The blanking period after atrial fibrillation ablation: an European Heart Rhythm Association survey on contemporary definition and management

Stefano Bordignon, Sergio Barra, Rui Providencia, Carlo de Asmundis, Eloi Marijon, Michal M Farkowski, Ante Anic, Jose M Guerra, Jedrzej Kosiuk, Konstantinos Iliodromitis, Boris Schmidt, Giulio Conte, Julian Kr Chun, Serge Boveda

Onderzoeksoutput: Articlepeer review

4 Citaten (Scopus)

Samenvatting

The use of a blanking period (BP) after an atrial fibrillation (AF) ablation procedure is a common practice, but recent data questions the benign nature of early recurrences of atrial tachyarrhythmias (ERATs). A physician-based survey was carried out by the European Heart Rhythm Association (EHRA) to investigate the current definition and applicability of BP and ERAT management. An online questionnaire was sent to clinical and interventional electrophysiologists. A total of 436 respondents (88% interventional electrophysiologists) reported observing ERATs in 25% (interquartile range 15-35) of patients, less commonly in paroxysmal AF (PAF) compared with persistent AF (persAF). The median reported duration of BP used by respondents was 90 days, with 22% preferring a shorter BP duration for PAF patients compared with persAF. Half of the patients with ERATs are expected to also experience late recurrences (LR). Isolated episodes of ERATs are treated conservatively by 99% of the respondents, but repeat ablation during the BP is preferred by 20% of electrophysiologists for multiple ERATs and by 16% in patients with organized atrial tachyarrhythmias. In conclusion, ERATs are commonly observed after AF ablation, particularly in persAF patients, and are perceived as predictors of LR by half of the respondents. A general adherence to a 90-day BP duration was observed. During this time period, ERAT is mainly treated conservatively, but repeat ablation during the BP is occasionally offered to patients with multiple ERATs and those with organized atrial tachyarrhythmias.

Originele taal-2English
Pagina's (van-tot)1684-1690
Aantal pagina's7
TijdschriftEuropace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Volume24
Nummer van het tijdschrift10
Vroegere onlinedatum9 aug 2022
DOI's
StatusPublished - 13 okt 2022

Bibliografische nota

© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Vingerafdruk

Duik in de onderzoeksthema's van 'The blanking period after atrial fibrillation ablation: an European Heart Rhythm Association survey on contemporary definition and management'. Samen vormen ze een unieke vingerafdruk.

Citeer dit