ray time (53±2 versus 34±2; p<0.001), and minor complications of nasal bleeding (25% versus 0%; p=0.001) were significantly shorter and lower in Group B than in Group A, in accordance with a reduction in the hypoxia (15% versus 0%; p=0.007) and D3DM (31% versus 8%; p=0.003). Conclusions: These results may demonstrate the clinical benefits of deep sedation with SGAs while monitoring the BIS index without any hypoxia during PVAI in patients with AF.http://www.sciencedirect.com/science/article/pii/S1880427617300492Catheter ablationAtrial fibrillationDeep sedationSupraglottic airwaysBispectral index |
| spellingShingle | Satoru Hida, M.D. Masao Takemoto, M.D., Ph.D. Akihiro Masumoto, M.D., Ph.D. Takahiro Mito, M.D., Ph.D. Kazuhiro Nagaoka, M.D., Ph.D. Hiroshi Kumeda, M.D. Yuki Kawano, M.D. Ryota Aoki, M.D. Honsa Kang, M.D. Atsushi Tanaka, M.D., Ph.D. Atsutoshi Matsuo, M.D. Kiyoshi Hironaga, M.D., Ph.D. Teiji Okazaki, M.D., Ph.D. Kiyonobu Yoshitake, M.D. Kei-ichiro Tayama, M.D., Ph.D. Ken-ichi Kosuga, M.D., Ph.D. Clinical benefits of deep sedation with a supraglottic airway while monitoring the bispectral index during catheter ablation of atrial fibrillation Journal of Arrhythmia Catheter ablation Atrial fibrillation Deep sedation Supraglottic airways Bispectral index |
| title | Clinical benefits of deep sedation with a supraglottic airway while monitoring the bispectral index during catheter ablation of atrial fibrillation |
| title_full | Clinical benefits of deep sedation with a supraglottic airway while monitoring the bispectral index during catheter ablation of atrial fibrillation |
| title_fullStr | Clinical benefits of deep sedation with a supraglottic airway while monitoring the bispectral index during catheter ablation of atrial fibrillation |
| title_full_unstemmed | Clinical benefits of deep sedation with a supraglottic airway while monitoring the bispectral index during catheter ablation of atrial fibrillation |
| title_short | Clinical benefits of deep sedation with a supraglottic airway while monitoring the bispectral index during catheter ablation of atrial fibrillation |
| title_sort | clinical benefits of deep sedation with a supraglottic airway while monitoring the bispectral index during catheter ablation of atrial fibrillation |
| topic | Catheter ablation Atrial fibrillation Deep sedation Supraglottic airways Bispectral index |
| url | http://www.sciencedirect.com/science/article/pii/S1880427617300492 |
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