Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective Study
<i>Background and Objectives</i>: This study aims to examine the success of concomitant surgical ablation in patients with atrial fibrillation after one, three, and five years. Additionally, important predictors for rhythm outcome and rates of permanent pacemaker implantations were analy...
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2024-12-01
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| author | Elodie Hersperger Nicolas Schaerli Brigitta Gahl Oliver Reuthebuch Friedrich S. Eckstein Bernhard Winkler Martin T. R. Grapow |
| author_facet | Elodie Hersperger Nicolas Schaerli Brigitta Gahl Oliver Reuthebuch Friedrich S. Eckstein Bernhard Winkler Martin T. R. Grapow |
| author_sort | Elodie Hersperger |
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| description | <i>Background and Objectives</i>: This study aims to examine the success of concomitant surgical ablation in patients with atrial fibrillation after one, three, and five years. Additionally, important predictors for rhythm outcome and rates of permanent pacemaker implantations were analyzed. <i>Materials and Methods</i>: In this retrospective study, we included patients who were referred to the University Hospital of Basel, Switzerland, between 2011 and 2017. Primary outcome was one-year success of surgical ablation. Secondary outcomes include heart rhythm during entire follow-up, three- and five-years success, and need for additional arrhythmia interventions (incl. pacemaker implantation). <i>Results</i>: A total of 120 patients were analyzed and divided into two groups: pulmonary vein isolation (<i>n</i> = 55) and left atrial (<i>n</i> = 65). The median follow-up time was 4.4 years. Sinus rhythm was present in 66%, 64%, and 67% after one, three, and five years, respectively. When adjusted for preoperative type of atrial fibrillation, left atrial lesion set increased the chance of achieving sinus rhythm within 5 years by factor 6.5. The pacemaker-implantation rate was 22%, with significantly more pacemaker implantations in the left atrial group (9% vs. 32%, <i>p</i> = 0.0043). <i>Conclusions</i>: These real-world data demonstrate the high success rate of concomitant surgical ablation for atrial fibrillation. Our study highlights the importance of preoperative discussion in an interdisciplinary heart team to weigh the effectiveness of surgical ablation against the risk of a pacemaker implantation. |
| format | Article |
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| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-fb62d4837b8a47fa95ca533b404e2f292025-01-24T13:40:20ZengMDPI AGMedicina1010-660X1648-91442024-12-016114110.3390/medicina61010041Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective StudyElodie Hersperger0Nicolas Schaerli1Brigitta Gahl2Oliver Reuthebuch3Friedrich S. Eckstein4Bernhard Winkler5Martin T. R. Grapow6University Heart Center, University Hospital Basel, 4031 Basel, SwitzerlandUniversity Heart Center, University Hospital Basel, 4031 Basel, SwitzerlandUniversity Heart Center, University Hospital Basel, 4031 Basel, SwitzerlandUniversity Heart Center, University Hospital Basel, 4031 Basel, SwitzerlandHerzchirurgie Aarau, Hirslanden Medical Center, 5000 Aarau, SwitzerlandDepartment of Cardiovascular Surgery KFL, Vienna Health Network, 1210 Vienna, AustriaHeart Center Hirslanden Zurich, 8008 Zurich, Switzerland<i>Background and Objectives</i>: This study aims to examine the success of concomitant surgical ablation in patients with atrial fibrillation after one, three, and five years. Additionally, important predictors for rhythm outcome and rates of permanent pacemaker implantations were analyzed. <i>Materials and Methods</i>: In this retrospective study, we included patients who were referred to the University Hospital of Basel, Switzerland, between 2011 and 2017. Primary outcome was one-year success of surgical ablation. Secondary outcomes include heart rhythm during entire follow-up, three- and five-years success, and need for additional arrhythmia interventions (incl. pacemaker implantation). <i>Results</i>: A total of 120 patients were analyzed and divided into two groups: pulmonary vein isolation (<i>n</i> = 55) and left atrial (<i>n</i> = 65). The median follow-up time was 4.4 years. Sinus rhythm was present in 66%, 64%, and 67% after one, three, and five years, respectively. When adjusted for preoperative type of atrial fibrillation, left atrial lesion set increased the chance of achieving sinus rhythm within 5 years by factor 6.5. The pacemaker-implantation rate was 22%, with significantly more pacemaker implantations in the left atrial group (9% vs. 32%, <i>p</i> = 0.0043). <i>Conclusions</i>: These real-world data demonstrate the high success rate of concomitant surgical ablation for atrial fibrillation. Our study highlights the importance of preoperative discussion in an interdisciplinary heart team to weigh the effectiveness of surgical ablation against the risk of a pacemaker implantation.https://www.mdpi.com/1648-9144/61/1/41atrial fibrillationsurgical ablationcardiac surgery |
| spellingShingle | Elodie Hersperger Nicolas Schaerli Brigitta Gahl Oliver Reuthebuch Friedrich S. Eckstein Bernhard Winkler Martin T. R. Grapow Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective Study Medicina atrial fibrillation surgical ablation cardiac surgery |
| title | Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective Study |
| title_full | Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective Study |
| title_fullStr | Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective Study |
| title_full_unstemmed | Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective Study |
| title_short | Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective Study |
| title_sort | long term outcome following concomitant surgical ablation for atrial fibrillation at university hospital basel a retrospective study |
| topic | atrial fibrillation surgical ablation cardiac surgery |
| url | https://www.mdpi.com/1648-9144/61/1/41 |
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