Unilateral versus Bilateral Groin Puncture for Atrial Fibrillation Ablation: Multi-Center Prospective Randomized Study
DC Field | Value | Language |
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dc.contributor.author | Yu, Hee Tae | - |
dc.contributor.author | Shin, Dong Geum | - |
dc.contributor.author | Shim, Jaemin | - |
dc.contributor.author | Nam, Gi-Byoung | - |
dc.contributor.author | Yoo, Won Woo | - |
dc.contributor.author | Lee, Ji Hyun | - |
dc.contributor.author | Kim, Tae-Hoon | - |
dc.contributor.author | Uhm, Jae-Sun | - |
dc.contributor.author | Joung, Boyoung | - |
dc.contributor.author | Lee, Moon-Hyoung | - |
dc.contributor.author | Kim, Young-Hoon | - |
dc.contributor.author | Pak, Hui-Nam | - |
dc.date.accessioned | 2021-09-01T16:53:10Z | - |
dc.date.available | 2021-09-01T16:53:10Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019-04 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/66426 | - |
dc.description.abstract | Purpose: Catheter ablation for atrial fibrillation (AF) requires heavy anticoagulation and uncomfortable post-procedural hemostasis. We compared patient satisfaction with and the safety of unilateral groin (UG) puncture-single trans-septal (ST) ablation with conventional bilateral groin (BG) puncture-double trans-septal (DT) ablation in paroxysmal AF patients. Materials and Methods: We enrolled 222 patients with paroxysmal AF (59.4 +/- 10.7 years old) who were randomized in a 2: 1 manner into UG-ST ablation (n=148) and BG-DT ablation (n=74) groups. If circumferential pulmonary vein isolation could not be achieved after three attempts of touch-up ablation in the UG-ST group, the patient was crossed over to BG-DT by performing a left groin puncture. Results: Ten patients in the UG-ST group (6.8%) required crossover to the BG-DT approach. There were no significant differences in procedure time (p=0.144) and major complications rate (p>0.999) between the UG-ST and BG-DT groups. Access site pain (p=0.014), back pain (p=0.023), and total pain (p=0.015) scores were significantly lower for the UG-ST than BG-DT group as assessed by the Visual Analog Scale. Over 20.2 +/- 8.7 months of follow up, there was no difference in AF recurrence free-survival rates between the two groups (Log rank, p=0.984). Conclusion: UG-ST AF ablation is feasible and safe, and was found to significantly reduce post-procedural hemostasis-related discomfort, compared to the conventional DT approach, in patients with paroxysmal AF. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | YONSEI UNIV COLL MEDICINE | - |
dc.subject | RADIOFREQUENCY CATHETER ABLATION | - |
dc.subject | PULMONARY VEIN ISOLATION | - |
dc.subject | ORAL ANTICOAGULANTS | - |
dc.subject | COMPLICATIONS | - |
dc.subject | CRYOBALLOON | - |
dc.subject | EXPERIENCE | - |
dc.subject | MANAGEMENT | - |
dc.subject | EFFICACY | - |
dc.subject | BEATS | - |
dc.title | Unilateral versus Bilateral Groin Puncture for Atrial Fibrillation Ablation: Multi-Center Prospective Randomized Study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Shim, Jaemin | - |
dc.contributor.affiliatedAuthor | Kim, Young-Hoon | - |
dc.identifier.doi | 10.3349/ymj.2019.60.4.360 | - |
dc.identifier.scopusid | 2-s2.0-85063690651 | - |
dc.identifier.wosid | 000462029800007 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, v.60, no.4, pp.360 - 367 | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.citation.title | YONSEI MEDICAL JOURNAL | - |
dc.citation.volume | 60 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 360 | - |
dc.citation.endPage | 367 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | RADIOFREQUENCY CATHETER ABLATION | - |
dc.subject.keywordPlus | PULMONARY VEIN ISOLATION | - |
dc.subject.keywordPlus | ORAL ANTICOAGULANTS | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | CRYOBALLOON | - |
dc.subject.keywordPlus | EXPERIENCE | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | EFFICACY | - |
dc.subject.keywordPlus | BEATS | - |
dc.subject.keywordAuthor | Atrial fibrillation | - |
dc.subject.keywordAuthor | catheter ablation | - |
dc.subject.keywordAuthor | groin | - |
dc.subject.keywordAuthor | puncture | - |
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