Publications by authors named "Mikkel Giehm-Reese"
Article Synopsis
- Contact force (CF)-guided catheter ablation (CA) was tested to determine if it improves outcomes in treating typical atrial flutter compared to a CF-blinded approach.
- In a study of 150 patients, no significant difference was found in recurrent atrial arrhythmia rates after 12 months between the CF-guided and CF-blinded groups, with 47% and 44% experiencing recurrent issues, respectively.
- The findings indicate that using CF guidance during ablation does not lead to better long-term results regarding recurrent atrial arrhythmias.
Article Synopsis
- Oral anticoagulation (OAC) is recommended for patients with atrial fibrillation (AF) and atrial flutter (AFL) who have higher CHADS-VASc scores, even after catheter ablation.
- A study analyzed 2,409 patients who underwent cavo-tricuspid isthmus ablation (CTIA) for AFL, revealing that 30% of them discontinued OAC during a follow-up period of about 4 years.
- Findings indicated younger patients with fewer health issues were more likely to stop OAC, but those who did face increased risks of mortality and stroke, especially correlated with older age and higher CHADS-VASc scores.
Aims: Contact force (CF) sensing has emerged as a tool to guide and improve outcomes for catheter ablation (CA) for cardiac arrhythmias. The clinical benefit on patient outcomes remains unknown. To study whether CF-guided CA for typical atrial flutter (AFL) is superior to CA not guided by CF.
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- Cavo tricuspid isthmus ablation (CTIA) is an effective treatment for typical atrial flutter (AFL), but many patients develop atrial fibrillation (AF) afterward.
- A study analyzed data from 2409 patients in the Danish National Ablation Registry who underwent first-time CTIA between 2010 and 2016, following their outcomes until 2018.
- Findings revealed that 10% of the patients needed a re-ablation for AFL and 13.5% underwent ablation for AF over an average follow-up of 4 years, with younger patients and those with fewer health issues being more likely to require additional procedures.
Left atrial flutter has been reported in up to 10% of patients following pulmonary vein isolation or cardiac surgery. Left atrial flutter is typically highly symptomatic, responds poorly to medical antiarrhythmic treatment, and is often treated by catheter ablation. We aimed to investigate midterm freedom from recurrent arrhythmia after catheter ablation for left atrial flutter.
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