![]() Probability of a second procedure was higher in younger patients with less comorbidities.Ītrial flutter Catheter ablation New-onset atrial fibrillation Repeat ablation.Ĭopyright © 2019 Elsevier B.V. In a nation-wide cohort undergoing first-time CTIA for AFL, 10% of patients underwent CTI re-ablation and 13.5% ablation for AF during mean follow-up of 4.0 ± 1.7 years. Hypertension, history of AF-ablation, age <65 years use of a contact force sensing catheter and CHA2DS2-VASc score <2 were associated with later ablation for AF. Baseline characteristics associated with CTI re-ablation included prolonged procedural time, unsuccessful index CTIA, age <75 years and CHA2DS2-VASc score <2. During mean follow-up of 4.0 ± 1.7 years, 242 (10%) patients underwent CTI re-ablation and 326 (13.5%) underwent ablation for AF. Although the ablation procedure prevents atrial flutter from returning, it does not target the ectopic beats (or electrical sparks) which trigger the short circuit in the first place. The risk of the atrial flutter returning or recurring after an apparently successful procedure is approximately 2. I dont know the current prices but think £15,000 plus hotel costs of the hospital at circa £500 per night. The success rate of the procedure is 95 to 98. Yes make a private appointment but ask if you can be transfered onto NHS list if the EP will accept you. Acute procedural success was achieved in 2288 (95%) patients. Ablation is never life saving, merely for quality of life and many of us here have had multiple ablations. Median age was 66 (IQR 58-72) years, 1952 (81%) were men, and 78 (3%) patients had a history of previous ablation for AF. We identified 2409 patients undergoing first-time CTIA. We collected information on patient comorbidities in the Danish National Patient Registry. ![]() Subsequent CTIA and AF-ablation procedures were identified until March 1st, 2018. In the Danish National Ablation Registry we identified patients undergoing first-time CTIA during 2010-2016. To describe incidences of re-ablation for AFL and ablation for AF after first-time CTIA in a nation-wide cohort. Knowledge about recurrent arrhythmia after CTIA mainly comes from small cohort studies with limited follow-up. However, many patients develop atrial fibrillation (AF) after successful CTIA. Cavo tricuspid isthmus ablation (CTIA) is considered an effective first-line treatment for typical atrial flutter (AFL).
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