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长期持续性心房颤动融合手术的初步经验:一个5年的数据集。

Initial experience with the convergent procedure for longstanding persistent atrial fibrillation: A 5 year dataset.

作者信息

Maclean E, Yap J, Saberwal B, Kolvekar S, Lim W, Wijesuriya N, Papageorgiou N, Dhillon G, Hunter R J, Lowe M, Lambiase P, Chow A, Abbas H, Schilling R, Rowland E, Ahsan S

机构信息

Barts Heart Centre, St Bartholomew's Hospital, W Smithfield, London EC1A 7BE, UK.

William Harvey Research Institute, Charterhouse Square, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London EC1M 6BQ, United Kingdom.

出版信息

Data Brief. 2020 Mar 12;30:105417. doi: 10.1016/j.dib.2020.105417. eCollection 2020 Jun.

Abstract

In patients with longstanding persistent atrial fibrillation (AF), outcomes from catheter ablation remain suboptimal. The convergent procedure combines minimally invasive surgical ablation with subsequent catheter ablation, and may contribute towards maintenance of sinus rhythm in this patient group. We performed the convergent procedure on 43 patients with longstanding persistent AF from 2013-2018. Patients underwent clinical review at 3, 6, and 12 months and thereafter as necessitated by their symptoms. Our dataset describes patients' baseline characteristics and rhythm control protocols, as well as outcomes including arrhythmia recurrence, the need for antiarrhythmic drugs, requirement for repeat rhythm control procedures, and complications. These data provide a real world insight into the risks and benefits of the convergent procedure in patients with longstanding persistent AF.

摘要

在长期持续性心房颤动(AF)患者中,导管消融的效果仍不尽人意。联合手术将微创外科消融与后续导管消融相结合,可能有助于该患者群体维持窦性心律。我们在2013年至2018年期间对43例长期持续性AF患者实施了联合手术。患者在3个月、6个月和12个月时接受临床复查,之后根据症状需要进行复查。我们的数据集描述了患者的基线特征、节律控制方案,以及包括心律失常复发、抗心律失常药物需求、重复节律控制程序需求和并发症在内的结果。这些数据为深入了解联合手术在长期持续性AF患者中的风险和益处提供了真实世界的依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7c5/7118295/07387c5bb853/gr1.jpg

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