Arrhythmias & electrophysiology
Long-term risk of right coronary artery injury after catheter ablation of cavotricuspid isthmus–dependent flutter
Authors' conclusion
There was no observed relationship between CTI RFA and the number or severity of angiographically apparent RCA stenoses in long-term follow-up.
Study context
- Population
- Patients undergoing atrial fibrillation (AF) ablation with or without cavotricuspid isthmus (CTI) ablation, 2002–2018, with subsequent coronary angiography
- Participants
- 156 patients
- Exposure
- CTI + AF ablation vs AF ablation alone
- CTI + AFn = 81
- AF alonen = 75reference
- Outcome
- Incidence and severity of angiographic RCA stenoses
- Follow-up
- Long-term
Methodological details2-center, blinded angiographic scoring, prespecified falsification end points
- 2-center
- Blinded angiographic scoring
- Prespecified falsification end points
Main finding
As reported in the abstract
- CTI ablation not a predictor of right coronary artery (RCA) stenosis severity (regression)
- P = .6
Observational data: associations, not effects.
Further findings
Time from ablation to CAG
P = 0.5
Coronary disease at sites remote to CTI (falsification end points)
- No difference in coronary disease at remote sites
- P = NS for all
Original publication
Long-term risk of right coronary artery injury after catheter ablation of cavotricuspid isthmus–dependent flutter. Heart Rhythm. Published 19 September 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →