Ultrasound-guided versus conventional femoral venipuncture for catheter ablation of atrial fibrillation: a multicentre randomized efficacy and safety trial (ULTRA-FAST trial)

Yamagata, Kenichiro; Wichterle, Dan; Roubíček, Tomáš; Jarkovský, Patrik; Sato, Yukihito; Kogure, T.; Peichl, Petr; Konečný, Petr; Jansova, H; Kučera, Pavel; Aldhoon, Bashar; Čihák, Robert; Sugimura, Yoichi; Kautzner, Josef

doi:10.1093/europace/eux175

Cited by 66 publications

(70 citation statements)

References 19 publications

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“…Advances such as the use of vascular ultrasound for femoral venous access have reduced risk of vascular injury and improved safety. Manual compression remains the standard at most centers for postprocedure venous hemostasis . This practice is effective, but is time consuming for providers and can be uncomfortable for patients.…”

Section: Introductionmentioning

confidence: 99%

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Figure‐of‐eight sutures for hemostasis result in shorter lab recovery time after ablation for atrial fibrillation

Payne

Bickel

Gautam

2018

Pacing Clinical Electrophis

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Section: Introductionmentioning

confidence: 99%

“…Manual compression remains the standard at most centers for postprocedure venous hemostasis. [4][5][6] This practice is effective, but is time con-suming for providers and can be uncomfortable for patients. Heparin reversal with protamine can expedite hemostasis and reduce bleeding complications.…”

Section: Introductionmentioning

confidence: 99%

Figure‐of‐eight sutures for hemostasis result in shorter lab recovery time after ablation for atrial fibrillation

Payne

Bickel

Gautam

2018

Pacing Clinical Electrophis

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“…No significant heterogeneity or publication bias was identified for all outcomes. The findings did not differ if only atrial fibrillation studies were meta‐analysed …”

Section: Resultsmentioning

confidence: 90%

Meta‐analysis of ultrasound‐guided vs conventional vascular access for cardiac electrophysiology procedures

Wang

Martin

2019

Journal of Arrhythmia

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BackgroundVascular complications are common during invasive cardiac electrophysiology procedures. This meta‐analysis compares outcomes following ultrasound and nonultrasound‐guided vascular access for these procedures.MethodsPubMed, Embase and Cochrane 01/01/1980‐30/09/2018 were searched for relevant studies to meta‐analyse.ResultsSeven studies (6269 patients) were included. Pooled rates and odds ratio(95% confidence interval) for ultrasound and nonultrasound subgroups were 1.2% vs 3.0%, 0.32 (0.21‐0.49) for all vascular complications, with less hematomas and arterial punctures but similar arteriovenous fistulas, pseudoaneurysms or retroperitoneal bleeds.ConclusionUltrasound guidance had less complications due to less hematoma and arterial puncture, and is generally recommended for electrophysiology procedures.

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“…Bleeding can be puncture related or due to the systemic effect of the thrombolytic drug. Puncture related complications can be reduced by ultrasound assisted femoral vein puncture [14]; however, in the current study population, traditional femoral vein puncture was used, and the rate of access site bleeding was relatively high. Periprocedural major bleeding (intracerebral or gastrointestinal) was not observed; however, 2 patients had major cerebral bleeding at the 1-year follow-up after initiation of novel anticoagulants.…”

Section: One-month Follow-upmentioning

confidence: 81%

Catheter directed thrombolytic therapy and aspiration thrombectomy in intermediate pulmonary embolism with long term results

et al. 2020

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Background: Catheter directed thrombolysis (CDT) and thrombectomy represent well established techniques for the treatment of intermediate pulmonary embolism (IPE). The long-term effect of catheter directed thrombolysis of IPE is unknown. Methods: Clinical, interventional and echocardiographic data from 80 consecutive patients with IPE who were treated with CDT were evaluated. Primary end-points were technical success and major adverse events. Secondary end-points were cardiovascular mortality, all-cause mortality, clinical success, rate of bleeding complications, improvement in pulmonary pressure and echocardiography parameters. CDT completed with alteplase (10 mg bolus and 1 mg/h maintenance dose) through a pigtail catheter for 24 h. After 24 h, control pulmonary angiography was performed. Results: In total, 80 patients with a mean age of 59.0 ± 16.8 years were treated. CDT was successful after the first post-operative day in 72 (90%) patients, but thrombus aspiration and fragmentation was performed due to failed thrombolysis in 8 (10%) patients. Final technical and clinical success was reached in 79 (98.8%) and 77 (96.3%) patients, respectively. The mean CDT time in IPE was 27.8 ± ± 9.6 h. Invasive pulmonary pressure dropped from 57.5 ± 16.7 to 38.9 ± 13.5 (p < 0.001). A caval filter was implanted in 4 (5%) patients. The 1-year major adverse events and cardiovascular mortality rate was 4.0% and 1.4%, respectively. Access site complications (6 major and 6 minor) were encountered in 12 (16.2%) patients. Conclusions: Catheter directed thrombolysis in submassive pulmonary embolism had excellent results. However, additional mechanical thrombectomy was necessary in some patients to achieve good clinical outcomes.

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Ultrasound-guided versus conventional femoral venipuncture for catheter ablation of atrial fibrillation: a multicentre randomized efficacy and safety trial (ULTRA-FAST trial)

Abstract: Ultrasound-guided puncture of femoral veins was associated with preferable intra-procedural outcomes, though the major complication rates were not reduced. Both trainees and expert operators benefited from the USG strategy. (www.clinicaltrials.gov ID: NCT02834221).

Cited by 66 publications

References 19 publications

Figure‐of‐eight sutures for hemostasis result in shorter lab recovery time after ablation for atrial fibrillation

Figure‐of‐eight sutures for hemostasis result in shorter lab recovery time after ablation for atrial fibrillation

Meta‐analysis of ultrasound‐guided vs conventional vascular access for cardiac electrophysiology procedures

Catheter directed thrombolytic therapy and aspiration thrombectomy in intermediate pulmonary embolism with long term results

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