prikaz prve stranice dokumenta Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation
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Scientific paper - Original scientific paper
Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation
Journal of Arrhythmia, 39 (2023), 4; 539-545. https://doi.org/10.1002/joa3.12868
Manukyan, Hayarpi; Szegedi, Nandor; Pavlović, Nikola; Blessberger, Herman; Fiedler, Lucas; Krieger, Konstantin; Manola, Šime; Nagy, Vivien K.; Roithinger, Franz Xaver; Salló, Zoltán; Steinwender, Clemens; Gellér, László; Matschuck, Guido A.; Kosiuk, Jedrzej

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Manukyan, H., Szegedi, N., Pavlović, N., Blessberger, H., Fiedler, L., Krieger, K. ... Kosiuk, J. (2023). Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation. Journal of Arrhythmia, 39. (4), 539-545. doi: 10.1002/joa3.12868

Manukyan, Hayarpi, et al. "Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation." Journal of Arrhythmia, vol. 39, no. 4, 2023, pp. 539-545. https://doi.org/10.1002/joa3.12868

Manukyan, Hayarpi, Nandor Szegedi, Nikola Pavlović, Herman Blessberger, Lucas Fiedler, Konstantin Krieger, Šime Manola, et al. "Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation." Journal of Arrhythmia 39, no. 4 (2023): 539-545. https://doi.org/10.1002/joa3.12868

Manukyan, H., et al. (2023) 'Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation', Journal of Arrhythmia, 39(4), pp. 539-545. doi: 10.1002/joa3.12868

Manukyan H, Szegedi N, Pavlović N, Blessberger H, Fiedler L, Krieger K, and sur.. Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation. Journal of Arrhythmia [Internet]. 2023 May 15 [cited 2025 April 01];39(4):539-545. doi: 10.1002/joa3.12868

H. Manukyan, et al., "Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation", Journal of Arrhythmia, vol. 39, no. 4, pp. 539-545, May 2023. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:129502. [Accessed: 01 April 2025]

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Metadata
Title (english)Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation
AuthorHayarpi Manukyan
AuthorNandor Szegedi
AuthorNikola Pavlović
AuthorHerman Blessberger
AuthorLucas Fiedler
AuthorKonstantin Krieger
AuthorŠime Manola
AuthorVivien K. Nagy
AuthorFranz Xaver Roithinger
AuthorZoltán Salló
AuthorClemens Steinwender
AuthorLászló Gellér
AuthorGuido A. Matschuck
AuthorJedrzej Kosiuk
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
Background: The efficiency of pulmonary vein isolation (PVI) depends on the durability of RF lesions. Recent studies documented sustained continuity of ablation lines, improvements in durability, and expected clinical outcomes through altered settings in duration and power. However, the ablation strategy has not been adapted to this new approach and different biophysics of lesion formation. Purpose: The aim of this study was to demonstrate that by adjusting the ablation approach to the... More broader geometry of lesions by increasing the minimal spacing between adjacent RF, a further significant reduction of procedural time while maintaining sufficient long-term outcomes is achievable. Methods: The presented study was a prospective, observational multi-center trial. The periprocedural data were compared with data from a consecutively collected historical cohort. Results: In total, 196 patients were included (mean age 62 ± 11 years, male 64.3%). Procedural duration, RF time, and LA dwelling time were significantly shorter in the HPSD group compared with the standard group (73 ± 26 min vs. 98 ± 36 min, p < .001; 14 ± 7 min vs. 33 ± 12 min, p < .001; and 59 ± 21 min vs. 77 ± 32 min, p < .001, respectively). Mean AF-free survival in the first year of follow-up was 304 ± 14 days in the HPSD group versus 340 ± 10 days in the standard group (log-rank p = .403). There were no statistically significant differences in the complication rates between the groups. Conclusion: Increasing the minimal distance between individual application points simplifies AF ablation and further reduces procedure time without negative effects on efficacy and safety. Larger studies are needed to optimally utilize this approach. Less
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleJournal of Arrhythmia
Numberingvol. 39, no. 4, pp. 539-545
p-ISSN1880-4276
e-ISSN1883-2148
DOIhttps://doi.org/10.1002/joa3.12868
URN:NBNurn:nbn:hr:105:129502
Publication2023-05-15
Document URLhttps://onlinelibrary.wiley.com/doi/10.1002/joa3.12868
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-09-02 08:40:11
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