Arrhythmias & electrophysiologyCohort study

Repeat catheter ablation after very late recurrence of atrial fibrillation after pulmonary vein isolation

EuropacePublished

  • Prospective registry cohort study
  • Swiss

Authors' conclusion

There was no association between the time to recurrence of AF after initial CA and the characteristics and outcomes of the repeat procedure.

Study context

Population
Patients undergoing a first repeat atrial fibrillation (AF) catheter ablation after index pulmonary vein isolation, Swiss prospective registryof 1864 in registry
Participants
426 patients
Exposure
Late recurrence vs early recurrence of AF before first repeat ablation
  • Early recurrence (ER)n = 291reference
  • Late recurrence (LR)n = 135
Outcome
Freedom from AF
Follow-up
First year after repeat ablation

Main finding

As reported in the abstract

AF recurrence

log-rank P = 0.72

Observational data: associations, not effects.

Further findings

Pulmonary vein reconnections

P = 0.052

Original publication

Repeat catheter ablation after very late recurrence of atrial fibrillation after pulmonary vein isolation. Europace. Published 12 April 2024. doi:10.1093/europace/euae096

Summarised from the published abstract; every number is checked against it