Risks and Benefits of an Open Irrigation Tip Catheter in Intensive Radiofrequency Catheter Ablation in Patients With Non-Paroxysmal Atrial Fibrillation
DC Field | Value | Language |
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dc.contributor.author | Hwang, Eui-Seock | - |
dc.contributor.author | Pak, Hui-Nam | - |
dc.contributor.author | Park, Sang Weon | - |
dc.contributor.author | Park, Jong Sung | - |
dc.contributor.author | Joung, Boyoung | - |
dc.contributor.author | Choi, Donghoon | - |
dc.contributor.author | Lee, Moon-Hyoung | - |
dc.contributor.author | Kim, Young Hoon | - |
dc.date.accessioned | 2021-09-08T04:01:47Z | - |
dc.date.available | 2021-09-08T04:01:47Z | - |
dc.date.created | 2021-06-11 | - |
dc.date.issued | 2010-04 | - |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/116666 | - |
dc.description.abstract | Background: Although open irrigation tip catheters (OITC) are effective in producing transmural radiofrequency (RF) lesions, they have the potential for fluid overload or excessive tissue damage. Methods and Results: The 203 patients with non-paroxysmal atrial fibrillation (NPAF; 85.2% males, 55.2 +/- 10.6 years old) who underwent RF catheter ablation (RFCA) were analyzed retrospectively. Clinical outcomes and complications were compared between RFCA using OITC (n=92) and that using conventional catheters (CONC; n=111). Both the total procedure time (P<0.01) and fluoroscopic time (P<0.001) were shorter in the OITC group than in the CONC group. Total fluid loading during RFCA with OITC was 3.2 +/- 0.9L, and the average body weight increase was 1.8 +/- 1.2 kg. Symptomatic pulmonary edema and/or pleural effusion occurred in 3.3% of patients who had a bigger left atrium (P=0.005), longer duration of ablation procedure (P=0.002), higher post-RFCA serum pro-ANP level (P<0.001), and longer hospitalization (P<0.01). Conclusions: RFCA for NPAF using OITC results in a shorter procedure time compared with CONC. However, patients with a large left atrium and a large amount of fluid (>4L) infused via the OITC need to be carefully monitored to prevent pulmonary edema or pleural effusion because of fluid overload. (Circ J 2010; 74: 644-649) | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | JAPANESE CIRCULATION SOC | - |
dc.subject | PULMONARY-VEIN | - |
dc.subject | CONDUCTION | - |
dc.subject | ELECTRODE | - |
dc.subject | COMPLICATIONS | - |
dc.subject | RECURRENCE | - |
dc.subject | THROMBUS | - |
dc.subject | LESIONS | - |
dc.subject | FLOW | - |
dc.title | Risks and Benefits of an Open Irrigation Tip Catheter in Intensive Radiofrequency Catheter Ablation in Patients With Non-Paroxysmal Atrial Fibrillation | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Young Hoon | - |
dc.identifier.doi | 10.1253/circj.CJ-09-0703 | - |
dc.identifier.scopusid | 2-s2.0-77950687053 | - |
dc.identifier.wosid | 000276231800011 | - |
dc.identifier.bibliographicCitation | CIRCULATION JOURNAL, v.74, no.4, pp.644 - 649 | - |
dc.relation.isPartOf | CIRCULATION JOURNAL | - |
dc.citation.title | CIRCULATION JOURNAL | - |
dc.citation.volume | 74 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 644 | - |
dc.citation.endPage | 649 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | PULMONARY-VEIN | - |
dc.subject.keywordPlus | CONDUCTION | - |
dc.subject.keywordPlus | ELECTRODE | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | RECURRENCE | - |
dc.subject.keywordPlus | THROMBUS | - |
dc.subject.keywordPlus | LESIONS | - |
dc.subject.keywordPlus | FLOW | - |
dc.subject.keywordAuthor | Atrial fibrillation | - |
dc.subject.keywordAuthor | Catheter ablation | - |
dc.subject.keywordAuthor | Irrigation tip catheter | - |
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