Impact of previous cardiac surgery on long-term outcome of cavotricuspid isthmus-dependent atrial flutter ablation
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AIMS: The aim of this study was to determine the acute and long-term outcome of radiofrequency catheter ablation (RFCA) for cavotricuspid isthmus-dependent atrial flutter (CTI-AFL) in adults with and without previous cardiac surgery (PCS), and predictors of these outcomes. Structural alterations of the anatomical substrate of the CTI-AFL are observed in post-operative patients, and these may have an impact on the acute success of the ablation and in the long-term. METHODS AND RESULTS: Clinical records of consecutive adults undergoing RFCA of CTI-AFL were analysed. Two main groups were considered: No PCS and PCS patients, who were further subdivided into acquired heart disease (AHD: ischaemic heart disease and valvular/mixed heart disease) and congenital heart disease [CHD: ostium secundum atrial septal defect (OS-ASD) and complex CHD]. Multivariate analysis identified clinical and procedural factors that predicted acute and long-term outcomes. A total of 666 patients (73% men, age 65 ± 12 years) were included: 307 of them with PCS. Ablation was successful in 647 patients (97%), 96% in the PCS group and 98% in the No PCS group (P = 0.13). Regression analysis showed that surgically corrected complex CHD was related to failure of the procedure [odds ratio 5.6; 95% confidence interval (CI) 1.6-18, P = 0.008]. After a follow-up of 45 ± 15 months, recurrences were observed in 90 patients (14%), more frequently in the PCS group: absolute risk of recurrence 18 vs. 10.5%, relative risk 1.71, 95% CI: 1.2-2.5, P = 0.006. Multivariate analysis indicated that the types of PCS [OS-ASD vs. No PCS: hazard ratio (HR) 2.57; 95% CI: 1.1-6.2, P = 0.03 and complex CHD vs. No PCS: HR 2.75; 95% CI: 1.41-5.48, P = 0.004], female gender (HR 1.55; 95% CI: 1.04-2.4, P = 0.048), and severe LV dysfunction (HR 1.36; 95% CI: 1.06-1.67, P = 0.04) were independent predictors of long-term recurrence. CONCLUSION: Radiofrequency catheter ablation of CTI-AFL after surgical correction of AHD and CHD is associated with high acute success rates. The severity of the structural alterations of the underlying heart disease and consequently the type of surgical correction correlates with higher risk for recurrence.
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Ablation of CTI-dependent flutter results in high acute success rates, 96%, depending on the type of anomaly, although the recurrence rate after 45±15 months follow-up is 18%.
“Ablation of CTI-dependent flutter results in high acute success rates, 96%, depending on the type of anomaly although the recurrence rate after 45 + 15 months follow-up is 18%.380”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [380]
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Natale, A., Newby, K. H., Pisanó, E., Leonelli, F., Fanelli, R., Potenza, D., Beheiry, S., & Tomassoni, G. (2000) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(00)00635-5 · Cited by 414 · see citing works
Arrhythmias in Adult Patients With Congenital Heart Disease
Walsh, E. P., & Cecchin, F. (2007) · Circulation · doi:10.1161/circulationaha.105.592410 · Cited by 397 · see citing works
Long-Term Outcomes After Catheter Ablation of Cavo-Tricuspid Isthmus Dependent Atrial Flutter
Pérez, F. J., Schubert, C. M., Parvez, B., Pathak, V., Ellenbogen, K. A., & Wood, M. A. (2009) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.109.871665 · Cited by 301 · see citing works
Three-dimensional Mapping of the Common Atrial Flutter Circuit in the Right Atrium
Shah, D. C., Jaı̈s, P., Haı̈ssaguerre, M., Chouairi, S., Takahashi, A., Hocini, M., Garrigue, S., & Clémenty, J. (1997) · Circulation · doi:10.1161/01.cir.96.11.3904 · Cited by 205 · see citing works
Tada, H., Oral, H., Sticherling, C., et al. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01425-5 · Cited by 149 · see citing works
Cabrera, J. Á., Sánchez‐Quintana, D., Farré, J., Campal, J. M. R., & Ho, S. Y. (2005) · Journal of Cardiovascular Electrophysiology · doi:10.1046/j.1540-8167.2005.40709.x · Cited by 138 · see citing works
Yap, S.-C., Harris, L., Silversides, C. K., Downar, E., & Chauhan, V. S. (2010) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2010.04.061 · Cited by 136 · see citing works
Costa, A. D., Faure, E., Thévenin, J., et al. (2004) · Circulation · doi:10.1161/01.cir.0000139845.40818.75 · Cited by 130 · see citing works
Cabrera, J. Á., Sánchez‐Quintana, D., Ho, S. Y., Medina, A. V., Wangüemert, F., Gross, E., Grillo, J. J., Hernández, E., & Anderson, R. H. (1999) · Circulation · doi:10.1161/01.cir.99.23.3017 · Cited by 127 · see citing works
Lukac, P., Pedersen, A. K., Mortensen, P. T., Jensen, H. K., Hjortdal, V., & Hansen, P. S. (2005) · Heart Rhythm · doi:10.1016/j.hrthm.2004.10.034 · Cited by 123 · see citing works
Oral, H., Sticherling, C., Tada, H., et al. (2001) · Journal of Cardiovascular Electrophysiology · doi:10.1046/j.1540-8167.2001.00169.x · Cited by 102 · see citing works
Scaglione, M. (2004) · EP Europace · doi:10.1016/j.eupc.2004.05.008 · Cited by 54 · see citing works
Electrogram Polarity and Cavotricuspid Isthmus Block During Ablation of Typical Atrial Flutter
Tada, H., Oral, H., Sticherling, C., et al. (2001) · Journal of Cardiovascular Electrophysiology · doi:10.1046/j.1540-8167.2001.00393.x · Cited by 50 · see citing works
Teh, A. W., MEDI, C., Lee, G., Rosso, R., SPARKS, P. B., Morton, J. B., Kistler, P. M., Halloran, K., Vohra, J. K., & Kalman, J. M. (2011) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2010.03005.x · Cited by 38 · see citing works
Ablation of Typical Right Atrial Flutter in Patients with Pulmonary Hypertension
Luesebrink, U., Fischer, D., Gezgin, F., Duncker, D., König, T., Oswald, H., Klein, G. G., & Gardiwal, A. (2012) · Heart Lung and Circulation · doi:10.1016/j.hlc.2012.06.005 · Cited by 36 · see citing works
Bazán, V., Martí‐Almor, J., Pérez‐Rodon, J., et al. (2009) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2009.01562.x · Cited by 28 · see citing works
MORALES, G. X., Macle, L., Khairy, P., et al. (2013) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.12174 · Cited by 22 · see citing works
“Dormant transisthmus conduction” revealed by adenosine after cavotricuspid isthmus ablation
Lehrmann, H., Weber, R., Park, C.-I., et al. (2012) · Heart Rhythm · doi:10.1016/j.hrthm.2012.08.020 · Cited by 20 · see citing works
AKTAS, M. K., KHAN, M. N., DI BIASE, L., ELAYI, C., MARTIN, D., SALIBA, W., CUMMINGS, J., SCHWEIKERT, R., & NATALE, A. (2010) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2009.01709.x · Cited by 20 · see citing works
Klemm, H. U., Weber, T. F., Johnsen, C., et al. (2010) · EP Europace · doi:10.1093/europace/euq320 · Cited by 16 · see citing works
Satsuki Mori, S., Fujii, G., Hideki Ishida, H., Shiro Tomari, S., Matsuura, A., & Katsuhiko Yoshida, K. (2003) · PubMed · Cited by 9 · see citing works
Marcos‐Alberca, P., Sánchez‐Quintana, D., Cabrera, J. Á., et al. (2013) · European Heart Journal - Cardiovascular Imaging · doi:10.1093/ehjci/jet112 · Cited by 9 · see citing works
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- [12]12. negative impact of age and complex atrial surgery. J Am Coll Cardiol 2010; 56 : 1589-96.
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Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188 · see citing works
- Authors
- Dallaglio, P. D., Anguera, I., Jiménez-Candil, J., Peinado, R., García-Seara, J., Arcocha, M. F., Macías, R., Herreros, B., Quesada, A., Hernández-Madrid, A., Alvarez, M., Di Marco, A., Filgueiras, D., Matía, R., Cequier, A., & Sabaté, X.
- Affiliations
- Bellvitge University Hospital (ES)
- Hospital Universitario Río Hortega (ES)
- Hospital Universitario Ramón y Cajal (ES)
- Corresponding author
- Dallaglio, Paolo D.
- Venue
- Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-10-27
- Volume
- 18
- Issue
- 6
- Pages
- 873-880
- ISSN
- 1099-5129 (ISSN-L)
- 1532-2092
- OpenAlex
- W2262678925
- Cited by
- 16
- References
- 22
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 2
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- EP Europace (publishedVersion)
- PubMed (publishedVersion)
- Hispana (publishedVersion, cc-by-nc-nd)
- Gredos (University of Salamanca) (submittedVersion, cc-by-nc-nd)
- RISalud Institutional Health Repository of Andalucía (submittedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- previous cardiac surgery, radiofrequency catheter ablation, atrial flutter recurrence, long-term outcomes, congenital heart disease, secundum atrial septal defect, acquired heart disease, atrial flutter mechanism
- MeSH terms
- Adult, Aged, Atrial Flutter, Electrocardiography, Female, Follow-Up Studies, Heart Diseases, Cardiac Surgical Procedures, Humans, Male, Middle Aged, Postoperative Complications, Recurrence, Retrospective Studies, Spain, Tricuspid Valve, Multivariate Analysis, Logistic Models, Odds Ratio, Treatment Outcome, Catheter Ablation, Disease-Free Survival, Young Adult
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