ownleft.blogg.se - Atrial flutter ablation cpt

Objective To use health system data to compare the safety and effectiveness of the CF-I6 catheter for persistent AF ablation with the ThermoCool SmartTouch SurroundFlow catheter (ablation catheter with contact force and 56-hole irrigation ), which is approved by the FDA for this indication.ĭesign, Setting, and Participants This retrospective, comparative-effectiveness cohort study included patients undergoing catheter ablation for persistent AF at Mercy Health or Mayo Clinic from January 1, 2014, to April 30, 2021, with up to a 1-year follow-up using electronic health record data.Įxposures Use of the CF-I6 or CF-I56 catheter. There is a need to understand whether data from routine clinical practice can be used to conduct regulatory-grade evaluations and support label expansions. Importance The ThermoCool SmartTouch catheter (ablation catheter with contact force and 6-hole irrigation ) is approved by the US Food and Drug Administration (FDA) for paroxysmal atrial fibrillation (AF) ablation and used in routine clinical practice for persistent AF ablation, although clinical outcomes for this indication are unknown.

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Cumulative Incidence of Exploratory Effectiveness Outcome at 365 Days Among Covariate-Balanced Data at Mayo Clinic Cumulative Incidence of Exploratory Effectiveness Outcome at 365 Days Among Covariate-Balanced Data at MercyĮFigure 4. Cumulative Incidence of Primary Safety Outcome Among Covariate-Balanced Data at Mayo ClinicĮFigure 3. Cumulative Incidence of Primary Safety Outcome Among Covariate-Balanced Data at MercyĮFigure 2. Cumulative Incidences and Risk Differences of the Primary Composite Safety Outcome Among Patients Undergoing Ablation for Persistent Atrial Fibrillation With a Prior Prescription of Class I or III Anti-arrhythmic Drug Within the 6 Months Before the Index Ablation Using Propensity Score Balanced DataĮFigure 1. Cumulative Incidences and Risk Differences of the Primary Composite Safety Outcome Among Patients Undergoing Ablation for Persistent Atrial Fibrillation Using Propensity Score Balanced Data With Exclusion of Hospital Bed Size From the Propensity Score Model in the Mayo Clinic DatabaseĮTable 6. Summary of Charts Reviewed for Safety OutcomeĮTable 5. Absolute Standardized Differences (ASDs) According to Unadjusted (Crude) Data and Different Propensity Score Methods Among Patients Undergoing Ablation for Persistent Atrial Fibrillation in the Mayo Clinic DatabaseĮTable 4. Absolute Standardized Differences (ASDs) According to Unadjusted (Crude) Data and Different Propensity Score Methods Among Patients Undergoing Ablation for Persistent Atrial Fibrillation in the Mercy DatabaseĮTable 3. Patient Follow-up 365 Days After Index Catheter Ablation With a Catheter with Contact Force and 6-hole Irrigation or a Catheter with Contact Force and 56-hole IrrigationĮTable 2. If this happens, the procedure may be repeated or you and your health care provider might consider other treatments.ETable 1. Most people see improvements in their quality of life after this type of cardiac ablation, but there's a chance the atrial flutter may return.

ResultsĪfter atrial flutter ablation, you'll need regular checkups to monitor your heart. Afterward, you'll be taken to a recovery area where care providers will closely monitor your condition.ĭepending on your condition, you may be allowed to go home the same day or you may spend a night in the hospital. The scarring helps block the electrical signals that are causing the atrial flutter.Ītrial flutter ablation typically takes two to three hours. Heat (radiofrequency energy) is applied to the target area, damaging the tissue and causing scarring.

This information is used to determine the best place to apply the ablation treatment. Sensors on the tip of the catheter send electrical impulses and record the heart's electricity. The doctor inserts a long flexible tube (catheter) into the vein and carefully guides it into your heart. Once the sedative takes effect, a small area near a vein, usually in your groin, is numbed. You'll likely receive a medication to help you relax (sedative). What you can expectĪtrial flutter ablation is done in the hospital. Atrial flutter ablation may restore a typical heart rhythm, which may improve quality of life. Atrial flutter ablation is done to control the signs and symptoms associated with atrial flutter.