Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective Study

Background and Objectives: This study aims to examine the success of concomitant surgical ablation in patients with atrial fibrillation after one, three, and five years. Additionally, important predictors for rhythm outcome and rates of permanent pacemaker implantations were analyzed. Materials and...

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Vydané v:	Medicina (Kaunas, Lithuania) Ročník 61; číslo 1; s. 41
Hlavní autori:	Hersperger, Elodie, Schaerli, Nicolas, Gahl, Brigitta, Reuthebuch, Oliver, Eckstein, Friedrich S., Winkler, Bernhard, Grapow, Martin T. R.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Switzerland MDPI AG 01.01.2025 MDPI
Predmet:	Ablation Ablation (Surgery) Aged Analysis Antiarrhythmics Atrial fibrillation Atrial Fibrillation - surgery Cardiac arrhythmia cardiac surgery Cardioversion Catheter Ablation - methods Catheter Ablation - statistics & numerical data Catheters Electrocardiography Female Follow-Up Studies Heart Heart beat Heart surgery Hospitals Hospitals, University - organization & administration Hospitals, University - statistics & numerical data Humans Male Medical research Medicine, Experimental Middle Aged Mortality Pacemaker, Artificial - statistics & numerical data Pacemakers Patients Retrospective Studies Success surgical ablation Switzerland Thoracic surgery Time Factors Treatment Outcome Variables Switzerland cardiac surgery atrial fibrillation surgical ablation
ISSN:	1648-9144, 1010-660X, 1648-9144
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Abstract	Background and Objectives: This study aims to examine the success of concomitant surgical ablation in patients with atrial fibrillation after one, three, and five years. Additionally, important predictors for rhythm outcome and rates of permanent pacemaker implantations were analyzed. Materials and Methods: In this retrospective study, we included patients who were referred to the University Hospital of Basel, Switzerland, between 2011 and 2017. Primary outcome was one-year success of surgical ablation. Secondary outcomes include heart rhythm during entire follow-up, three- and five-years success, and need for additional arrhythmia interventions (incl. pacemaker implantation). Results: A total of 120 patients were analyzed and divided into two groups: pulmonary vein isolation (n = 55) and left atrial (n = 65). The median follow-up time was 4.4 years. Sinus rhythm was present in 66%, 64%, and 67% after one, three, and five years, respectively. When adjusted for preoperative type of atrial fibrillation, left atrial lesion set increased the chance of achieving sinus rhythm within 5 years by factor 6.5. The pacemaker-implantation rate was 22%, with significantly more pacemaker implantations in the left atrial group (9% vs. 32%, p = 0.0043). Conclusions: These real-world data demonstrate the high success rate of concomitant surgical ablation for atrial fibrillation. Our study highlights the importance of preoperative discussion in an interdisciplinary heart team to weigh the effectiveness of surgical ablation against the risk of a pacemaker implantation.
AbstractList	Background and Objectives: This study aims to examine the success of concomitant surgical ablation in patients with atrial fibrillation after one, three, and five years. Additionally, important predictors for rhythm outcome and rates of permanent pacemaker implantations were analyzed. Materials and Methods: In this retrospective study, we included patients who were referred to the University Hospital of Basel, Switzerland, between 2011 and 2017. Primary outcome was one-year success of surgical ablation. Secondary outcomes include heart rhythm during entire follow-up, three- and five-years success, and need for additional arrhythmia interventions (incl. pacemaker implantation). Results: A total of 120 patients were analyzed and divided into two groups: pulmonary vein isolation (n = 55) and left atrial (n = 65). The median follow-up time was 4.4 years. Sinus rhythm was present in 66%, 64%, and 67% after one, three, and five years, respectively. When adjusted for preoperative type of atrial fibrillation, left atrial lesion set increased the chance of achieving sinus rhythm within 5 years by factor 6.5. The pacemaker-implantation rate was 22%, with significantly more pacemaker implantations in the left atrial group (9% vs. 32%, p = 0.0043). Conclusions: These real-world data demonstrate the high success rate of concomitant surgical ablation for atrial fibrillation. Our study highlights the importance of preoperative discussion in an interdisciplinary heart team to weigh the effectiveness of surgical ablation against the risk of a pacemaker implantation. : This study aims to examine the success of concomitant surgical ablation in patients with atrial fibrillation after one, three, and five years. Additionally, important predictors for rhythm outcome and rates of permanent pacemaker implantations were analyzed. : In this retrospective study, we included patients who were referred to the University Hospital of Basel, Switzerland, between 2011 and 2017. Primary outcome was one-year success of surgical ablation. Secondary outcomes include heart rhythm during entire follow-up, three- and five-years success, and need for additional arrhythmia interventions (incl. pacemaker implantation). : A total of 120 patients were analyzed and divided into two groups: pulmonary vein isolation ( = 55) and left atrial ( = 65). The median follow-up time was 4.4 years. Sinus rhythm was present in 66%, 64%, and 67% after one, three, and five years, respectively. When adjusted for preoperative type of atrial fibrillation, left atrial lesion set increased the chance of achieving sinus rhythm within 5 years by factor 6.5. The pacemaker-implantation rate was 22%, with significantly more pacemaker implantations in the left atrial group (9% vs. 32%, = 0.0043). : These real-world data demonstrate the high success rate of concomitant surgical ablation for atrial fibrillation. Our study highlights the importance of preoperative discussion in an interdisciplinary heart team to weigh the effectiveness of surgical ablation against the risk of a pacemaker implantation. Background and Objectives: This study aims to examine the success of concomitant surgical ablation in patients with atrial fibrillation after one, three, and five years. Additionally, important predictors for rhythm outcome and rates of permanent pacemaker implantations were analyzed. Materials and Methods: In this retrospective study, we included patients who were referred to the University Hospital of Basel, Switzerland, between 2011 and 2017. Primary outcome was one-year success of surgical ablation. Secondary outcomes include heart rhythm during entire follow-up, three- and five-years success, and need for additional arrhythmia interventions (incl. pacemaker implantation). Results: A total of 120 patients were analyzed and divided into two groups: pulmonary vein isolation (n = 55) and left atrial (n = 65). The median follow-up time was 4.4 years. Sinus rhythm was present in 66%, 64%, and 67% after one, three, and five years, respectively. When adjusted for preoperative type of atrial fibrillation, left atrial lesion set increased the chance of achieving sinus rhythm within 5 years by factor 6.5. The pacemaker-implantation rate was 22%, with significantly more pacemaker implantations in the left atrial group (9% vs. 32%, p = 0.0043). Conclusions: These real-world data demonstrate the high success rate of concomitant surgical ablation for atrial fibrillation. Our study highlights the importance of preoperative discussion in an interdisciplinary heart team to weigh the effectiveness of surgical ablation against the risk of a pacemaker implantation.Background and Objectives: This study aims to examine the success of concomitant surgical ablation in patients with atrial fibrillation after one, three, and five years. Additionally, important predictors for rhythm outcome and rates of permanent pacemaker implantations were analyzed. Materials and Methods: In this retrospective study, we included patients who were referred to the University Hospital of Basel, Switzerland, between 2011 and 2017. Primary outcome was one-year success of surgical ablation. Secondary outcomes include heart rhythm during entire follow-up, three- and five-years success, and need for additional arrhythmia interventions (incl. pacemaker implantation). Results: A total of 120 patients were analyzed and divided into two groups: pulmonary vein isolation (n = 55) and left atrial (n = 65). The median follow-up time was 4.4 years. Sinus rhythm was present in 66%, 64%, and 67% after one, three, and five years, respectively. When adjusted for preoperative type of atrial fibrillation, left atrial lesion set increased the chance of achieving sinus rhythm within 5 years by factor 6.5. The pacemaker-implantation rate was 22%, with significantly more pacemaker implantations in the left atrial group (9% vs. 32%, p = 0.0043). Conclusions: These real-world data demonstrate the high success rate of concomitant surgical ablation for atrial fibrillation. Our study highlights the importance of preoperative discussion in an interdisciplinary heart team to weigh the effectiveness of surgical ablation against the risk of a pacemaker implantation.
Audience	Academic
Author	Gahl, Brigitta Schaerli, Nicolas Eckstein, Friedrich S. Reuthebuch, Oliver Hersperger, Elodie Winkler, Bernhard Grapow, Martin T. R.
AuthorAffiliation	2 Herzchirurgie Aarau, Hirslanden Medical Center, 5000 Aarau, Switzerland 4 Heart Center Hirslanden Zurich, 8008 Zurich, Switzerland 3 Department of Cardiovascular Surgery KFL, Vienna Health Network, 1210 Vienna, Austria 1 University Heart Center, University Hospital Basel, 4031 Basel, Switzerland
AuthorAffiliation_xml	– name: 2 Herzchirurgie Aarau, Hirslanden Medical Center, 5000 Aarau, Switzerland – name: 4 Heart Center Hirslanden Zurich, 8008 Zurich, Switzerland – name: 1 University Heart Center, University Hospital Basel, 4031 Basel, Switzerland – name: 3 Department of Cardiovascular Surgery KFL, Vienna Health Network, 1210 Vienna, Austria
Author_xml	– sequence: 1 givenname: Elodie orcidid: 0000-0002-0053-7217 surname: Hersperger fullname: Hersperger, Elodie – sequence: 2 givenname: Nicolas surname: Schaerli fullname: Schaerli, Nicolas – sequence: 3 givenname: Brigitta orcidid: 0000-0001-8123-0438 surname: Gahl fullname: Gahl, Brigitta – sequence: 4 givenname: Oliver orcidid: 0000-0003-1386-0686 surname: Reuthebuch fullname: Reuthebuch, Oliver – sequence: 5 givenname: Friedrich S. surname: Eckstein fullname: Eckstein, Friedrich S. – sequence: 6 givenname: Bernhard surname: Winkler fullname: Winkler, Bernhard – sequence: 7 givenname: Martin T. R. surname: Grapow fullname: Grapow, Martin T. R.
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/39859023$$D View this record in MEDLINE/PubMed
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Cites_doi	10.1093/ejcts/ezv034 10.1093/europace/eux336 10.1016/j.cjca.2018.05.008 10.1016/j.hrthm.2019.05.001 10.1016/j.jtcvs.2013.03.012 10.1016/j.jacep.2023.06.008 10.3310/hta22190 10.1016/S0022-5223(19)36684-X 10.1056/NEJMoa1500528 10.1016/j.athoracsur.2005.04.060 10.1002/14651858.CD011814 10.1080/14017431.2020.1846775 10.1007/s12325-024-02959-x 10.1016/j.jtcvs.2017.02.027 10.1093/eurheartj/ehs290 10.1161/CIRCULATIONAHA.107.688358 10.1016/j.jtcvs.2017.09.147 10.1016/j.athoracsur.2009.04.014 10.1093/europace/eux275 10.1016/j.jtcvs.2021.10.064 10.1016/j.ijcard.2018.11.127 10.1093/eurheartj/ehaa612
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SubjectTerms	Ablation Ablation (Surgery) Aged Analysis Antiarrhythmics Atrial fibrillation Atrial Fibrillation - surgery Cardiac arrhythmia cardiac surgery Cardioversion Catheter Ablation - methods Catheter Ablation - statistics & numerical data Catheters Electrocardiography Female Follow-Up Studies Heart Heart beat Heart surgery Hospitals Hospitals, University - organization & administration Hospitals, University - statistics & numerical data Humans Male Medical research Medicine, Experimental Middle Aged Mortality Pacemaker, Artificial - statistics & numerical data Pacemakers Patients Retrospective Studies Success surgical ablation Switzerland Thoracic surgery Time Factors Treatment Outcome Variables
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Title	Long-Term Outcome Following Concomitant Surgical Ablation for Atrial Fibrillation at University Hospital Basel: A Retrospective Study
URI	https://www.ncbi.nlm.nih.gov/pubmed/39859023 https://www.proquest.com/docview/3159518656 https://www.proquest.com/docview/3159800668 https://pubmed.ncbi.nlm.nih.gov/PMC11767106 https://doaj.org/article/fb62d4837b8a47fa95ca533b404e2f29
Volume	61
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