Complications in pulmonary vein isolation in the Netherlands Heart Registration differ with sex and ablation technique

D. Mol; S. Houterman; J.C. Balt; R.E. Bhagwandien; Y. Blaauw; P.P.H. Delnoy; V.J. van Driel; A.H. Driessen; R.J. Folkeringa; R.J. Hassink; B.H. van Huysduynen; J.G. Luermans; A.J. Ouss; Y.J. Stevenhagen; D. van Veghel; S.W. Westra; J.S. de Jong; J.R. de Groot; Netherlands Heart Registration Ablation Registration Committee

doi:10.1093/europace/euaa255

Complications in pulmonary vein isolation in the Netherlands Heart Registration differ with sex and ablation technique

D. Mol^*, S. Houterman, J.C. Balt, R.E. Bhagwandien, Y. Blaauw, P.P.H. Delnoy, V.J. van Driel, A.H. Driessen, R.J. Folkeringa, R.J. Hassink, B.H. van Huysduynen, J.G. Luermans, A.J. Ouss, Y.J. Stevenhagen, D. van Veghel, S.W. Westra, J.S. de Jong, J.R. de Groot, Netherlands Heart Registration Ablation Registration Committee

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Aims Pulmonary vein isolation (PVI) has become a cornerstone of the invasive treatment of atrial fibrillation. Severe complications are reported in 1-3% of patients. This study aims to compare complications and follow-up outcome of PVI in patients with atrial fibrillation.

Methods and results The data were extracted from the Netherlands Heart Registration. Procedural and follow-up outcomes in patients treated with conventional radiofrequency (C-RF), multielectrode phased RF (Ph-RF), or cryoballoon (CB) ablation from 2012 to 2017 were compared. Subgroup analysis was performed to identify variables associated with complications and repeat ablations. In total, 13 823 patients (69% male) were included. The reported complication incidence was 3.6%. Patients treated with C-RF developed more cardiac tamponades (C-RF 0.8% vs. Ph-RF 0.3% vs. CB 0.3%, P

Conclusion The reported complication rate during PVI was low. Patients treated with C-RF ablation were more likely to develop cardiac tamponades and vascular complications. Female sex was associated with more cardiac tamponade and bleeding complications.

Original language	English
Pages (from-to)	216-225
Number of pages	10
Journal	EP Europace
Volume	23
Issue number	2
DOIs	https://doi.org/10.1093/europace/euaa255
Publication status	Published - 1 Feb 2021

Keywords

Atrial fibrillation
Pulmonary vein isolation
Conventional radiofrequency ablation
Multielectrode phased radiofrequency ablation
Cryoballoon
ATRIAL-FIBRILLATION
CATHETER ABLATION
CONTACT-FORCE
RADIOFREQUENCY ABLATION
CRYOBALLOON
DEFINITIONS

Access to Document

10.1093/europace/euaa255

https://pure.rug.nl/ws/files/176890872/euaa255.pdf

Cite this

Mol, D., Houterman, S., Balt, J. C., Bhagwandien, R. E., Blaauw, Y., Delnoy, P. P. H., van Driel, V. J., Driessen, A. H., Folkeringa, R. J., Hassink, R. J., van Huysduynen, B. H., Luermans, J. G., Ouss, A. J., Stevenhagen, Y. J., van Veghel, D., Westra, S. W., de Jong, J. S., de Groot, J. R., & Netherlands Heart Registration Ablation Registration Committee (2021). Complications in pulmonary vein isolation in the Netherlands Heart Registration differ with sex and ablation technique. EP Europace, 23(2), 216-225. https://doi.org/10.1093/europace/euaa255

@article{e4aba83b9e0544e5ba0c47837242ccb3,

title = "Complications in pulmonary vein isolation in the Netherlands Heart Registration differ with sex and ablation technique",

abstract = "Aims Pulmonary vein isolation (PVI) has become a cornerstone of the invasive treatment of atrial fibrillation. Severe complications are reported in 1-3% of patients. This study aims to compare complications and follow-up outcome of PVI in patients with atrial fibrillation.Methods and results The data were extracted from the Netherlands Heart Registration. Procedural and follow-up outcomes in patients treated with conventional radiofrequency (C-RF), multielectrode phased RF (Ph-RF), or cryoballoon (CB) ablation from 2012 to 2017 were compared. Subgroup analysis was performed to identify variables associated with complications and repeat ablations. In total, 13 823 patients (69% male) were included. The reported complication incidence was 3.6%. Patients treated with C-RF developed more cardiac tamponades (C-RF 0.8% vs. Ph-RF 0.3% vs. CB 0.3%, PConclusion The reported complication rate during PVI was low. Patients treated with C-RF ablation were more likely to develop cardiac tamponades and vascular complications. Female sex was associated with more cardiac tamponade and bleeding complications.",

keywords = "Atrial fibrillation, Pulmonary vein isolation, Conventional radiofrequency ablation, Multielectrode phased radiofrequency ablation, Cryoballoon, ATRIAL-FIBRILLATION, CATHETER ABLATION, CONTACT-FORCE, RADIOFREQUENCY ABLATION, CRYOBALLOON, DEFINITIONS",

author = "D. Mol and S. Houterman and J.C. Balt and R.E. Bhagwandien and Y. Blaauw and P.P.H. Delnoy and {van Driel}, V.J. and A.H. Driessen and R.J. Folkeringa and R.J. Hassink and {van Huysduynen}, B.H. and J.G. Luermans and A.J. Ouss and Y.J. Stevenhagen and {van Veghel}, D. and S.W. Westra and {de Jong}, J.S. and {de Groot}, J.R. and {Netherlands Heart Registration Ablation Registration Committee}",

year = "2021",

month = feb,

day = "1",

doi = "10.1093/europace/euaa255",

language = "English",

volume = "23",

pages = "216--225",

journal = "EP Europace",

issn = "1099-5129",

publisher = "Oxford University Press",

number = "2",

}

Mol, D, Houterman, S, Balt, JC, Bhagwandien, RE, Blaauw, Y, Delnoy, PPH, van Driel, VJ, Driessen, AH, Folkeringa, RJ, Hassink, RJ, van Huysduynen, BH, Luermans, JG, Ouss, AJ, Stevenhagen, YJ, van Veghel, D, Westra, SW, de Jong, JS, de Groot, JR & Netherlands Heart Registration Ablation Registration Committee 2021, 'Complications in pulmonary vein isolation in the Netherlands Heart Registration differ with sex and ablation technique', EP Europace, vol. 23, no. 2, pp. 216-225. https://doi.org/10.1093/europace/euaa255

TY - JOUR

T1 - Complications in pulmonary vein isolation in the Netherlands Heart Registration differ with sex and ablation technique

AU - Mol, D.

AU - Houterman, S.

AU - Balt, J.C.

AU - Bhagwandien, R.E.

AU - Blaauw, Y.

AU - Delnoy, P.P.H.

AU - van Driel, V.J.

AU - Driessen, A.H.

AU - Folkeringa, R.J.

AU - Hassink, R.J.

AU - van Huysduynen, B.H.

AU - Luermans, J.G.

AU - Ouss, A.J.

AU - Stevenhagen, Y.J.

AU - van Veghel, D.

AU - Westra, S.W.

AU - de Jong, J.S.

AU - de Groot, J.R.

AU - Netherlands Heart Registration Ablation Registration Committee

PY - 2021/2/1

Y1 - 2021/2/1

N2 - Aims Pulmonary vein isolation (PVI) has become a cornerstone of the invasive treatment of atrial fibrillation. Severe complications are reported in 1-3% of patients. This study aims to compare complications and follow-up outcome of PVI in patients with atrial fibrillation.Methods and results The data were extracted from the Netherlands Heart Registration. Procedural and follow-up outcomes in patients treated with conventional radiofrequency (C-RF), multielectrode phased RF (Ph-RF), or cryoballoon (CB) ablation from 2012 to 2017 were compared. Subgroup analysis was performed to identify variables associated with complications and repeat ablations. In total, 13 823 patients (69% male) were included. The reported complication incidence was 3.6%. Patients treated with C-RF developed more cardiac tamponades (C-RF 0.8% vs. Ph-RF 0.3% vs. CB 0.3%, PConclusion The reported complication rate during PVI was low. Patients treated with C-RF ablation were more likely to develop cardiac tamponades and vascular complications. Female sex was associated with more cardiac tamponade and bleeding complications.

AB - Aims Pulmonary vein isolation (PVI) has become a cornerstone of the invasive treatment of atrial fibrillation. Severe complications are reported in 1-3% of patients. This study aims to compare complications and follow-up outcome of PVI in patients with atrial fibrillation.Methods and results The data were extracted from the Netherlands Heart Registration. Procedural and follow-up outcomes in patients treated with conventional radiofrequency (C-RF), multielectrode phased RF (Ph-RF), or cryoballoon (CB) ablation from 2012 to 2017 were compared. Subgroup analysis was performed to identify variables associated with complications and repeat ablations. In total, 13 823 patients (69% male) were included. The reported complication incidence was 3.6%. Patients treated with C-RF developed more cardiac tamponades (C-RF 0.8% vs. Ph-RF 0.3% vs. CB 0.3%, PConclusion The reported complication rate during PVI was low. Patients treated with C-RF ablation were more likely to develop cardiac tamponades and vascular complications. Female sex was associated with more cardiac tamponade and bleeding complications.

KW - Atrial fibrillation

KW - Pulmonary vein isolation

KW - Conventional radiofrequency ablation

KW - Multielectrode phased radiofrequency ablation

KW - Cryoballoon

KW - ATRIAL-FIBRILLATION

KW - CATHETER ABLATION

KW - CONTACT-FORCE

KW - RADIOFREQUENCY ABLATION

KW - CRYOBALLOON

KW - DEFINITIONS

U2 - 10.1093/europace/euaa255

DO - 10.1093/europace/euaa255

M3 - Article

C2 - 33141152

SN - 1099-5129

VL - 23

SP - 216

EP - 225

JO - EP Europace

JF - EP Europace

IS - 2

ER -