Ablation of paroxysmal atrial fibrillation using a second‐generation cryoballoon catheter or contact‐force sensing radiofrequency ablation catheter: A comparison of costs and long‐term clinical outcomes
dc.contributor.author | Yokokawa, Miki | |
dc.contributor.author | Chugh, Aman | |
dc.contributor.author | Latchamsetty, Rakesh | |
dc.contributor.author | Ghanbari, Hamid | |
dc.contributor.author | Crawford, Thomas | |
dc.contributor.author | Jongnarangsin, Krit | |
dc.contributor.author | Cunnane, Ryan | |
dc.contributor.author | Saeed, Mohammed | |
dc.contributor.author | Hornsby, Kyle | |
dc.contributor.author | Krishnasamy, Kavita | |
dc.contributor.author | Lohawijarn, Watchara | |
dc.contributor.author | Keast, Robert | |
dc.contributor.author | Karpenko, David | |
dc.contributor.author | Bogun, Frank | |
dc.contributor.author | Pelosi, Frank | |
dc.contributor.author | Morady, Fred | |
dc.contributor.author | Oral, Hakan | |
dc.date.accessioned | 2018-03-07T18:23:45Z | |
dc.date.available | 2019-04-01T15:01:09Z | en |
dc.date.issued | 2018-02 | |
dc.identifier.citation | Yokokawa, Miki; Chugh, Aman; Latchamsetty, Rakesh; Ghanbari, Hamid; Crawford, Thomas; Jongnarangsin, Krit; Cunnane, Ryan; Saeed, Mohammed; Hornsby, Kyle; Krishnasamy, Kavita; Lohawijarn, Watchara; Keast, Robert; Karpenko, David; Bogun, Frank; Pelosi, Frank; Morady, Fred; Oral, Hakan (2018). "Ablation of paroxysmal atrial fibrillation using a second‐generation cryoballoon catheter or contact‐force sensing radiofrequency ablation catheter: A comparison of costs and long‐term clinical outcomes." Journal of Cardiovascular Electrophysiology 29(2): 284-290. | |
dc.identifier.issn | 1045-3873 | |
dc.identifier.issn | 1540-8167 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/142442 | |
dc.description.abstract | IntroductionAlthough noninferiority of cryoballoon ablation (CBA) and radiofrequency catheter ablation for antral pulmonary vein isolation (APVI) has been reported in patients with paroxysmal atrial fibrillation (PAF), it is not clear whether contact force sensing (CF‐RFA) and CBA with the second‐generation catheter have similar procedural costs and long‐term outcomes. The objective of this study is to compare the long‐term efficacy and cost implications of CBA and CF‐RFA in patients with PAF.Methods and resultsA first APVI was performed in 146 consecutive patients (age: 63 ± 10 years, men: 95 [65%], left atrial diameter: 42 ± 6 mm) with PAF using CBA (71) or CF‐RFA (75). Clinical outcomes and procedural costs were compared. The mean procedure time was significantly shorter with CBA than with CF‐RFA (98 ± 39 vs. 158 ± 47 minutes, P < 0.0001). Despite a higher equipment cost in the CBA than the CF‐RFA group, the total procedure cost was similar between the two groups (P = 0.26), primarily driven by a shorter procedure duration that resulted in a lower anesthesia cost. At 25 ± 5 months after a single ablation procedure, 51 patients (72%) in the CBA, and 55 patients (73%) in the CF‐RFA groups remained free from atrial arrhythmias without antiarrhythmic drug therapy (P = 0.84).ConclusionsThe procedure duration was approximately 60 minutes shorter with CBA than CF‐RFA. The procedural costs were similar with both approaches. At 2 years after a single procedure, CBA and CF‐RFA have similar single‐procedure efficacies of 72–73%. | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | atrial fibrillation | |
dc.subject.other | cryoballoon | |
dc.subject.other | procedural cost | |
dc.subject.other | radiofrequency ablation | |
dc.subject.other | contact force | |
dc.title | Ablation of paroxysmal atrial fibrillation using a second‐generation cryoballoon catheter or contact‐force sensing radiofrequency ablation catheter: A comparison of costs and long‐term clinical outcomes | |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | |
dc.subject.hlbsecondlevel | Physiology | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/142442/1/jce13378_am.pdf | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/142442/2/jce13378.pdf | |
dc.identifier.doi | 10.1111/jce.13378 | |
dc.identifier.source | Journal of Cardiovascular Electrophysiology | |
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dc.identifier.citedreference | Reddy VY, Dukkipati SR, Neuzil P, et al. Randomized, controlled trial of the safety and effectiveness of a contact force‐sensing irrigated catheter for ablation of paroxysmal atrial fibrillation: Results of the tacticath contact force ablation catheter study for atrial fibrillation (TOCCASTAR) study. Circulation. 2015; 132: 907 – 915. | |
dc.identifier.citedreference | Yokoyama K, Nakagawa H, Shah DC, et al. Novel contact force sensor incorporated in irrigated radiofrequency ablation catheter predicts lesion size and incidence of steam pop and thrombus. Circ Arrhythm Electrophysiol. 2008; 1: 354 – 362. | |
dc.identifier.citedreference | Oral H, Chugh A, Yoshida K, et al. A randomized assessment of the incremental role of ablation of complex fractionated atrial electrograms after antral pulmonary vein isolation for long‐lasting persistent atrial fibrillation. J Am Coll Cardiol. 2009; 53: 782 – 789. | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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