Transseptal puncture and cryoballoon ablation of atrial fibrillation in patients with atrial septal occluder or atrial septal defect surgical repair a single center experience

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dc.contributor.authorOlgun, Fatih Erkam
dc.contributor.authorYıldırım, Ersin
dc.contributor.authorDemir, Gültekin Günhan
dc.contributor.authorİbişoǧlu, Ersin
dc.contributor.authorHakgör, Aykun
dc.contributor.authorSavur, Ümeyir
dc.contributor.authorYazar, Arzu
dc.contributor.authorAkhundova, Aysel
dc.contributor.authorDursun, Atakan
dc.contributor.authorKılıçaslan, Fethi
dc.date.accessioned2025-10-16T13:45:59Z
dc.date.available2025-10-16T13:45:59Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractBackground: Atrial fibrillation (AF) is a common arrhythmia in patients with atrial septal defect (ASD). Cryoballoon ablation (CA) is a safe and efficient method for pulmonary vein (PV) isolation in the treatment of AF. Achieving left atrial access may be difficult in patients with atrial septal occluders (ASO) or surgical repair of ASD. The aim of this study was to present our experience with the efficacy and safety of transseptal puncture and AF ablation in CA in this subset of patients. Methods: We retrieved our data about patients with ASO or surgical repair of ASD undergoing cryoballoon AF ablation procedures at our center between August 2019 and January 2022. Results: Nine patients (age 43.88 ± 9.73 years) with AF (5 paroxysmal and 4 persistent) and ASO or surgical repair of ASD were enrolled. All three patients had a 28 mm Amplatzer ASO device which occupied the whole septum, and direct puncture through the ASO was performed. Sequential balloon dilatation was performed in 2 patients with surgical ASD repair and all 3 patients with ASO. Four of 6 patients (66.7%) in the surgical repair group required transesophageal echocardiography during transseptal puncture. The endpoint of the procedure, isolation of all PVs, was achieved in all 9 patients. None of the patients had evidence of an interatrial shunt or pericardial effusion at the end of the procedure. Total procedural time (123 ± 28 minutes vs. 63 ± 21 minutes, P = .024) and total fluoroscopy time (41 ± 5 minutes vs. 23 ± 8 minutes, P = .024) were significantly higher in the percutaneous closure group. Conclusions: In patients with ASO or surgical repair of ASD, CA of AF might be feasible, safe, and effective. The balloon dilatation of the interatrial septum (IAS) might assist transseptal access through the ASO or a surgically repaired thickened IAS.
dc.identifier.citationOlgun, F. E., Yıldırım, E., Demir, G. G., İbişoǧlu, E., Hakgör, A., Savur, Ü. ... Kılıçaslan, F. (2024). Transseptal puncture and cryoballoon ablation of atrial fibrillation in patients with atrial septal occluder or atrial septal defect surgical repair a single center experience. Anatolian Journal of Cardiology, 28(12), 575-583. http://dx.doi.org/10.14744/AnatolJCardiol.2024.4610
dc.identifier.doi10.14744/AnatolJCardiol.2024.4610
dc.identifier.endpage583
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue12
dc.identifier.pmid39475170
dc.identifier.scopus2-s2.0-85210761602
dc.identifier.scopusqualityQ3
dc.identifier.startpage575
dc.identifier.urihttp://dx.doi.org/10.14744/AnatolJCardiol.2024.4610
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13119
dc.identifier.volume28
dc.identifier.wosWOS:001386136400005
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorOlgun, Fatih Erkam
dc.institutionauthorHakgör, Aykun
dc.institutionauthorSavur, Ümeyir
dc.institutionauthorYazar, Arzu
dc.institutionauthorAkhundova, Aysel
dc.institutionauthorDursun, Atakan
dc.institutionauthorKılıçaslan, Fethi
dc.institutionauthorid0000-0002-8428-9694
dc.institutionauthorid0000-0001-8252-0373
dc.institutionauthorid0000-0003-1320-9033
dc.institutionauthorid0000-0001-7545-6318
dc.institutionauthorid0000-0002-4066-6822
dc.institutionauthorid0000-0001-5074-5340
dc.institutionauthorid0000-0003-2459-2445
dc.language.isoen
dc.relation.ispartofAnatolian Journal of Cardiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectAtrial Fibrillation
dc.subjectAtrial Septal Defect
dc.subjectCryoballoon Ablation
dc.titleTransseptal puncture and cryoballoon ablation of atrial fibrillation in patients with atrial septal occluder or atrial septal defect surgical repair a single center experience
dc.typeArticle

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