Additional value of left atrium remodeling assessed by three-dimensional echocardiography for the prediction of atrial fibrillation recurrence after cryoballoon ablation

Andreea Motoc; Esther Scheirlynck; Bram Roosens; Maria-Luiza Luchian; Hadischat Chameleva; Xavier Galloo; Berlinde Von Kemp; Carlo De Asmundis; Gian-Battista Chierchia; Julien Magne; Steven Droogmans; Bernard Cosyns

doi:10.1080/00015385.2023.2163118

Additional value of left atrium remodeling assessed by three-dimensional echocardiography for the prediction of atrial fibrillation recurrence after cryoballoon ablation

Andreea Motoc, Esther Scheirlynck, Bram Roosens, Maria-Luiza Luchian, Hadischat Chameleva, Xavier Galloo, Berlinde Von Kemp, Carlo De Asmundis, Gian-Battista Chierchia, Julien Magne, Steven Droogmans, Bernard Cosyns

Research output: Contribution to journal › Article › peer-review

Abstract

Background/Introduction: Cryoballoon ablation (CBA) is a safe and efficient therapeutic option for atrial fibrillation (AF). However, AF recurrence rate remains up to 25-30%, leading to repeated ablations and increased rates of complications. Previous reports on the role of left atrial (LA) size assessed by two-dimensional echocardiography (2DE) to predict AF recurrence showed controversial results. 2DE implies geometrical assumptions of the LA remodeling, which is a three-dimensional process. Purpose: The purpose: of this study was to evaluate the additional value of LA remodeling assessed by three-dimensional echocardiography (3DE) to predict AF recurrence after CBA. Methods: Consecutive patients with paroxysmal/persistent AF undergoing CBA were prospectively included. Echocardiography was performed before CBA. The primary endpoint was AF recurrence after the blanking period (3 months). Results: One hundred seventy-two patients (62.2 ± 12.2 years, 61% male) were included in the analysis. Fifty (29%) patients had AF recurrence after the blanking period. 3DE LA maximum volume index (LAVI) had the highest incremental predictive value for AF recurrence (HR 5.50, 95% CI 1.34-22.45, p

Original language	English
Pages (from-to)	27
Number of pages	1
Journal	Acta Cardiologica
Volume	78
DOIs	https://doi.org/10.1080/00015385.2023.2163118
Publication status	Published - 20 Aug 2023

Keywords

adult
atrial fibrillation
clinical practice
conference abstract
controlled study
cryoablation
diagnostic test accuracy study
echocardiography
female
heart left atrium
human
major clinical study
male
persistent atrial fibrillation
prediction
predictive value
prospective study
sensitivity and specificity
three dimensional echocardiography
two dimensional gel electrophoresis

Access to Document

10.1080/00015385.2023.2163118

Cite this

Motoc, A., Scheirlynck, E., Roosens, B., Luchian, M.-L., Chameleva, H., Galloo, X., Von Kemp, B., De Asmundis, C., Chierchia, G.-B., Magne, J., Droogmans, S., & Cosyns, B. (2023). Additional value of left atrium remodeling assessed by three-dimensional echocardiography for the prediction of atrial fibrillation recurrence after cryoballoon ablation. Acta Cardiologica, 78, 27. https://doi.org/10.1080/00015385.2023.2163118

@article{6a19dd55f38d4c5fbbb1ada180e3d7d9,

title = "Additional value of left atrium remodeling assessed by three-dimensional echocardiography for the prediction of atrial fibrillation recurrence after cryoballoon ablation",

abstract = "Background/Introduction: Cryoballoon ablation (CBA) is a safe and efficient therapeutic option for atrial fibrillation (AF). However, AF recurrence rate remains up to 25-30%, leading to repeated ablations and increased rates of complications. Previous reports on the role of left atrial (LA) size assessed by two-dimensional echocardiography (2DE) to predict AF recurrence showed controversial results. 2DE implies geometrical assumptions of the LA remodeling, which is a three-dimensional process. Purpose: The purpose: of this study was to evaluate the additional value of LA remodeling assessed by three-dimensional echocardiography (3DE) to predict AF recurrence after CBA. Methods: Consecutive patients with paroxysmal/persistent AF undergoing CBA were prospectively included. Echocardiography was performed before CBA. The primary endpoint was AF recurrence after the blanking period (3 months). Results: One hundred seventy-two patients (62.2 ± 12.2 years, 61% male) were included in the analysis. Fifty (29%) patients had AF recurrence after the blanking period. 3DE LA maximum volume index (LAVI) had the highest incremental predictive value for AF recurrence (HR 5.50, 95% CI 1.34-22.45, p",

keywords = "adult, atrial fibrillation, clinical practice, conference abstract, controlled study, cryoablation, diagnostic test accuracy study, echocardiography, female, heart left atrium, human, major clinical study, male, persistent atrial fibrillation, prediction, predictive value, prospective study, sensitivity and specificity, three dimensional echocardiography, two dimensional gel electrophoresis",

author = "Andreea Motoc and Esther Scheirlynck and Bram Roosens and Maria-Luiza Luchian and Hadischat Chameleva and Xavier Galloo and {Von Kemp}, Berlinde and {De Asmundis}, Carlo and Gian-Battista Chierchia and Julien Magne and Steven Droogmans and Bernard Cosyns",

year = "2023",

month = aug,

day = "20",

doi = "10.1080/00015385.2023.2163118",

language = "English",

volume = "78",

pages = "27",

journal = "Acta Cardiologica",

issn = "0373-7934",

publisher = "Acta Cardiologica",

}

Motoc, A , Scheirlynck, E , Roosens, B, Luchian, M-L, Chameleva, H , Galloo, X , Von Kemp, B , De Asmundis, C , Chierchia, G-B , Magne, J , Droogmans, S & Cosyns, B 2023, 'Additional value of left atrium remodeling assessed by three-dimensional echocardiography for the prediction of atrial fibrillation recurrence after cryoballoon ablation', Acta Cardiologica, vol. 78, pp. 27. https://doi.org/10.1080/00015385.2023.2163118

TY - JOUR

T1 - Additional value of left atrium remodeling assessed by three-dimensional echocardiography for the prediction of atrial fibrillation recurrence after cryoballoon ablation

AU - Motoc, Andreea

AU - Scheirlynck, Esther

AU - Roosens, Bram

AU - Luchian, Maria-Luiza

AU - Chameleva, Hadischat

AU - Galloo, Xavier

AU - Von Kemp, Berlinde

AU - De Asmundis, Carlo

AU - Chierchia, Gian-Battista

AU - Magne, Julien

AU - Droogmans, Steven

AU - Cosyns, Bernard

PY - 2023/8/20

Y1 - 2023/8/20

N2 - Background/Introduction: Cryoballoon ablation (CBA) is a safe and efficient therapeutic option for atrial fibrillation (AF). However, AF recurrence rate remains up to 25-30%, leading to repeated ablations and increased rates of complications. Previous reports on the role of left atrial (LA) size assessed by two-dimensional echocardiography (2DE) to predict AF recurrence showed controversial results. 2DE implies geometrical assumptions of the LA remodeling, which is a three-dimensional process. Purpose: The purpose: of this study was to evaluate the additional value of LA remodeling assessed by three-dimensional echocardiography (3DE) to predict AF recurrence after CBA. Methods: Consecutive patients with paroxysmal/persistent AF undergoing CBA were prospectively included. Echocardiography was performed before CBA. The primary endpoint was AF recurrence after the blanking period (3 months). Results: One hundred seventy-two patients (62.2 ± 12.2 years, 61% male) were included in the analysis. Fifty (29%) patients had AF recurrence after the blanking period. 3DE LA maximum volume index (LAVI) had the highest incremental predictive value for AF recurrence (HR 5.50, 95% CI 1.34-22.45, p

AB - Background/Introduction: Cryoballoon ablation (CBA) is a safe and efficient therapeutic option for atrial fibrillation (AF). However, AF recurrence rate remains up to 25-30%, leading to repeated ablations and increased rates of complications. Previous reports on the role of left atrial (LA) size assessed by two-dimensional echocardiography (2DE) to predict AF recurrence showed controversial results. 2DE implies geometrical assumptions of the LA remodeling, which is a three-dimensional process. Purpose: The purpose: of this study was to evaluate the additional value of LA remodeling assessed by three-dimensional echocardiography (3DE) to predict AF recurrence after CBA. Methods: Consecutive patients with paroxysmal/persistent AF undergoing CBA were prospectively included. Echocardiography was performed before CBA. The primary endpoint was AF recurrence after the blanking period (3 months). Results: One hundred seventy-two patients (62.2 ± 12.2 years, 61% male) were included in the analysis. Fifty (29%) patients had AF recurrence after the blanking period. 3DE LA maximum volume index (LAVI) had the highest incremental predictive value for AF recurrence (HR 5.50, 95% CI 1.34-22.45, p

KW - adult

KW - atrial fibrillation

KW - clinical practice

KW - conference abstract

KW - controlled study

KW - cryoablation

KW - diagnostic test accuracy study

KW - echocardiography

KW - female

KW - heart left atrium

KW - human

KW - major clinical study

KW - male

KW - persistent atrial fibrillation

KW - prediction

KW - predictive value

KW - prospective study

KW - sensitivity and specificity

KW - three dimensional echocardiography

KW - two dimensional gel electrophoresis

UR - https://publons.com/wos-op/publon/61929580/

U2 - 10.1080/00015385.2023.2163118

DO - 10.1080/00015385.2023.2163118

M3 - Article

SN - 0373-7934

VL - 78

SP - 27

JO - Acta Cardiologica

JF - Acta Cardiologica

ER -

Additional value of left atrium remodeling assessed by three-dimensional echocardiography for the prediction of atrial fibrillation recurrence after cryoballoon ablation

Abstract

Keywords

Access to Document

Other files and links

Cite this