PO-01-198 DOUBLE TROUBLE: HIGHER COMPLICATIONS AND INCREASED PROCEDURE TIMES WITH DOUBLE TRANSEPTAL PUNCTURE
نویسندگان
چکیده
The three main techniques for transeptal access during catheter ablation (CA) of atrial fibrillation (AF) are double puncture (DTP), single (STP), and with (STP-DA). It is unclear which these the safest most effective. To evaluate periprocedural outcomes DTP, STP, STP-DA in patients undergoing first-time paroxysmal fibrillation. Consecutive AF performed by 67 operators 43 centers were prospectively enrolled REAL-AF registry. primary procedural time complications. A total 2,289 included study. 379 underwent 612 1298 STP-DA. mean age was 65±10 years, 55% male, BMI 30±7 kg/m2, CHA2DS2VASc score 2.5±1.52 without statistically significant differences among groups. Procedural 137.9±72.5 min. 97.7±39.1 74±28.9 STP-DA, ANOVA independent t-test (p<0.001). Similarly, fluoroscopy 2.5±3.0 min 1.8±2.0 0.9±1.1 (p<0.01). complication rate significantly higher DTP compared to STP (1.3% vs. 0.2% | p=0.033), while there no difference when comparing 0.7% p=0.18). use associated increased or also a STP. Interestingly, reduction times potentially due elimination exchange procedure.
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ژورنال
عنوان ژورنال: Heart Rhythm
سال: 2023
ISSN: ['1556-3871', '1547-5271']
DOI: https://doi.org/10.1016/j.hrthm.2023.03.574