Impact of Thoracoscopic Pulmonary Vein Isolation on Right Ventricular Function: A Pilot Study
Objective. Thoracoscopic surgical pulmonary vein isolation (sPVI) has been added to the treatment of atrial fibrillation (AF), showing excellent efficacy outcomes. However, data on right ventricular (RV) function following sPVI has never been studied. Our aim was to investigate RV function following...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2018-01-01
|
Series: | BioMed Research International |
Online Access: | http://dx.doi.org/10.1155/2018/7392435 |
id |
doaj-116d8d1747aa457298bd956961f6780a |
---|---|
record_format |
Article |
spelling |
doaj-116d8d1747aa457298bd956961f6780a2020-11-25T01:02:21ZengHindawi LimitedBioMed Research International2314-61332314-61412018-01-01201810.1155/2018/73924357392435Impact of Thoracoscopic Pulmonary Vein Isolation on Right Ventricular Function: A Pilot StudyGijs E. De Maat0Yoran M. Hummel1Alberto Pozzoli2Ottavio R. Alfieri3Michiel Rienstra4Yuri Blaauw5Isabelle C. Van Gelder6Massimo A. Mariani7Department of Cardiothoracic Surgery and Cardiology, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB Groningen, NetherlandsDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsHeart Surgery Unit, San Raffaele University Hospital, Milan, ItalyHeart Surgery Unit, San Raffaele University Hospital, Milan, ItalyDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsDepartment of Cardiothoracic Surgery and Cardiology, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB Groningen, NetherlandsObjective. Thoracoscopic surgical pulmonary vein isolation (sPVI) has been added to the treatment of atrial fibrillation (AF), showing excellent efficacy outcomes. However, data on right ventricular (RV) function following sPVI has never been studied. Our aim was to investigate RV function following sPVI and compare it to patients who underwent endocardial cryoballoon PVI. Methods. 25 patients underwent sPVI and were pair-matched according to age, sex, and AF type with 21 patients who underwent cryoballoon PVI. RV function was measured using tricuspid annular plane systolic excursion (TAPSE) and RV strain with 2D speckle tracking. Echocardiography was performed at baseline and at median 6-month follow-up. Results. Age was 54 ± 9 years and 84% were male; AF was paroxysmal in 92%. In the sPVI group, TAPSE was reduced with 31% at follow-up echocardiography (p<0.001) and RV strain showed a 25% reduction compared to baseline (p=0.018). In the control group, TAPSE and RV strain did not change significantly (−3% and +13%, p=0.410 and p=0.148). Change in TAPSE and RV strain was significantly different between groups (p≤0.001 and p=0.005). Conclusions. This study shows that RV function is significantly decreased following sPVI. This effect was not observed in the cryoballoon PVI control group.http://dx.doi.org/10.1155/2018/7392435 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gijs E. De Maat Yoran M. Hummel Alberto Pozzoli Ottavio R. Alfieri Michiel Rienstra Yuri Blaauw Isabelle C. Van Gelder Massimo A. Mariani |
spellingShingle |
Gijs E. De Maat Yoran M. Hummel Alberto Pozzoli Ottavio R. Alfieri Michiel Rienstra Yuri Blaauw Isabelle C. Van Gelder Massimo A. Mariani Impact of Thoracoscopic Pulmonary Vein Isolation on Right Ventricular Function: A Pilot Study BioMed Research International |
author_facet |
Gijs E. De Maat Yoran M. Hummel Alberto Pozzoli Ottavio R. Alfieri Michiel Rienstra Yuri Blaauw Isabelle C. Van Gelder Massimo A. Mariani |
author_sort |
Gijs E. De Maat |
title |
Impact of Thoracoscopic Pulmonary Vein Isolation on Right Ventricular Function: A Pilot Study |
title_short |
Impact of Thoracoscopic Pulmonary Vein Isolation on Right Ventricular Function: A Pilot Study |
title_full |
Impact of Thoracoscopic Pulmonary Vein Isolation on Right Ventricular Function: A Pilot Study |
title_fullStr |
Impact of Thoracoscopic Pulmonary Vein Isolation on Right Ventricular Function: A Pilot Study |
title_full_unstemmed |
Impact of Thoracoscopic Pulmonary Vein Isolation on Right Ventricular Function: A Pilot Study |
title_sort |
impact of thoracoscopic pulmonary vein isolation on right ventricular function: a pilot study |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6133 2314-6141 |
publishDate |
2018-01-01 |
description |
Objective. Thoracoscopic surgical pulmonary vein isolation (sPVI) has been added to the treatment of atrial fibrillation (AF), showing excellent efficacy outcomes. However, data on right ventricular (RV) function following sPVI has never been studied. Our aim was to investigate RV function following sPVI and compare it to patients who underwent endocardial cryoballoon PVI. Methods. 25 patients underwent sPVI and were pair-matched according to age, sex, and AF type with 21 patients who underwent cryoballoon PVI. RV function was measured using tricuspid annular plane systolic excursion (TAPSE) and RV strain with 2D speckle tracking. Echocardiography was performed at baseline and at median 6-month follow-up. Results. Age was 54 ± 9 years and 84% were male; AF was paroxysmal in 92%. In the sPVI group, TAPSE was reduced with 31% at follow-up echocardiography (p<0.001) and RV strain showed a 25% reduction compared to baseline (p=0.018). In the control group, TAPSE and RV strain did not change significantly (−3% and +13%, p=0.410 and p=0.148). Change in TAPSE and RV strain was significantly different between groups (p≤0.001 and p=0.005). Conclusions. This study shows that RV function is significantly decreased following sPVI. This effect was not observed in the cryoballoon PVI control group. |
url |
http://dx.doi.org/10.1155/2018/7392435 |
work_keys_str_mv |
AT gijsedemaat impactofthoracoscopicpulmonaryveinisolationonrightventricularfunctionapilotstudy AT yoranmhummel impactofthoracoscopicpulmonaryveinisolationonrightventricularfunctionapilotstudy AT albertopozzoli impactofthoracoscopicpulmonaryveinisolationonrightventricularfunctionapilotstudy AT ottavioralfieri impactofthoracoscopicpulmonaryveinisolationonrightventricularfunctionapilotstudy AT michielrienstra impactofthoracoscopicpulmonaryveinisolationonrightventricularfunctionapilotstudy AT yuriblaauw impactofthoracoscopicpulmonaryveinisolationonrightventricularfunctionapilotstudy AT isabellecvangelder impactofthoracoscopicpulmonaryveinisolationonrightventricularfunctionapilotstudy AT massimoamariani impactofthoracoscopicpulmonaryveinisolationonrightventricularfunctionapilotstudy |
_version_ |
1725205414300090368 |