ROLE OF LEFT ATRIAL SITES THAT TRIGGER PULMONARY VEIN ECTOPY IN PAF

  • Research type

    Research Study

  • Full title

    THE ROLE OF LEFT ATRIAL GANGLIONATED PLEXI SITES THAT TRIGGER PULMONARY VEIN ECTOPY IN THE PATHOGENESIS OF PAROXYSMAL ATRIAL FIBRILLATION

  • IRAS ID

    105573

  • Contact name

    Prapa Kanagaratnam

  • Contact email

    p.kanagaratnam@imperial.ac.uk

  • Sponsor organisation

    Imperial College Healthcare NHS Trust

  • Research summary

    Summary of Results

    A total of 102 patients were analysed. 52 (51%) underwent ganglionated plexus ablation (GPA) and 50 (49%) underwent pulmonary vein isolation (PVI). There was a significantly longer duration of ablation in the PVI group compared to GPA group, and the total procedure time was significantly longer in the GPA group compared to PVI group. At the end of the 12 months follow-up, more patients in the PVI group (64%) were free from recurrence of atrial fibrillation (AF) or other types of atrial rhythm disorder, compared to patients in the GPA group (50%). However, this was not statistically significant. There was a significantly higher reduction in antiarrhythmic drug usage after GPA than after PVI. There was only one complication in the GPA group that was conservatively managed, and none in the PVI group.

  • REC name

    London - Hampstead Research Ethics Committee

  • REC reference

    13/LO/1150

  • Date of REC Opinion

    9 Sep 2013

  • REC opinion

    Further Information Favourable Opinion