Initial multicenter clinical experience with the first-generation endoscopic guided laser balloon in Japan

被引：0
|
作者：
Goya, Masahiko [1 ]
Hirao, Kenzo [1 ]
Aonuma, Kazutaka [2 ]
Nogami, Akihiko [2 ]
Yamane, Teiichi [3 ]
Yamauchi, Yasuteru [4 ]
Okishige, Kaoru [4 ]
Yotsukura, Akihiko [5 ]
Kimura, Masaomi [6 ]
Naito, Shigeto [7 ]
Kato, Ritsushi [8 ]
Nitta, Junichi [9 ]
Inaba, Osamu [9 ]
Satomi, Kazuhiro [10 ]
Morita, Norishige [11 ]
Kobayashi, Yoshinori [11 ]
Inden, Yasuya [12 ]
Yoshida, Yukihiko [13 ]
Kakita, Ken [14 ]
Kobori, Atsushi [15 ]
Kusano, Kengo [16 ]
Inoue, Koichi [17 ,18 ]
Masuda, Masaharu [19 ]
Hiroshima, Kenichi [20 ]
Koyama, Junjiroh [21 ]
Kumagai, Koichiro [22 ]
Okumura, Ken [21 ]
HeartLight Study Investigators
机构：
[1] Tokyo Med & Dent Univ, Dept Cardiovasc Med, Yushima 1-5-45, Bunkyo Ku, Tokyo 1138519, Japan
[2] Univ Tsukuba, Fac Med, Dept Cardiol, Ibaraki, Japan
[3] Jikei Univ, Dept Internal Med, Div Cardiol, Sch Med, Tokyo, Japan
[4] Japan Red Cross Yokohama City Bay Hosp, Heart Ctr, Yokohama, Japan
[5] Hokko Mem Hosp, Dept Cardiovasc Med, Sapporo, Japan
[6] Hirosaki Univ, Adv Management Cardiac Arrhythmias, Grad Sch Med, Hirosaki, Japan
[7] Gunma Prefectural Cardiovasc Ctr, Div Cardiol, Maebashi, Gunma, Japan
[8] Saitama Med Univ, Dept Cardiol, Int Med Ctr, Hidaka, Japan
[9] Japanese Red Cross Saitama Hosp, Dept Cardiol, Saitama, Japan
[10] Tokyo Med Univ Hosp, Dept Cardiol, Tokyo, Japan
[11] Tokai Univ Hachioji Hosp, Dept Med, Div Cardiol, Tokyo, Japan
[12] Nagoya Univ, Dept Cardiol, Grad Sch Med, Nagoya, Japan
[13] Nagoya Daini Hosp, Japanese Red Cross Aichi Med Ctr, Dept Cardiol, Nagoya, Japan
[14] Koseikai Takeda Hosp, Dept Arrhythmia, Kyoto, Japan
[15] Kobe City Med Ctr Gen Hosp, Div Cardiol, Kobe, Japan
[16] Natl Cerebral & Cardiovasc Ctr, Dept Cardiovasc Med, Osaka, Japan
[17] Sakurabashi Watanabe Hosp, Cardiovasc Ctr, Osaka, Japan
[18] Natl Hosp Org Osaka Natl Hosp, Osaka, Japan
[19] Kansai Rosai Hosp Cardiovasc Ctr, Amagasaki, Hyogo, Japan
[20] Kokura Mem Hosp, Dept Cardiol, Kitakyushu, Japan
[21] Saiseikai Kumamoto Hosp Cardiovasc Ctr, Div Cardiol, Kumamoto, Japan
[22] Int Univ Hlth & Welf, Fukuoka Sanno Hosp, Heart Rhythm Ctr, Fukuoka, Japan
来源：
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY | 2023年 / 66卷 / 07期
关键词：
Catheter ablation; Atrial fibrillation; Laser balloon; HeartLight; Balloon ablation; PULMONARY VEIN ISOLATION; ABLATION; CATHETER; CRYOBALLOON;
D O I：
10.1007/s10840-023-01493-0
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
BackgroundIsolation of the pulmonary veins (PVs) is the golden standard for atrial fibrillation (AF) ablation. To achieve a permanent PV isolation, the endoscopic guided HeartLight laser balloon system was invented. We analyzed the safety and efficacy of this laser balloon system.Methods and resultsThree hundred four patients from 21 investigational sites inside Japan were enrolled in this study. One thousand sixty-two out of 1175 PVs (90.4%) were isolated using the HeartLight laser balloon. The isolation rate of the left superior, left inferior, right superior, and right inferior PVs was 87.8%, 91.3%, 91.6%, and 92.1%, respectively. The procedure time, defined as the time from the venous access to taking out the balloon, was 155 +/- 39 min. The fluoroscopic time was 44 +/- 25 min. The mean follow-up period was 309 +/- 125 days. The freedom from AF recurrence at 3 months was 89.0% and at 12 months 82.1%. Adverse events occurred in 22 patients (7.2%) including phrenic nerve injury lasting more than 3 months in 1.6% and strokes in 1.0% of the patients.ConclusionsThis initial experience demonstrated that the laser balloon ablation was feasible for PV isolation in Japanese AF patients.
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页码：1713 / 1721
页数：9
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