2026-09-14T21:11:50Zhttps://gredos.usal.es/oai/request

oai:gredos.usal.es:10366/1613142026-06-19T12:31:15Zcom_10366_4019com_10366_3947com_10366_3946com_10366_3823col_10366_4020

Anguera, Ignasi Dallaglio, Paolo Macías, Rosa Jiménez Candil, Francisco Javier Peinado, Rafael García-Seara, Javier Arcocha, Mari Fe Herreros, Benito Quesada, Aurelio Hernández Madrid, Antonio Álvarez, Miguel Filgueiras, David Matía, Roberto Cequier, Angel Sabaté, Xavier 2024-12-20T09:56:04Z 2024-12-20T09:56:04Z 2015-06-15 2099-12-31 Anguera, I., Dallaglio, P., Macías, R., Jiménez-Candil, J., Peinado, R., García-Seara, J., Arcocha, M. F., Herreros, B., Quesada, A., Hernández-Madrid, A., Alvarez, M., Filgueiras, D., Matía, R., Cequier, A., & Sabaté, X. (2015). Long-Term Outcome After Ablation of Right Atrial Tachyarrhythmias After the Surgical Repair of Congenital and Acquired Heart Disease. American Journal of Cardiology, 115(12), 1705-1713. https://doi.org/10.1016/J.AMJCARD.2015.03.017 0002-9149 http://hdl.handle.net/10366/161314 10.1016/j.amjcard.2015.03.017 25896151 1879-1913 [EN]Atrial myopathy, atriotomies, and fibrotic scars are the pathophysiological substrate of lines of conduction block, promoting atrial macroreentry. The aim of this study was to determine the acute and long-term outcome of radiofrequency catheter ablation (RFCA) for right atrial tachyarrhythmia (AT) in adults after cardiac surgery for congenital heart disease (CHD) and acquired heart disease (AHD) and predictors of these outcomes. Clinical records of adults after surgery for heart disease undergoing RFCA of right-sided AT were analyzed retrospectively. Multivariate analyses identified clinical and procedural factors predicting acute and long-term outcomes. A total of 372 patients (69% men; age 61 ± 15 years) after surgical repair of CHD (n = 111) or AHD (n = 261) were studied. Cavotricuspid isthmus-dependent atrial flutter (CTI-AFL) was observed in 300 patients and non-CTI-AFL in 72 patients. Ablation was successful in 349 cases (94%). During a mean follow-up of 51 ± 30 months, recurrences were observed in 24.5% of patients. Multivariate analysis showed that non-CTI-AFL (hazard ratio [HR] 1.78, 95% confidence interval [CI] 1.1 to 2.9) and CHD (HR 1.75, 95% CI 1.07 to 2.9) were independent predictors of long-term recurrences. Multivariate analysis showed that female gender (HR 2.29, 95% CI 1.6 to 3.3), surgery for AHD (HR 95% 2.31, 95% CI 1.5 to 3.7), and left atrial dilatation (HR 2.1, 95% CI 1.3 to 3.2) were independent predictors of long-term atrial fibrillation. In conclusion, RFCA of right-sided AT after cardiac surgery is associated with high acute success rates and significant long-term recurrences. Non-CTI-dependent AFL and surgery for CHD are at higher risk of recurrence. Atrial fibrillation is common during follow-up, particularly in patients with AHD and enlarged left atrium. eng Elsevier Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/embargoedAccess Atrial fluter Cateter ablation Cardiac surgery Heart Diseases Treatment Outcome Humans Heart Atria Cardiac Surgical Procedures Middle Aged Tachycardia Catheter Ablation Retrospective Studies resultado del tratamiento enfermedades cardíacas humanos procedimientos quirúrgicos cardíacos atrios cardíacos mediana edad estudios retrospectivos taquicardia ablación por catéter Long-term outcome after ablation of right atrial tachyarrhythmias after the surgical repair of congenital and acquired heart disease info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion https://doi.org/10.1016/J.AMJCARD.2015.03.017 American Journal of Cardiology 115 12 1705 1713