中国实用内科杂志2024，Vol.44Issue(3)：210-217,8.DOI:10.19538/j.nk2024030107
外科手术室无射线下心房颤动射频消融临床效果回顾性队列研究
A retrospective cohort study on the clinical effect of radiofrequency ablation for atrial fibrillation without radiation in surgical operating room
摘要
Abstract
Objective To evaluate the safety and efficacy of radiofrequency ablation for atrial fibrillation in the surgical operating room without DSA(digital subtraction angiography).Methods Patients who underwent radiofrequency ablation for atrial fibrillation in the surgical operating room of Sir Run Run Shaw Hospital,Zhejiang University School of Medicine from January 2021 to June 2022 were enrolled,and patients who underwent ablation for atrial fibrillation during the same period were selected as the Cath Lab group for control in a 1∶1 pair,using patient's age,gender,and BMI as the main matching characteristics.Finally,149 patients in the operating room group and 152 patients in the Cath Lab group were in cohort to observe clinical endpoints such as complications of AF ablation procedures and 1-year AF recurrence.Results There was no significant difference in the incidence of main perioperative complications between the two groups,including pericardial effusion 2.01％(3/149)vs.1.97％(3/152)(P=0.980);esophageal injury 0％(0/149)vs.0.66％(1/152)(P=0.321).There was no difference in the 1-year success rate between the two groups.Survival analysis showed 95.59％(130/136)vs.91.72％(122/133)(P=0.172).Multivariate Cox regression showed that operating room was not an independent risk factor for postoperative recurrence(HR=0.32,P=0.054).The operating room group had the advantages in postoperative fever and the length of hospital stay:postoperative fever 2.01％(3/149)vs.8.55％(13/152)(P=0.011);the mean hospital stay(3.3±1.2)days vs.(4.3±1.8)days(P=0.001),and the procedure time had no difference(145.9±41.6)min vs.(154.6±45.1)min(P=0.139).Conclusion Catheter ablation for atrial fibrillation in a DSA-free surgical operating room is comparable in effective-ness,safety,and procedure time when compared with a conventional Cath Lab.关键词
心房颤动/无射线射频消融/外科手术室/发热Key words
atrial fibrillation/fluoroscopy-free radiofrequency ablation/surgical operating room/fever分类
医药卫生引用本文复制引用
方加圆,程晖,于路,蒋汝红,刘强,林建伟,孙雅逊,张培,蒋晨阳..外科手术室无射线下心房颤动射频消融临床效果回顾性队列研究[J].中国实用内科杂志,2024,44(3):210-217,8.基金项目
国家自然科学基金(81970269) （81970269）
