Safety and Feasibility of Atrial Fibrillation Ablation and Left Atrial Appendage Occlusion at Centers With Versus Without Onsite Cardiothoracic Surgery.
Background: Atrial fibrillation (AF) ablation and left atrial appendage occlusion (LAAO) are traditionally performed in centers with onsite cardiothoracic surgery (CTS), expanding these procedures to centers without CTS (Wo‐CTS) raises questions about procedural safety and feasibility. Objective: To...
| Publicado en: | Journal of Cardiovascular Electrophysiology Vol. 36; no. 11; pp. 2894 - 2901 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190789803&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190789803 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10453873 GSB jtl: Journal of Cardiovascular Electrophysiology issn: 10453873 maglogo: Y pubinfo: dt: Nov2025 vid: 36 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 190789803 187427599 190789803 190789803 10.1111/jce.70071 190789803 ppf: 2894 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Safety and Feasibility of Atrial Fibrillation Ablation and Left Atrial Appendage Occlusion at Centers With Versus Without Onsite Cardiothoracic Surgery. aug: au: Sharma, Dinesh Hanna, Daniel Venn, Rachael Sublette, Samantha Rechani, Luis Cubeddu, Robert J. affil: Division of Cardiology, Rooney Heart Institute at NCH Healthcare System, Naples Florida, , USA sug: subj: Heart Atrium Physiopathology Heart Atrium Surgery Atrial Fibrillation Physiopathology Atrial Fibrillation Surgery Cardiac Surgery Adverse Effects Catheter Ablation Methods Patient Safety Treatment Outcomes Human Male Female Middle Age Aged Multicenter Studies Comparative Studies Retrospective Design Record Review Prospective Studies Fisher's Exact Test Unpaired T-Tests Chi Square Test T-Tests Data Analysis Software Descriptive Statistics Length of Stay Hemorrhagic Stroke Time Factors Atrial Fibrillation Epidemiology Cardiac Patients Surgical Patients Pilot Studies Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Atrial fibrillation (AF) ablation and left atrial appendage occlusion (LAAO) are traditionally performed in centers with onsite cardiothoracic surgery (CTS), expanding these procedures to centers without CTS (Wo‐CTS) raises questions about procedural safety and feasibility. Objective: To compare the safety and feasibility of AF ablation and LAAO at two centers within the Naples Comprehensive Healthcare (NCH) System in Southwest Florida, one with CTS and the other Wo‐CTS. Methods: A retrospective cohort study was conducted for consecutive patients between March 1, 2023, to May 31, 2025. Baseline demographics, clinical characteristics, and procedural complications were collected. The cardiac tamponade between the two groups was analyzed using Fisher's exact test, and length of stay (LOS) was analyzed using an independent t‐test. Patient demographics were analyzed utilizing a t‐test and χ2 test. Results: Among 2458 patients (1788 at CTS and 670 at Wo‐CTS), baseline comorbidities were similar, except for a higher prevalence of coronary artery disease at CTS. AF ablation patients at Wo‐CTS had a 0.5% tamponade rate (3/550), with one requiring surgical repair after transfer. The CTS site had a 0.1% tamponade rate (1/1353, p = 0.075), managed percutaneously. LAAO complications with one hemorrhagic stroke and one device dislodgement at CTS, both managed non‐surgically. Conclusion: This study supports the feasibility of performing AF ablation and LAAO at Wo‐CTS centers under defined protocols and by well‐trained operators. Further studies are warranted to confirm broader applicability. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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