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- W2436693611 abstract "Background: This study reports the outcomes of atrial fibrillation (AF) ablations performed at Auckland City Hospital (ACH). Methods: Retrospective analysis of AF ablations performed at ACH between September-2007 and November-2015. 9 patients who had prior AF ablations at other institutions were considered repeat procedures. Results: 268 patients underwent 328 procedures. 79.1% had one procedure, 19.4% had two and 1.5% had three procedures. AF was paroxysmal (PAF) in 64.2% and persistent (PeAF) in 35.8%. At 1 year follow-up after their index procedure, 75% of the PAF group and 67.5% of the PeAF group remained free from AF. 15.7% of patients with PAF and 30.2% with PeAF required a second procedure. After one repeat ablation, 78.6% of the PAF group and 65.6% of the PeAF group were free from AF at 1 year follow-up. 0.6% of patients with PAF and 3.1% of patients with PeAF required a third PVI. 1 year after their second repeat ablation, 66.6% of the PeAF group remained free from AF. Intraoperative complications included 4 pericardial effusions and 2 adverse drug reactions. Post-procedural complications included groin haematoma (15), pseudoaneurysm or arteriovenous fistula (6), transient phrenic nerve palsy (13) and fluid overload (6). Serious adverse events included 1 cardiac tamponade and 1 cardiac arrest due to protamine. 7 patients developed pulmonary vein stenosis, 4 of whom were undergoing repeat ablation. Conclusion: Patients undergoing AF ablation at ACH have a satisfactory rate of success and low rate complications overall. However, significant pulmonary complications have occurred mainly in patients undergoing repeat procedures." @default.
- W2436693611 created "2016-06-24" @default.
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- W2436693611 date "2016-01-01" @default.
- W2436693611 modified "2023-09-26" @default.
- W2436693611 title "Outcomes of Atrial Fibrillation Ablation: The Auckland Experience" @default.
- W2436693611 doi "https://doi.org/10.1016/j.hlc.2016.05.061" @default.
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