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Efficacy of Cathete...
Efficacy of Catheter Ablation for Atrial Arrhythmias in Patients with Arrhythmogenic Right Ventricular Cardiomyopathy - A Multicenter Study
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- Gasperetti, Alessio (författare)
- Univ Hosp Zurich, Switzerland; Univ Hosp Ospedali Riuniti Umberto I Lancisi Sale, Italy; Marche Polytech Univ, Italy; Johns Hopkins Univ Hosp, MD 21205 USA
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- James, Cynthia A. (författare)
- Johns Hopkins Univ Hosp, MD 21205 USA
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- Chen, Liang (författare)
- Peking Union Med Coll, Peoples R China
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- Schenker, Niklas (författare)
- Asklepios Klin St Georg Hamburg, Germany
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- Casella, Michela (författare)
- Univ Hosp Ospedali Riuniti Umberto I Lancisi Sale, Italy; Marche Polytech Univ, Italy
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- Kany, Shinwan (författare)
- Univ Med Ctr Hamburg Eppendorf, Germany
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- Mathew, Shibu (författare)
- Asklepios Klin St Georg Hamburg, Germany
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- Compagnucci, Paolo (författare)
- Univ Hosp Ospedali Riuniti Umberto I Lancisi Sale, Italy; Marche Polytech Univ, Italy
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- Muessigbrodt, Andreas (författare)
- Heart Ctr Univ Leipzig, Germany; Univ Hosp Martinique, France
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- Jensen, Henrik K. (författare)
- Aarhus Univ Hosp, Denmark; Aarhus Univ, Denmark
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- Svensson, Anneli (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Costa, Sarah (författare)
- Univ Hosp Zurich, Switzerland
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- Forleo, Giovanni B. (författare)
- ASST FBF Sacco, Italy
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- Platonov, Pyotr G. (författare)
- Lund Univ, Sweden
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- Tondo, Claudio (författare)
- Heart Rhythm Ctr, Italy; Univ Milan, Italy
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- Song, Jiang-Ping (författare)
- Peking Union Med Coll, Peoples R China
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- Dello Russo, Antonio (författare)
- Univ Hosp Ospedali Riuniti Umberto I Lancisi Sale, Italy; Marche Polytech Univ, Italy
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- Ruschitzka, Frank (författare)
- Univ Hosp Zurich, Switzerland
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- Brunckhorst, Corinna (författare)
- Univ Hosp Zurich, Switzerland
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- Calkins, Hugh (författare)
- Johns Hopkins Univ Hosp, MD 21205 USA
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- Duru, Firat (författare)
- Univ Hosp Zurich, Switzerland
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- Saguner, Ardan M. (författare)
- Univ Hosp Zurich, Switzerland
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(creator_code:org_t)
- 2021-10-26
- 2021
- Engelska.
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Ingår i: Journal of Clinical Medicine. - : MDPI. - 2077-0383. ; 10:21
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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https://www.mdpi.com...
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https://urn.kb.se/re...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- Background: Atrial arrhythmias are present in up to 20% of patients with arrhythmogenic right ventricular cardiomyopathy (ARVC). Catheter ablation (CA) is an effective treatment for atrial arrhythmias in the general population. Data regarding CA for atrial arrhythmias in ARVC are scarce. Objective: To assess the safety and efficacy of CA for atrial arrhythmias in patients with ARVC. Methods: In this international collaborative effort, all patients with a definite diagnosis of ARVC undergoing CA for atrial fibrillation (AF), focal atrial tachycardia (AT), or cavotricuspid isthmus (CTI)-dependent atrial flutter (AFl) were extracted from twelve ARVC registries. Demographic, periprocedural, and long-term arrhythmic outcome data were collected. Results: Thirty-seven patients were enrolled in the study (age 50.2 & PLUSMN; 16.6 years, male 84%, CHA(2)DS(2)VASc 1 (1,2), HAS-BLED 0 (0-2)). The arrhythmia leading to CA was AF in 23 (62%), focal left AT in 5 (14%), and CTI-dependent AFl in 9 (24%). Acute procedural success was achieved in all procedures but one (n = 1 focal left AT; 97% acute success). The median follow-up period was 27 (13-67) months, and 96%, 74%, and 61% of patients undergoing AF ablation were free from any atrial arrhythmia recurrence after a single procedure at 6 months, 12 months, and last follow-up, respectively. After focal AT ablation, freedom from atrial arrhythmia recurrence was 80%, 80%, and 60% at 6 months, 12 months, and last follow-up, respectively. All patients undergoing CTI ablation were free from atrial arrhythmia recurrences at 6 months, with 89% single-procedural arrhythmic freedom at last follow-up. One major complication (2.7%; PV stenosis requiring PV stenting) occurred. Conclusions: CA is safe and effective in managing atrial arrhythmias in patients with ARVC, with success rates comparable to the general population.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- arrhythmogenic right ventricular cardiomyopathy; atrial fibrillation; atrial flutter; pulmonary vein isolation; ablation in special populations
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Gasperetti, Ales ...
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James, Cynthia A ...
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Chen, Liang
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Schenker, Niklas
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Casella, Michela
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Kany, Shinwan
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visa fler...
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Mathew, Shibu
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Compagnucci, Pao ...
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Muessigbrodt, An ...
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Jensen, Henrik K ...
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Svensson, Anneli
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Costa, Sarah
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Forleo, Giovanni ...
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Platonov, Pyotr ...
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Tondo, Claudio
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Song, Jiang-Ping
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Dello Russo, Ant ...
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Ruschitzka, Fran ...
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Brunckhorst, Cor ...
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Calkins, Hugh
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Duru, Firat
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Saguner, Ardan M ...
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