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dc.contributor.authorRadauskaitė, Greta,
dc.contributor.authorRačkauskas, Gediminas,
dc.contributor.authorDanilenko, Svetlana,
dc.contributor.authorMarinskis, Germanas,
dc.contributor.authorAidietis, Audrius,
dc.date.accessioned2023-12-22T07:05:45Z
dc.date.available2023-12-22T07:05:45Z
dc.date.issued2023.
dc.identifier.issn1010-660X
dc.identifier.other(PMID)38004085
dc.identifier.urihttps://etalpykla.vilniustech.lt/xmlui/handle/123456789/153511
dc.description.abstractBackground and Objectives: Cryoablation is an established treatment method for atrial fibrillation (AF). We present the long-term results of cryoablation in 94 patients with paroxysmal and persistent AF treated in our center. Materials and Methods: This was an observational, retrospective study of 94 patients who underwent a cryoablation procedure for paroxysmal or persistent AF from 2015 to 2017. The follow up was 51 ± 3 months. The absence of arrhythmia was checked at 6, 12, 24, and 48 months after the procedure with 24 h Holter monitoring. We evaluated echocardiography parameters before and 48 months after cryoablation. The quality of life was assessed by calculating EHRA scores at each visit. Results: The mean history of pre-procedural AF duration was 55.3 ± 8.6 months. Paroxysmal AF was present in 42% of patients and persistent AF in 58%. Comparing the EHRA classes, a statistically significant difference was observed between the score assessed before the procedure and the score after one year, as well as when comparing the rates before the procedure and four years after the procedure (p < 0.000). The recurrence of AF was observed in 22.3% of patients 1 year after the procedure, in 26.6% of patients 2 years after the procedure, and in 34% of patients 4 years after the procedure; 9.3% of them were left in permanent AF. During the observation period, 28% of patients underwent a repeated pulmonary vein isolation procedure, and 6% of patients had a permanent pacemaker implanted. Five hematomas (5%) and one instance of phrenic nerve palsy (1%) were observed during the procedure. Conclusions: The rate of arrhythmia recurrence increased every year after cryoablation. Quality of life improved after the procedure, despite the recurrence of AF. A quarter of patients had to undergo a repeat pulmonary vein isolation procedure.eng
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dc.format.extentp. [1-10].
dc.format.mediumtekstas / txt
dc.language.isoeng
dc.relation.isreferencedbyScience Citation Index Expanded (Web of Science)
dc.relation.isreferencedbyScopus
dc.rightsLaisvai prieinamas internete.
dc.source.urihttps://talpykla.elaba.lt/elaba-fedora/objects/elaba:183291314/datastreams/MAIN/content
dc.titleResults of a 4-year follow up of patients with paroxysmal and persistent atrial fibrillation after cryoablation /
dc.typeStraipsnis Web of Science DB / Article in Web of Science DB
dcterms.licenseCreative Commons – Attribution – 4.0 International
dcterms.references34
dc.type.pubtypeS1 - Straipsnis Web of Science DB / Web of Science DB article
dc.contributor.institutionVilniaus universitetas Viešoji įstaiga Vilniaus universiteto ligoninė Santaros klinikos
dc.contributor.institutionVilniaus Gedimino technikos universitetas Vilniaus universitetas
dc.contributor.facultyFundamentinių mokslų fakultetas / Faculty of Fundamental Sciences
dc.subject.researchfieldM 001 - Medicina / Medicine
dc.subject.researchfieldN 001 - Matematika / Mathematics
dc.subject.vgtuprioritizedfieldsFM0101 - Fizinių, technologinių ir ekonominių procesų matematiniai modeliai / Mathematical models of physical, technological and economic processes
dc.subject.ltspecializationsL105 - Sveikatos technologijos ir biotechnologijos / Health technologies and biotechnologies
dc.subject.enatrial fibrillation
dc.subject.encryoablation
dc.subject.enpulmonary vein isolation
dcterms.sourcetitleMedicina (Kaunas, Lithuania).
dc.description.issueiss. 11
dc.description.volumevol. 59
dc.publisher.nameMDPI
dc.publisher.cityBasel
dc.identifier.doi38004085
dc.identifier.doi2036
dc.identifier.doi10.3390/medicina59112036
dc.identifier.elaba183291314


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