Arrhythmias & electrophysiology

Hybrid Ablation Versus Repeated Catheter Ablation in Persistent Atrial Fibrillation: A Randomized Controlled Trial

JACC Clin ElectrophysiolPublished Randomised controlled trial

Authors' conclusion

Hybrid AF ablation is an efficacious and safe procedure and results in better outcomes than catheter ablation for the treatment of patients with persistent AF.

Study context

Population
Ablation-naive patients with (long-standing) persistent atrial fibrillation (AF)
Participants
41 patients
Comparison
Hybrid ablation vs catheter ablation
  • Hybrid ablation (HA)n = 19
  • Catheter ablation (CA)n = 22reference
Primary endpoint
Freedom from any atrial tachyarrhythmia >5 minutes off antiarrhythmic drugs
Follow-up
12 months
Methodological detailsprospective, superiority, unblinded
  • Prospective
  • Superiority
  • Unblinded

Primary result

As reported in the abstract

P = 0.002

Safety

OutcomeHACA
Complications
Pericarditis requiring pericardiocentesis1— not stated in the abstract
Femoral arteriovenous fistula1— not stated in the abstract
Femoral artery bleeding— not stated in the abstract1

— not stated in the abstract

(Serious) adverse events · 21% vs 14%, comparable between groups
P = 0.685

Complications

No deaths, strokes, pacemaker implantations or conversions to sternotomy

Original publication

Hybrid Ablation Versus Repeated Catheter Ablation in Persistent Atrial Fibrillation: A Randomized Controlled Trial. JACC Clin Electrophysiol. Published 18 January 2023. doi:10.1016/j.jacep.2022.12.011

Composed by AI from the published abstract and checked against it. How Briefs are made →

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