prikaz prve stranice dokumenta Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation
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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

Citirajte ovaj rad

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, br. 4, 2023, str. 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, br. 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), str. 539-545. doi: 10.1002/joa3.12868

Manukyan H, Szegedi N, Pavlović N, Blessberger H, Fiedler L, Krieger K, i sur.. Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation. Journal of Arrhythmia [Internet]. 15.05.2023. [pristupljeno 10.11.2024.];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, br. 4, str. 539-545, Svibanj 2023. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:129502. [Citirano: 10.11.2024.]

Za citiranje koristite ovu mrežnu adresu: https://urn.nsk.hr/urn:nbn:hr:105:129502
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Naslov (engleski)Novel protocol for optimal utilization of HPSD approach for pulmonary vein isolation
AutorHayarpi Manukyan
AutorNandor Szegedi
AutorNikola Pavlović
AutorHerman Blessberger
AutorLucas Fiedler
AutorKonstantin Krieger
AutorŠime Manola
AutorVivien K. Nagy
AutorFranz Xaver Roithinger
AutorZoltán Salló
AutorClemens Steinwender
AutorLászló Gellér
AutorGuido A. Matschuck
AutorJedrzej Kosiuk
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
(KATEDRA ZA INTERNU MEDICINU)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Interna medicina
Sažetak (engleski)
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 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.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaJournal of Arrhythmia
Brojčani podacivol. 39, br. 4, str. 539-545
p-ISSN1880-4276
e-ISSN1883-2148
DOIhttps://doi.org/10.1002/joa3.12868
URN:NBNurn:nbn:hr:105:129502
Datum objave publikacije2023-05-15
URL dokumentahttps://onlinelibrary.wiley.com/doi/10.1002/joa3.12868
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje-Nekomercijalno-Bez prerada 4.0 međunarodna (CC BY-NC-ND 4.0)
Datum i vrijeme pohrane2024-09-02 08:40:11