Long-term follow-up in patients treated by stent implantation for post-ablation pulmonary vein stenosis
PURPOSE: Symptomatic severe pulmonary vein stenosis (PVS) after catheter ablation of atrial fibrillation (AF) is a rare but well-recognized complication. Treatment options include pulmonary vein angioplasty with or without drug eluting balloons or angioplasty with stent implantation. The treatment of choice is unclear. In our center, pulmonary vein stenting is the treatment of choice for significantly stenotic veins. We present the long-term clinical outcome of 9 patients treated with stent implantation.
METHODS: Between 2001 and 2015, 3048 patients with AF were treated with catheter ablation at our institution, of which 9 developed symptomatic PVS. A total of 11 PVS were treated. Pre-procedural imaging (CT, MR, transesophageal echocardiography, angiography) was performed in all patients.
RESULTS: Mean time from ablation to stenting was 18 months. Three patients had recurrent pneumonia and the remaining reduced functional capacity (NYHA 2). All patients were in functional capacity NYHA 1 (p < 0.05) after a mean follow-up of 64 (18-132) months. Three patients still had paroxysmal AF, of which two have undergone repeated ablation.
CONCLUSIONS: Symptomatic PVS after AF ablation can be successfully treated by stent implantation with durable results and good clinical outcome. AF ablation is still a feasible option after stent deployment.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:53 |
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| Enthalten in: |
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing - 53(2018), 3 vom: 18. Dez., Seite 309-315 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Iversen, Elisabeth [VerfasserIn] |
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| Links: |
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| Themen: |
Ablation |
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| Anmerkungen: |
Date Completed 14.03.2019 Date Revised 25.02.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s10840-018-0370-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM283192356 |
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| 245 | 1 | 0 | |a Long-term follow-up in patients treated by stent implantation for post-ablation pulmonary vein stenosis |
| 264 | 1 | |c 2018 | |
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| 500 | |a Date Completed 14.03.2019 | ||
| 500 | |a Date Revised 25.02.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a PURPOSE: Symptomatic severe pulmonary vein stenosis (PVS) after catheter ablation of atrial fibrillation (AF) is a rare but well-recognized complication. Treatment options include pulmonary vein angioplasty with or without drug eluting balloons or angioplasty with stent implantation. The treatment of choice is unclear. In our center, pulmonary vein stenting is the treatment of choice for significantly stenotic veins. We present the long-term clinical outcome of 9 patients treated with stent implantation | ||
| 520 | |a METHODS: Between 2001 and 2015, 3048 patients with AF were treated with catheter ablation at our institution, of which 9 developed symptomatic PVS. A total of 11 PVS were treated. Pre-procedural imaging (CT, MR, transesophageal echocardiography, angiography) was performed in all patients | ||
| 520 | |a RESULTS: Mean time from ablation to stenting was 18 months. Three patients had recurrent pneumonia and the remaining reduced functional capacity (NYHA 2). All patients were in functional capacity NYHA 1 (p < 0.05) after a mean follow-up of 64 (18-132) months. Three patients still had paroxysmal AF, of which two have undergone repeated ablation | ||
| 520 | |a CONCLUSIONS: Symptomatic PVS after AF ablation can be successfully treated by stent implantation with durable results and good clinical outcome. AF ablation is still a feasible option after stent deployment | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Ablation | |
| 650 | 4 | |a Atrial fibrillation | |
| 650 | 4 | |a Long-term follow-up | |
| 650 | 4 | |a Pulmonary vein stenosis | |
| 650 | 4 | |a Stent implantation | |
| 700 | 1 | |a Packer, Erik J S |e verfasserin |4 aut | |
| 700 | 1 | |a Sandberg, Synne M |e verfasserin |4 aut | |
| 700 | 1 | |a Bleie, Øyvind |e verfasserin |4 aut | |
| 700 | 1 | |a Hoff, Per Ivar |e verfasserin |4 aut | |
| 700 | 1 | |a Schuster, Peter |e verfasserin |4 aut | |
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| 773 | 1 | 8 | |g volume:53 |g year:2018 |g number:3 |g day:18 |g month:12 |g pages:309-315 |
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