Efficacy and safety of radiofrequency catheter ablation for atrial fibrillation in chronic hemodialysis patients

Hayashi, Michihiro; Kaneko, Shinji; Shimano, Masayuki; Ohashi, Taiki; Takeshita, Kyosuke; Shinoda, Masanori; Inden, Yasuya; Kanayama, Hitoshi; Murohara, Toyoaki

doi:10.1093/ndt/gft233

Cited by 24 publications

(18 citation statements)

References 33 publications

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“…184,185 In a singlecentre study with a 5-year follow-up, multiple ablation procedures for AF achieved an efficacy of 80% in terms of sinus rhythm maintenance, similar to the efficacy of non-haemodialysis patients, whereas the efficacy of a single procedure was scarce. 186 Other reports confirm the high recurrence rate of AF in haemodialysis patients and the need for repeated procedures. 187 In CKD patients treated with AF ablation, the risk of procedure-related vascular complications is increased in comparison with patients with normal kidney function.…”

Section: Implications Of Arrhythmias In the Management Of A Patient Wmentioning

confidence: 82%

Chronic kidney disease in patients with cardiac rhythm disturbances or implantable electrical devices: clinical significance and implications for decision making-a position paper of the European Heart Rhythm Association endorsed by the Heart Rhythm Society and the Asia Pacific Heart Rhythm Society

Boriani¹,

Savelieva²,

Dan³

et al. 2015

EP Europace

162

131

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Section: Implications Of Arrhythmias In the Management Of A Patient Wmentioning

confidence: 82%

Chronic kidney disease in patients with cardiac rhythm disturbances or implantable electrical devices: clinical significance and implications for decision making-a position paper of the European Heart Rhythm Association endorsed by the Heart Rhythm Society and the Asia Pacific Heart Rhythm Society

Boriani¹,

Savelieva²,

Dan³

et al. 2015

EP Europace

162

131

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show abstract

“…None of the three patients were treated with antiarrhythmic drugs or radiofrequency catheter ablation (RFCA) because of the lack of AF symptoms. As favorable outcomes of RFCA have been reported in hemodialysis patients, 15 RFCA was considered to reduce the risk of ischemic stroke and avoid anticoagulant therapy.…”

Section: Discussionmentioning

confidence: 99%

Endovascular therapy for hemodialysis patients with atrial fibrillation and cerebral thromboembolism: A case series

et al. 2019

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Introduction: Hemodialysis patients with atrial fibrillation are at high risk for stroke. Intravenous recombinant tissue plasminogen activator is considered for acute ischemic stroke. However, recombinant tissue plasminogen activator therapy is contraindicated for some hemodialysis patients with atrial fibrillation. These patients and those who have received recombinant tissue plasminogen activator therapy without blood flow recovery are candidates for endovascular therapy. Methods and results: Three hemodialysis patients with atrial fibrillation received endovascular therapy for acute cerebral infarction. Cerebrovascular incident occurred during or after hemodialysis in two of these patients. All three patients achieved successful recanalization after endovascular therapy. Conclusion: In this series, endovascular therapy showed good results without complications. More cases should be investigated to obtain more evidence of successful endovascular therapy for hemodialysis patients.

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“…This result indicates that the durability of PVI is necessary in HD patients as well as in non-HD patients. 19 Limitation This report has several limitations. First, this study had a very small sample size.…”

Section: Complicationsmentioning

confidence: 98%

Comparison Between Cryoballoon ablation and Radiofrequency Catheter Ablation for Atrial Fibrillation in Patients on Hemodialysis

Hayashi¹,

Murakami²,

Mashimo³

et al. 2020

Preprint

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Aims: Difficulties are often encountered while controlling atrial fibrillation (AF), especially in hemodialysis (HD) patients. Previous data revealed that cryoballoon ablation (CBA) for treating paroxysmal atrial fibrillation (PAF) was not inferior to radiofrequency ablation (RFA); however, HD patients were excluded in this prior trial. Thus, the efficacy of CBA for HD patients is still unknown. Methods: This retrospective study analyzed HD patients who underwent catheter ablation (CA) for AF from August 2011 to June 2019. Patients who received CBA (CBA group) and those who received RFA (RFA group) were compared. The primary endpoint was defined as freedom from a composite outcome (a documented recurrence of any atrial tachyarrhythmia or a prescription of antiarrhythmic drugs) at one year after CA. The secondary endpoint was freedom from a documented recurrence of any atrial tachyarrhythmia at one year after CA. Results: The RFA and CBA groups were composed of 21 and 23 patients, respectively. Freedom from a composite outcome was 58.4% in the RFA group and 68.2 % in the CBA group (Log-rank: p=0.571). Freedom from any atrial tachyarrhythmia was 63.5% in the RFA group and 90.9% in the CBA group (Log-rank: p=0.042). Conclusion: Our results suggest that patients on HD with AF who were treated with CBA tended to have better outcomes than patients treated with RFA. Therefore, CBA could be a suitable ablation method for HD patients.

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Efficacy and safety of radiofrequency catheter ablation for atrial fibrillation in chronic hemodialysis patients

Abstract: During 5-years of follow-up, the use of multiple RFCA procedures for AF in patients undergoing HD was favorable, whereas the use of a single procedure was disappointing. Multiple RFCA procedures can be an efficient approach to the treatment of AF in HD patients.

Cited by 24 publications

References 33 publications

Chronic kidney disease in patients with cardiac rhythm disturbances or implantable electrical devices: clinical significance and implications for decision making-a position paper of the European Heart Rhythm Association endorsed by the Heart Rhythm Society and the Asia Pacific Heart Rhythm Society

Chronic kidney disease in patients with cardiac rhythm disturbances or implantable electrical devices: clinical significance and implications for decision making-a position paper of the European Heart Rhythm Association endorsed by the Heart Rhythm Society and the Asia Pacific Heart Rhythm Society

Endovascular therapy for hemodialysis patients with atrial fibrillation and cerebral thromboembolism: A case series

Comparison Between Cryoballoon ablation and Radiofrequency Catheter Ablation for Atrial Fibrillation in Patients on Hemodialysis

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