Table 3

Efficacy by definitions of success in patients with long-term persistent atrial fibrillation

Number of patients 89First treatment PVAC/MASC/MAACSecond treatment PVAC/MASC/MAAC
n = patients/total (%)n = patients/total (%)
Absence of AF/flutter/tachycardiaa, and patients were off class I or III AADs, 12 months after the (last) PVAC/MASC/MAAC ablation32/89 (36)6/15 (40)
Paroxysmal AF after treatment15/89 (17)4/15 (27)
DCCV12/89 (13)0/15 (0)
No change30/89 (34)5/15 (33)
Additional procedure23/89 (26)3/15 (20)
Redo PVAC/MASC/MAAC15/23
Cumulative AF freedomPatientsn = patients/total(%)
First treatment with PVAC/MASC/MAACn = 8932/8936
Including DCCVn = 1244/8949
Second treatment with PVAC/MASC/MAACn = 1550/8956
Change to paroxysmal AF (cumulative after one or two treatments with PVAC/MASC/MAAC)n = 1818/8920
No change (cumulative after one or two treatments with PVAC/MASC/MAAC)n = 2121/8924
Number of patients 89First treatment PVAC/MASC/MAACSecond treatment PVAC/MASC/MAAC
n = patients/total (%)n = patients/total (%)
Absence of AF/flutter/tachycardiaa, and patients were off class I or III AADs, 12 months after the (last) PVAC/MASC/MAAC ablation32/89 (36)6/15 (40)
Paroxysmal AF after treatment15/89 (17)4/15 (27)
DCCV12/89 (13)0/15 (0)
No change30/89 (34)5/15 (33)
Additional procedure23/89 (26)3/15 (20)
Redo PVAC/MASC/MAAC15/23
Cumulative AF freedomPatientsn = patients/total(%)
First treatment with PVAC/MASC/MAACn = 8932/8936
Including DCCVn = 1244/8949
Second treatment with PVAC/MASC/MAACn = 1550/8956
Change to paroxysmal AF (cumulative after one or two treatments with PVAC/MASC/MAAC)n = 1818/8920
No change (cumulative after one or two treatments with PVAC/MASC/MAAC)n = 2121/8924

aLasting >30 s, on one of the recordings after the 3 month blanking period by repeated 12-lead ECG, event monitoring and Holter.

AAD, anti-arrhythmic drug; AF, atrial fibrillation; DCCV, direct current cardioversion; RF radiofrequency; PVAC, pulmonary vein ablation catheter; MASC, multi-array septal catheter; MAAC, multi-array ablation catheter.

Table 3

Efficacy by definitions of success in patients with long-term persistent atrial fibrillation

Number of patients 89First treatment PVAC/MASC/MAACSecond treatment PVAC/MASC/MAAC
n = patients/total (%)n = patients/total (%)
Absence of AF/flutter/tachycardiaa, and patients were off class I or III AADs, 12 months after the (last) PVAC/MASC/MAAC ablation32/89 (36)6/15 (40)
Paroxysmal AF after treatment15/89 (17)4/15 (27)
DCCV12/89 (13)0/15 (0)
No change30/89 (34)5/15 (33)
Additional procedure23/89 (26)3/15 (20)
Redo PVAC/MASC/MAAC15/23
Cumulative AF freedomPatientsn = patients/total(%)
First treatment with PVAC/MASC/MAACn = 8932/8936
Including DCCVn = 1244/8949
Second treatment with PVAC/MASC/MAACn = 1550/8956
Change to paroxysmal AF (cumulative after one or two treatments with PVAC/MASC/MAAC)n = 1818/8920
No change (cumulative after one or two treatments with PVAC/MASC/MAAC)n = 2121/8924
Number of patients 89First treatment PVAC/MASC/MAACSecond treatment PVAC/MASC/MAAC
n = patients/total (%)n = patients/total (%)
Absence of AF/flutter/tachycardiaa, and patients were off class I or III AADs, 12 months after the (last) PVAC/MASC/MAAC ablation32/89 (36)6/15 (40)
Paroxysmal AF after treatment15/89 (17)4/15 (27)
DCCV12/89 (13)0/15 (0)
No change30/89 (34)5/15 (33)
Additional procedure23/89 (26)3/15 (20)
Redo PVAC/MASC/MAAC15/23
Cumulative AF freedomPatientsn = patients/total(%)
First treatment with PVAC/MASC/MAACn = 8932/8936
Including DCCVn = 1244/8949
Second treatment with PVAC/MASC/MAACn = 1550/8956
Change to paroxysmal AF (cumulative after one or two treatments with PVAC/MASC/MAAC)n = 1818/8920
No change (cumulative after one or two treatments with PVAC/MASC/MAAC)n = 2121/8924

aLasting >30 s, on one of the recordings after the 3 month blanking period by repeated 12-lead ECG, event monitoring and Holter.

AAD, anti-arrhythmic drug; AF, atrial fibrillation; DCCV, direct current cardioversion; RF radiofrequency; PVAC, pulmonary vein ablation catheter; MASC, multi-array septal catheter; MAAC, multi-array ablation catheter.

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