Cited 20 times in
Multidetector computed tomography may be an adequate screening test to reduce periprocedural stroke in atrial fibrillation ablation: A multicenter propensity-matched analysis
DC Field | Value | Language |
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dc.contributor.author | 김동욱 | - |
dc.contributor.author | 김영진 | - |
dc.contributor.author | 김종윤 | - |
dc.contributor.author | 박희남 | - |
dc.contributor.author | 엄재선 | - |
dc.contributor.author | 이문형 | - |
dc.contributor.author | 이혜정 | - |
dc.contributor.author | 정보영 | - |
dc.contributor.author | 홍성진 | - |
dc.date.accessioned | 2015-01-06T16:50:17Z | - |
dc.date.available | 2015-01-06T16:50:17Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 1547-5271 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/98866 | - |
dc.description.abstract | BACKGROUND: Whether routine transesophageal echocardiography (TEE) in addition to multidetector computed tomography (MDCT) has incremental value in preventing periprocedural stroke before atrial fibrillation (AF) ablation is unclear. OBJECTIVE: The purpose of this study was to evaluate whether screening with MDCT is sufficient for preventing periprocedural stroke. METHODS: From 4 tertiary centers, we enrolled 1147 patients (902 males, age 57 ± 11 years) with optimal anticoagulation and preserved left ventricular ejection function who had undergone MDCT and routine TEE (group 1, n = 678) or selective TEE (group 2, n = 469) as screening tests before AF ablation. Based on a propensity score analysis, 2 groups with 412 matched pairs were created. RESULTS: Patient baseline characteristics were comparable between the matched groups. In group 1 (n = 412), thrombi were detected in 4 patients (1.0%) on TEE, and ablation was not performed. These patients also showed thrombi (n = 3) or blood stasis (n = 1) on MDCT. For thrombi detection, MDCT had sensitivity and negative predictive value of 100%. In group 2 (n = 412), thrombi were detected in 7 patients (1.7%) on MDCT. Of these patients , 2 (0.5%) also showed thrombi on TEE. Periprocedural stroke incidence did not differ between the groups (0.2% each, P = 1.0). CONCLUSION: The incidence of periprocedural stroke was low and did not differ significantly between the group assigned to routine TEE vs selective TEE screening in AF patients undergoing anticoagulation therapy if the patients had conditions associated with low thrombus risk. Thus, preprocedural TEE may not be necessary before AF ablation in patients who have undergone preprocedural cardiac MDCT that shows no evidence of left atrial appendage thrombus. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 763~770 | - |
dc.relation.isPartOf | HEART RHYTHM | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Atrial Fibrillation/complications | - |
dc.subject.MESH | Atrial Fibrillation/diagnostic imaging* | - |
dc.subject.MESH | Atrial Fibrillation/surgery | - |
dc.subject.MESH | Catheter Ablation | - |
dc.subject.MESH | Echocardiography, Transesophageal | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Multidetector Computed Tomography/methods* | - |
dc.subject.MESH | Preoperative Period | - |
dc.subject.MESH | Propensity Score | - |
dc.subject.MESH | Reproducibility of Results | - |
dc.subject.MESH | Republic of Korea/epidemiology | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stroke/epidemiology | - |
dc.subject.MESH | Stroke/etiology | - |
dc.subject.MESH | Stroke/prevention & control* | - |
dc.subject.MESH | Stroke Volume | - |
dc.subject.MESH | Ventricular Function, Left | - |
dc.title | Multidetector computed tomography may be an adequate screening test to reduce periprocedural stroke in atrial fibrillation ablation: A multicenter propensity-matched analysis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Sung-Jin Hong | - |
dc.contributor.googleauthor | Jong-Yun Kim | - |
dc.contributor.googleauthor | Jin-Bae Kim | - |
dc.contributor.googleauthor | Jung-Hoon Sung | - |
dc.contributor.googleauthor | Dong Wook Kim | - |
dc.contributor.googleauthor | Jae-Sun Uhm | - |
dc.contributor.googleauthor | Hye-Jeong Lee | - |
dc.contributor.googleauthor | Young Jin Kim | - |
dc.contributor.googleauthor | Hui-Nam Pak | - |
dc.contributor.googleauthor | Moon-Hyoung Lee | - |
dc.contributor.googleauthor | Boyoung Joung | - |
dc.identifier.doi | 10.1016/j.hrthm.2014.01.026 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00926 | - |
dc.contributor.localId | A01776 | - |
dc.contributor.localId | A02337 | - |
dc.contributor.localId | A02766 | - |
dc.contributor.localId | A03609 | - |
dc.contributor.localId | A04403 | - |
dc.contributor.localId | A00727 | - |
dc.contributor.localId | A03320 | - |
dc.contributor.localId | A00407 | - |
dc.relation.journalcode | J00980 | - |
dc.identifier.eissn | 1556-3871 | - |
dc.identifier.pmid | 24469219 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S1547527114000617 | - |
dc.subject.keyword | Atrial fibrillation | - |
dc.subject.keyword | Computed tomography | - |
dc.subject.keyword | Stroke | - |
dc.subject.keyword | Transesophageal echocardiography | - |
dc.contributor.alternativeName | Kim, Dong Wook | - |
dc.contributor.alternativeName | Kim, Young Jin | - |
dc.contributor.alternativeName | Kim, Jong Youn | - |
dc.contributor.alternativeName | Pak, Hui Nam | - |
dc.contributor.alternativeName | Uhm, Jae Sun | - |
dc.contributor.alternativeName | Lee, Moon Hyoung | - |
dc.contributor.alternativeName | Lee, Hye Jeong | - |
dc.contributor.alternativeName | Joung, Bo Young | - |
dc.contributor.alternativeName | Hong, Sung Jin | - |
dc.contributor.affiliatedAuthor | Kim, Jong Youn | - |
dc.contributor.affiliatedAuthor | Pak, Hui Nam | - |
dc.contributor.affiliatedAuthor | Uhm, Jae Sun | - |
dc.contributor.affiliatedAuthor | Lee, Moon Hyoung | - |
dc.contributor.affiliatedAuthor | Joung, Bo Young | - |
dc.contributor.affiliatedAuthor | Hong, Sung Jin | - |
dc.contributor.affiliatedAuthor | Kim, Young Jin | - |
dc.contributor.affiliatedAuthor | Lee, Hye Jeong | - |
dc.contributor.affiliatedAuthor | Kim, Dong Wook | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 11 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 763 | - |
dc.citation.endPage | 770 | - |
dc.identifier.bibliographicCitation | HEART RHYTHM, Vol.11(5) : 763-770, 2014 | - |
dc.identifier.rimsid | 38834 | - |
dc.type.rims | ART | - |
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