Persistent Atrial Fibrillation Clinical Trial
Official title:
Treatment of Long Persistent Atrial Fibrillation by Single Cryoballoon Ablation of the Pulmonary Veins, Left Atrial Roof Line and Ablation of Left Lateral Ridge From Within the Appendage
Patients with persistent irregular heartbeats also called persistent atrial fibrillation
usually have a lower probability of curing their arrhythmia with ablation with heat called
radiofrequency then those with paroxysmal atrial fibrillation, as previous studies have
shown.
The emerging ablation with freeze(cryoablation) has not been studied for persistent atrial
fibrillation but has been proven to be efficient in the paroxysmal type.
We hypothesized that persistent atrial fibrillation will have a freedom of recurrence rate
of 70% after use of cryoablation at one year of follow up.
This was a retrospective single center cohort study designed to assess the freedom from
recurrence of atrial fibrillation in the sample of patients with long persistent atrial
fibrillation.
All patients who underwent cryoballoon ablation for atrial fibrillation at Staten Island
University Hospital in the period ranging from January 2010 to 2013 were included in the
study.
Data was collected from the electronic medical record as well as from the physician's office
records after Institutional Review Board approval of the protocol
.Data collected included demographics, comorbidities pertaining to diabetes, heart failure,
coronary artery disease, stroke occurrence, medications including antiarrhythmics and
anticoagulants, procedural details including time of procedure and of fluoroscopy, vein
ostial size, number of veins isolated, time to first recurrence after blanking period,
complications of procedure and mortality. All patient identifiers were kept in a password
protected computer.
;
Observational Model: Case-Only, Time Perspective: Cross-Sectional
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