論文

査読有り 国際誌
2020年7月

Limited efficacy of a figure-of-eight suture for hemostasis after cryoballoon atrial fibrillation ablation with uninterrupted oral anticoagulants.

Journal of cardiology
  • Yasuharu Matsunaga-Lee
  • Yasuyuki Egami
  • Kyosuke Yanagawa
  • Hitoshi Nakamura
  • Yutaka Matsuhiro
  • Koji Yasumoto
  • Akihiro Tanaka
  • Naotaka Okamoto
  • Daisuke Nakamura
  • Masamichi Yano
  • Masaki Yamato
  • Ryu Shutta
  • Yasushi Sakata
  • Masami Nishino
  • Jun Tanouchi
  • 全て表示

76
1
開始ページ
30
終了ページ
34
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jjcc.2020.01.012

INTRODUCTION: There are limited data on the efficacy and safety of a figure-of-eight (FoE) suture technique after atrial fibrillation (AF) ablation with uninterrupted oral anticoagulants (OACs). This study evaluated the predictors of bleeding complications at the femoral puncture site after placing a FoE suture to achieve hemostasis after AF ablation with OACs. METHODS: We enrolled 287 consecutive patients who underwent a 1st session of AF ablation using radiofrequency or cryoballoon ablation. Hemostasis of the femoral puncture site was achieved using the FoE suture technique followed by a 4-h bed rest. We compared the various factors that might be correlated with bleeding complications between the patients with bleeding and those with non-bleeding complications. RESULTS: The bleeding complications were observed in 31 patients (11%). In the univariate analysis, cryoballoon ablation (52% vs. 29%, p = 0.009), HAS-BLED score (2.1 ± 1.0 vs. 1.7 ± 1.1, p = 0.030), and the CHA2DS2-VASc score (3.2 ± 1.5 vs. 2.6 ± 1.6, p = 0.049) were significantly associated with bleeding complications at the femoral puncture site. In the multivariate logistic regression analysis after an adjustment for antiplatelet therapy, cryoballoon ablation was an independent predictor of an increased incidence of the bleeding complications at the femoral puncture site (odds ratio 2.77, 95% CI 1.29-6.02, p = 0.009). CONCLUSION: Cryoballoon AF ablation was correlated with bleeding complications after a FoE suture technique with uninterrupted OACs.

リンク情報
DOI
https://doi.org/10.1016/j.jjcc.2020.01.012
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32088101
ID情報
  • DOI : 10.1016/j.jjcc.2020.01.012
  • PubMed ID : 32088101

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