-
Je něco špatně v tomto záznamu ?
Ultrasound-guided versus conventional femoral venipuncture for catheter ablation of atrial fibrillation: a multicentre randomized efficacy and safety trial (ULTRA-FAST trial)
K. Yamagata, D. Wichterle, T. Roubícek, P. Jarkovský, Y. Sato, T. Kogure, P. Peichl, P. Konecný, H. Jansová, P. Kucera, B. Aldhoon, R. Cihák, Y. Sugimura, J. Kautzner,
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu srovnávací studie, časopisecké články, multicentrická studie, randomizované kontrolované studie
NLK
Free Medical Journals
od 1999 do Před 1 rokem
PubMed Central
od 2008
Open Access Digital Library
od 1999-01-01
Medline Complete (EBSCOhost)
od 1999-01-01
Oxford Journals Open Access Collection
od 1999-01-01
PubMed
28575490
DOI
10.1093/europace/eux175
Knihovny.cz E-zdroje
- MeSH
- časové faktory MeSH
- fibrilace síní diagnóza patofyziologie chirurgie MeSH
- intervenční ultrasonografie * MeSH
- katetrizační ablace * škodlivé účinky MeSH
- lidé středního věku MeSH
- lidé MeSH
- periferní katetrizace škodlivé účinky metody MeSH
- pooperační komplikace etiologie MeSH
- předčasné ukončení klinických zkoušek MeSH
- punkce MeSH
- rizikové faktory MeSH
- senioři MeSH
- vena femoralis diagnostické zobrazování MeSH
- výsledek terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- randomizované kontrolované studie MeSH
- srovnávací studie MeSH
- Geografické názvy
- Česká republika MeSH
- Japonsko MeSH
Aims: Complications of catheter ablation for atrial fibrillation (AF) are frequently related to vascular access. We hypothesized that ultrasound-guided (USG) venipuncture may facilitate the procedure and reduce complication rates. Methods and results: We conducted a multicentre, randomized trial in patients undergoing catheter ablation for AF on uninterrupted anticoagulation therapy. The study enrolled consecutive 320 patients (age: 63 ± 8 years; male: 62%) and were randomized to USG or conventional venipuncture in 1:1 fashion. It was prematurely terminated due to substantially lower-than-expected complication rates, which doubled the population size needed to maintain statistical power. While the complication rates did not differ between two study arms (0.6% vs. 1.9%, P = 0.62), intra-procedural outcome measures were in favour of the USG approach (puncture time, 288 vs. 369 s, P < 0.001; first pass success, 74% vs. 20%, P < 0.001; extra puncture attempts 0.5 vs. 2.1, P < 0.001; inadvertent arterial puncture 0.07 vs. 0.25, P < 0.001; unsuccessful cannulation 0.6% vs. 14%, P < 0.001). Though these measures varied between trainees (49% of procedures) and expert operators, between-arm differences (except for unsuccessful cannulation) were comparably significant in favour of USG approach for both subgroups. Conclusions: Ultrasound-guided puncture of femoral veins was associated with preferable intra-procedural outcomes, though the major complication rates were not reduced. Both trainees and expert operators benefited from the USG strategy. (www.clinicaltrials.gov ID: NCT02834221).
Department of Cardiology Kawakita General Hospital 1 7 3 Asagaya kita Suginami ku Tokyo Japan
Department of Cardiology Regional Hospital Liberec Husova 357 10 Liberec Czech Republic
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc19028785
- 003
- CZ-PrNML
- 005
- 20190819085632.0
- 007
- ta
- 008
- 190813s2018 enk f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1093/europace/eux175 $2 doi
- 035 __
- $a (PubMed)28575490
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a enk
- 100 1_
- $a Yamagata, Kenichiro $u Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague, Vídenská 1958/9, Prague 4, Czech Republic.
- 245 10
- $a Ultrasound-guided versus conventional femoral venipuncture for catheter ablation of atrial fibrillation: a multicentre randomized efficacy and safety trial (ULTRA-FAST trial) / $c K. Yamagata, D. Wichterle, T. Roubícek, P. Jarkovský, Y. Sato, T. Kogure, P. Peichl, P. Konecný, H. Jansová, P. Kucera, B. Aldhoon, R. Cihák, Y. Sugimura, J. Kautzner,
- 520 9_
- $a Aims: Complications of catheter ablation for atrial fibrillation (AF) are frequently related to vascular access. We hypothesized that ultrasound-guided (USG) venipuncture may facilitate the procedure and reduce complication rates. Methods and results: We conducted a multicentre, randomized trial in patients undergoing catheter ablation for AF on uninterrupted anticoagulation therapy. The study enrolled consecutive 320 patients (age: 63 ± 8 years; male: 62%) and were randomized to USG or conventional venipuncture in 1:1 fashion. It was prematurely terminated due to substantially lower-than-expected complication rates, which doubled the population size needed to maintain statistical power. While the complication rates did not differ between two study arms (0.6% vs. 1.9%, P = 0.62), intra-procedural outcome measures were in favour of the USG approach (puncture time, 288 vs. 369 s, P < 0.001; first pass success, 74% vs. 20%, P < 0.001; extra puncture attempts 0.5 vs. 2.1, P < 0.001; inadvertent arterial puncture 0.07 vs. 0.25, P < 0.001; unsuccessful cannulation 0.6% vs. 14%, P < 0.001). Though these measures varied between trainees (49% of procedures) and expert operators, between-arm differences (except for unsuccessful cannulation) were comparably significant in favour of USG approach for both subgroups. Conclusions: Ultrasound-guided puncture of femoral veins was associated with preferable intra-procedural outcomes, though the major complication rates were not reduced. Both trainees and expert operators benefited from the USG strategy. (www.clinicaltrials.gov ID: NCT02834221).
- 650 _2
- $a senioři $7 D000368
- 650 _2
- $a fibrilace síní $x diagnóza $x patofyziologie $x chirurgie $7 D001281
- 650 12
- $a katetrizační ablace $x škodlivé účinky $7 D017115
- 650 _2
- $a periferní katetrizace $x škodlivé účinky $x metody $7 D002406
- 650 _2
- $a předčasné ukončení klinických zkoušek $7 D057239
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a vena femoralis $x diagnostické zobrazování $7 D005268
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a lidé středního věku $7 D008875
- 650 _2
- $a pooperační komplikace $x etiologie $7 D011183
- 650 _2
- $a punkce $7 D011677
- 650 _2
- $a rizikové faktory $7 D012307
- 650 _2
- $a časové faktory $7 D013997
- 650 _2
- $a výsledek terapie $7 D016896
- 650 12
- $a intervenční ultrasonografie $7 D018084
- 651 _2
- $a Česká republika $7 D018153
- 651 _2
- $a Japonsko $7 D007564
- 655 _2
- $a srovnávací studie $7 D003160
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a multicentrická studie $7 D016448
- 655 _2
- $a randomizované kontrolované studie $7 D016449
- 700 1_
- $a Wichterle, Dan $u Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague, Vídeňská 1958/9, Prague 4, Czech Republic. Department of Cardiology, Military University Hospital Prague, U Vojenské nemocnice 1/1200, Prague 6, Czech Republic.
- 700 1_
- $a Roubícek, Tomáš $u Department of Cardiology, Regional Hospital Liberec, Husova 357/10, Liberec, Czech Republic.
- 700 1_
- $a Jarkovský, Patrik $u Department of Cardiology, Military University Hospital Prague, U Vojenské nemocnice 1/1200, Prague 6, Czech Republic.
- 700 1_
- $a Sato, Yuriko $u Department of Cardiology, Kawakita General Hospital, 1-7-3, Asagaya-kita, Suginami-ku, Tokyo, Japan.
- 700 1_
- $a Kogure, Takamichi $u Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital, 7-3-1, Hongo, Bunkyo-ku, Tokyo, Japan.
- 700 1_
- $a Peichl, Petr $u Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague, Vídenská 1958/9, Prague 4, Czech Republic.
- 700 1_
- $a Konecný, Petr $u Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague, Vídenská 1958/9, Prague 4, Czech Republic.
- 700 1_
- $a Jansová, Helena $u Department of Cardiology, Military University Hospital Prague, U Vojenské nemocnice 1/1200, Prague 6, Czech Republic.
- 700 1_
- $a Kucera, Pavel $u Department of Cardiology, Regional Hospital Liberec, Husova 357/10, Liberec, Czech Republic.
- 700 1_
- $a Aldhoon, Bashar $u Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague, Vídenská 1958/9, Prague 4, Czech Republic.
- 700 1_
- $a Cihák, Robert $u Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague, Vídenská 1958/9, Prague 4, Czech Republic.
- 700 1_
- $a Sugimura, Yoichi $u Department of Cardiology, Kawakita General Hospital, 1-7-3, Asagaya-kita, Suginami-ku, Tokyo, Japan.
- 700 1_
- $a Kautzner, Josef $u Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague, Vídenská 1958/9, Prague 4, Czech Republic.
- 773 0_
- $w MED00149837 $t Europace : 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 $x 1532-2092 $g Roč. 20, č. 7 (2018), s. 1107-1114
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/28575490 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y a $z 0
- 990 __
- $a 20190813 $b ABA008
- 991 __
- $a 20190819085906 $b ABA008
- 999 __
- $a ok $b bmc $g 1433934 $s 1067245
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2018 $b 20 $c 7 $d 1107-1114 $e 20180701 $i 1532-2092 $m Europace $n Europace $x MED00149837
- LZP __
- $a Pubmed-20190813
