Cardioneuroablation for the management of patients with recurrent vasovagal syncope and symptomatic bradyarrhythmias : the CNA-FWRD Registry

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..

BACKGROUND: Cardioneuroablation has been emerging as a potential treatment alternative in appropriately selected patients with cardioinhibitory vasovagal syncope (VVS) and functional AV block (AVB). However the majority of available evidence has been derived from retrospective cohort studies performed by experienced operators.

METHODS: The Cardioneuroablation for the Management of Patients with Recurrent Vasovagal Syncope and Symptomatic Bradyarrhythmias (CNA-FWRD) Registry is a multicenter prospective registry with cross-over design evaluating acute and long-term outcomes of VVS and AVB patients treated by conservative therapy and CNA.

RESULTS: The study is a prospective observational registry with cross-over design for analysis of outcomes between a control group (i.e., behavioral and medical therapy only) and intervention group (Cardioneuroablation). Primary and secondary outcomes will only be assessed after enrollment in the registry. The follow-up period will be 3 years after enrollment.

CONCLUSIONS: There remains a lack of prospective multicentered data for long-term outcomes comparing conservative therapy to radiofrequency CNA procedures particularly for key outcomes including recurrence of syncope, AV block, durable impact of disruption of the autonomic nervous system, and long-term complications after CNA. The CNA-FWRD registry has the potential to help fill this information gap.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing - (2024) vom: 18. März

Sprache:

Englisch

Beteiligte Personen:

Aksu, Tolga [VerfasserIn]
Tung, Roderick [VerfasserIn]
De Potter, Tom [VerfasserIn]
Markman, Timothy M [VerfasserIn]
Santangeli, Pasquale [VerfasserIn]
du Fay de Lavallaz, Jeanne [VerfasserIn]
Winterfield, Jeffrey R [VerfasserIn]
Baykaner, Tina [VerfasserIn]
Alyesh, Daniel [VerfasserIn]
Joza, Jacqueline E [VerfasserIn]
Gopinathannair, Rakesh [VerfasserIn]
Badertscher, Patrick [VerfasserIn]
Do, Duc H [VerfasserIn]
Hussein, Ayman [VerfasserIn]
Osorio, Jose [VerfasserIn]
Dewland, Thomas [VerfasserIn]
Perino, Alexander [VerfasserIn]
Rodgers, Albert J [VerfasserIn]
DeSimone, Christopher [VerfasserIn]
Alfie, Alberto [VerfasserIn]
Atwater, Brett D [VerfasserIn]
Singh, David [VerfasserIn]
Kumar, Kapil [VerfasserIn]
Salcedo, Jonathan [VerfasserIn]
Bradfield, Jason S [VerfasserIn]
Upadhyay, Gaurav [VerfasserIn]
Sood, Nitesh [VerfasserIn]
Sharma, Parikshit S [VerfasserIn]
Gautam, Sandeep [VerfasserIn]
Kumar, Vineet [VerfasserIn]
Forno, Alexander Romeno Janner Dal [VerfasserIn]
Woods, Christopher E [VerfasserIn]
Rav-Acha, Moshe [VerfasserIn]
Valeriano, Chiara [VerfasserIn]
Kapur, Sunil [VerfasserIn]
Enriquez, Andres [VerfasserIn]
Sundaram, Sri [VerfasserIn]
Glikson, Michael [VerfasserIn]
Gerstenfeld, Edward [VerfasserIn]
Piccini, Jonathan [VerfasserIn]
Tzou, Wendy S [VerfasserIn]
Sauer, William [VerfasserIn]
d'Avila, Andre [VerfasserIn]
Shivkumar, Kalyanam [VerfasserIn]
Huang, Henry D [VerfasserIn]

Links:

Volltext

Themen:

AV block
Cardioneuroablation
Ganglionated plexi
Journal Article
Syncope
Vasovagal syncope

Anmerkungen:

Date Revised 19.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s10840-024-01789-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369894693