Comparison of Complications of Catheter Ablation for Ventricular Arrhythmias in Adults With Versus Without Structural Heart Disease

Ogunbayo, Gbolahan; Charnigo, Richard; Darrat, Yousef; Shah, Jignesh; Patel, Ripa; Suffredini, John; Wilson, William A.; Parrott, Kevin; Kusterer, Nathan; Biase, Luigi Di; Morales, Gustavo; Elayi, Claude S.

doi:10.1016/j.amjcard.2018.07.001

Cited by 8 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Those conditions are known to increase the risk of procedural complications [21]. A recent multicentre study including patients with different kinds of VA showed a risk of 11.9% for complications in patients with SHD and 4.4% for patients without SHD [22]. In contrast, in our collective comparing patients with non-reentrant VA the procedural safety was relatively high in both groups, patients with and without SHD, and comparable to other studies investigating patients without SHD.…”

Section: Outcome Of Catheter Ablationsupporting

confidence: 81%

Outcome of catheter ablation of non-reentrant ventricular arrhythmias in patients with and without structural heart disease

et al. 2020

View full text Add to dashboard Cite

Background: Catheter ablation of non-reentrant, commonly termed "idiopathic" ventricular arrhythmias (VA) is highly effective in patients without structural heart disease (SHD). Meanwhile, the outcome of catheter ablation of these arrhythmias in patients with SHD remains unclear. This study sought to characterize the outcome of patients with and without SHD undergoing catheter ablation of non-reentrant VA. Methods: In this single-centre study the acute and long-term outcome of 266 consecutive patients undergoing catheter ablation of non-reentrant VA was investigated. In 41.0% of patients a SHD was present (n = 109, 80.7% male, age 59.1 ± 14.7 years), 59.0% had no SHD (n = 157; 44.0% male, age 49.9 ± 16.5 years). Results: Acute procedural success (absence of spontaneous or provoked VA at the end of procedure and within 48 h after the procedure) was achieved in 89.9% of patients with SHD vs. 94.3% without SHD (p = 0.238). During a mean follow-up of 34.7 ± 15.1 months a repeat catheter ablation was performed in 19.6% of patients with SHD vs. 13.0% without SHD (p = 0.179). Patients with dilated cardiomyopathy (DCM) were the most likely to require a repeat ablation procedure (32.0% of patients with DCM vs. 13.0% without SHD; p = 0.022). Periprocedural complications occurred in 5.5% of patients with SHD vs. 5.7% without SHD (p > 0.999). All complications were managed without sequelae. Conclusions: The outcome of catheter ablation of non-reentrant VA in patients with SHD appears good and is comparable to patients without SHD. A slightly higher rate of repeat ablations was observed in patients with DCM.

show abstract

Section: Outcome Of Catheter Ablationsupporting

confidence: 81%

Outcome of catheter ablation of non-reentrant ventricular arrhythmias in patients with and without structural heart disease

et al. 2020

View full text Add to dashboard Cite

show abstract

“…This study comes with limitations inherent to retrospective analysis[ 16 - 19 ]. Mainly, the NIS database consists of time-limited administrative data that is related to a specific hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Mortality and morbidity in patients with atrial fibrillation and liver cirrhosis

Darrat¹,

Smer²,

Elayi³

et al. 2020

WJC

Self Cite

View full text Add to dashboard Cite

BACKGROUND Atrial fibrillation (AF) is the most common cardiac arrhythmia encountered in clinical practice. However, the outcomes associated with AF in hospitalized patients with liver cirrhosis are unknown. AIM To determine the outcomes of hospitalized patients with liver cirrhosis and AF. METHODS In this study, we examined morbidity and mortality of patients with concomitant AF and liver cirrhosis from the National Inpatient Sample database, the largest publicly available inpatient healthcare database in the United States. RESULTS A total of 696937 patients with liver cirrhosis were included, 45745 of whom had concomitant AF (6.6%). Liver cirrhosis patients with AF had higher rates of in-hospital mortality (12.6% vs 10.3%, P < 0.001), clinical stroke (1.6% vs 1.1%, P < 0.001), and acute kidney injury (28.2% vs 25.1%, P < 0.001), and less gastrointestinal bleeding (4.4% vs 5.1%, P < 0.001) and blood transfusion (22.5% vs 23.8%, P < 0.001) compared with those who did not have the arrhythmia. In addition, they had a longer length of stay (8 ± 10 d vs 7 ± 8 d, P < 0.001) and higher hospitalization costs (20720 ± 33210 $ vs 16272 ± 24166 $, P < 0.001). CONCLUSION In subjects with liver cirrhosis, AF is associated with higher rates of inpatient mortality, stroke, and acute kidney injury compared to those who do not have the cardiac arrhythmia.

show abstract

Complications of Radiofrequency Catheter Ablation and Prevention Methods

Klein

Proietti

Ayala‐Paredes

2019

Cardiac Electrophysiology Without Fluoroscopy

View full text Add to dashboard Cite

Comparison of Complications of Catheter Ablation for Ventricular Arrhythmias in Adults With Versus Without Structural Heart Disease

Cited by 8 publications

References 18 publications

Outcome of catheter ablation of non-reentrant ventricular arrhythmias in patients with and without structural heart disease

Outcome of catheter ablation of non-reentrant ventricular arrhythmias in patients with and without structural heart disease

Mortality and morbidity in patients with atrial fibrillation and liver cirrhosis

Complications of Radiofrequency Catheter Ablation and Prevention Methods

Contact Info

Product

Resources

About