Outcomes of atrial fibrillation ablation program based 
on single-shot techniques

Marek Jastrzębski; Grzegorz Kiełbasa; Kamil Fijorek; Adam Bednarski; Aleksander Kusiak; Tomasz Sondej; Agnieszka Bednarek; Pawel Lis; Agnieszka Olszanecka; Marek Rajzer

doi:10.5114/aic.2020.101773

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

4/2020
vol. 16

Send email

Copy url:

abstract:

Original paper

Outcomes of atrial fibrillation ablation program based on single-shot techniques

Marek Jastrzębski

¹

,

Grzegorz Kiełbasa

¹

,

Kamil Fijorek

²

,

Adam Bednarski

¹

,

Aleksander Kusiak

¹

,

Tomasz Sondej

¹

,

Agnieszka Bednarek

¹

,

Pawel Lis

¹

,

Agnieszka Olszanecka

¹

,

Marek Rajzer

¹

First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Krakow, Poland
Department of Statistics, Cracow University of Economics, Krakow, Poland

Adv Interv Cardiol 2020; 16, 4 (62): 466–473

DOI: https://doi.org/10.5114/aic.2020.101773

Online publish date: 2020/12/29

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Jastrzębski M, Kiełbasa G, Fijorek K, et al. Outcomes of atrial fibrillation ablation program based 
on single-shot techniques. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2020;16(4):466-473. doi:10.5114/aic.2020.101773.

APA

Jastrzębski, M., Kiełbasa, G., Fijorek, K., Bednarski, A., Kusiak, A.,  & Sondej, T. et al. (2020). Outcomes of atrial fibrillation ablation program based 
on single-shot techniques. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 16(4), 466-473. https://doi.org/10.5114/aic.2020.101773

Chicago

Jastrzębski, Marek, Grzegorz Kiełbasa, Kamil Fijorek, Adam Bednarski, Aleksander Kusiak, Tomasz Sondej,  and Agnieszka Bednarek et al. 2020. "Outcomes of atrial fibrillation ablation program based 
on single-shot techniques". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 16 (4): 466-473. doi:10.5114/aic.2020.101773.

Harvard

Jastrzębski, M., Kiełbasa, G., Fijorek, K., Bednarski, A., Kusiak, A., Sondej, T., Bednarek, A., Lis, P., Olszanecka, A.,  and Rajzer, M. (2020). Outcomes of atrial fibrillation ablation program based 
on single-shot techniques. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 16(4), pp.466-473. https://doi.org/10.5114/aic.2020.101773

MLA

Jastrzębski, Marek et al. "Outcomes of atrial fibrillation ablation program based 
on single-shot techniques." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 16, no. 4, 2020, pp. 466-473. doi:10.5114/aic.2020.101773.

Vancouver

Jastrzębski M, Kiełbasa G, Fijorek K, Bednarski A, Kusiak A, Sondej T et al. Outcomes of atrial fibrillation ablation program based 
on single-shot techniques. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2020;16(4):466-473. doi:10.5114/aic.2020.101773.

Introduction
Single-shot techniques such as cryoballoon and multipolar phased pulmonary vein ablation catheter (PVAC) are an alternative to the point-by-point radiofrequency method for atrial fibrillation (AF) ablation. However, there is a lack of data concerning sequential use of single-shot techniques, that is, for both the index and redo ablation. Aim: To assess long-term outcomes of the ‘single-shot techniques only’ AF ablation strategy.

Material and methods
We analyzed all consecutive AF ablations performed over a 10-year period (2009–2019) in a center where a ‘single-shot technique only’ principle was followed from the start of the AF ablation program. Kaplan-Meier AF-free survival curves were calculated and complications were assessed on the basis of our prospectively maintained database.

Results
A total of 597 patients (62.4 ±12.5 years) with paroxysmal (78.1%) or persistent (21.9%) AF entered the study and 655 AF ablation procedures were performed. In 96.5% of redos (n = 58) a different technique (mostly PVAC) was used than for the index ablation (mostly cryoballoon). The Kaplan-Meier estimates of 1, 2 and 5 years freedom from AF were 78.2%, 69.2%, and 56.0%, for the index ablation, and 80.3%, 76.1% and 68.3%, for the redo, respectively. The minor and major complication rates were 8.1%, and 4.0%, respectively.

Conclusions
An AF ablation program based solely on sequential use of two different single-shot techniques for both index and redo procedures is safe and effective. These observations might have important practical implications for new operators/centers starting AF ablation programs and for use of single-shot techniques for redo procedures.

keywords:

Outcomes of atrial fibrillation ablation program based on single-shot techniques

Marek Jastrzębski 1 , Grzegorz Kiełbasa 1 , Kamil Fijorek 2 , Adam Bednarski 1 , Aleksander Kusiak 1 , Tomasz Sondej 1 , Agnieszka Bednarek 1 , Pawel Lis 1 , Agnieszka Olszanecka 1 , Marek Rajzer 1

atrial fibrillation ablation, redo ablation, single-shot technique, pulmonary vein ablation catheter, cryoballoon

Marek Jastrzębski

¹

,

Grzegorz Kiełbasa

¹

,

Kamil Fijorek

²

,

Adam Bednarski

¹

,

Aleksander Kusiak

¹

,

Tomasz Sondej

¹

,

Agnieszka Bednarek

¹

,

Pawel Lis

¹

,

Agnieszka Olszanecka

¹

,

Marek Rajzer

¹