26
|
Kuijpers C, Van Den Heuvel M, Van Lindert A, Damhuis R, Willems S. P1.09-06 Evaluation of Molecular Testing in a Dutch Cohort of Metastatic Non-Small Cell Lung Cancer Patients from 2017. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.1035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
27
|
Dinshaw L, Lemoine M, Hartmann J, Schaeffer B, Klatt N, Jularic M, Gunarwadene M, Muenkler P, Tam A, Eickholt C, Willems S, Patten M, Meyer C. P3778Long-term outcome of non-pharmacologial treatment of atrial fibrillation in hypertrophic cardiomyopathy: a large single-centre experience. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Atrial fibrillation (AF) is common in hypertrophic cardiomyopathy (HCM) and is generally associated with a significant deterioration of clinical status. Non-pharmacological treatment such as surgical and catheter ablation has become an established therapy for symptomatic AF but in patients with HCM often having a chronically increased left atrial pressure and extensive atrial cardiomyopathy the long-term outcome is uncertain.
Purpose
The present study aimed to analyse the long-term outcome of AF ablation in HCM and the mechanism of recurrent atrial arrhythmias using high-density mapping systems.
Methods
A total of 65 patients (age 64.5±9.9 years, 42 (64.6%) male) with HCM undergoing AF ablation for symptomatic AF were included in our study. The ablation strategy for catheter ablation included pulmonary vein isolation in all patients and biatrial ablation of complex fractionated electrograms with additional ablation lines if appropriate. In patients with suspected atrial tachycardia (AT) high-density activation and substrate mapping were performed. A surgical ablation at the time of an operative myectomy for left ventricular outflow tract obstruction was performed in 8 (12.3%) patients. The outcome was analysed using clinical assessment, Holter ECG and continuous rhythm monitoring of cardiac implantable electric devices.
Results
Paroxysmal AF was present in 27 (41.6%), persistent AF in 37 (56.9%) and primary AT in 1 (1.5%) patients. The mean left atrial diameter was 54.1±12.5 ml. In 11 (16.9%) patients with AT high-density mapping was used to characterize the mechanism of the ongoing tachycardia. After 1.9±1.2 ablation procedures and a follow-up of 48.5±37.2 months, ablation success was demonstrated in 58.9% of patients. The success rate for paroxysmal and persistent AF was 70.0% and 55.8%, respectively (p=0.023). Of those patients with AT high-density mapping guided ablation was successful in 44.4% of patients. The LA diameter of patients with a successful ablation was smaller (52.2 vs. 58.1 mm; p=0.003).
Conclusion
Non-pharmacological treatment of AF in HCM is effective during long-term follow-up. Paroxysmal AF and a smaller LA diameter are favourable for successful ablation. In patients with complex AT the use of high-density mapping can guide ablation resulting in further ablation success in a reasonable number of patients.
Collapse
|
28
|
Kuijpers C, Van Den Heuvel M, Van Lindert A, Damhuis R, Willems S. EP1.09-14 Best Practice Session on Lung Cancer Molecular Diagnostics in the Netherlands to Enhance Testing Proportions Nationwide. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.2210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
29
|
Kuijpers C, Van den Heuvel M, Overbeek L, Van Lindert A, Damhuis R, Willems S. Notable variation of molecular testing in metastatic lung cancer in the Netherlands. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz072.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
30
|
Boeve K, Den Toom I, Van Weert S, Bloemena E, Brouwers A, Hoekstra O, De Keizer B, Van der Vegt B, Willems S, Leemans C, Witjes M, De Bree R. OC-022 Unexpected drainage patterns and high accuracy of SLNB in OSCC after previous neck treatment. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30188-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
31
|
Pecha S, Petersen J, Alassar Y, Hakmi S, Meyer C, Willems S, Reichenspurner H. Outcome Predictors for Surgical Atrial Fibrillation Ablation Concomitant to Mitral Valve Surgery. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
32
|
Castro L, Pecha S, Amin S, Linder M, Gosau N, Willems S, Reichenspurner H, Hakmi S. Up to 5-Year Follow-up after Transvenous Lead Extraction Procedures. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
33
|
Demal J, Pecha S, Castro L, Vogler J, Gosau N, Linder M, Willems S, Reichenspurner H, Hakmi S. In-Hospital Mortality after Transvenous Lead Extraction. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
34
|
Sill B, Vogler J, Gosau N, Bernhard A, Willems S, Blankenberg S, Barten M, Rybczynski M, Reichenspurner H, Knappe D. Is There a Need for an Implantable Cardioverter Defibrillator in Patients with Left Ventricular Assist Devices? Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
35
|
Petersen J, Hakmi S, Alassar Y, Subbotina I, Wagner M, Meyer C, Willems S, Reichenspurner H, Pecha S. Which Energy Source Is Superior? Bipolar Radiofrequency versus Cryoablation in Concomitant Atrial Fibrillation Surgery. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
36
|
Pecha S, Castro L, Gosau N, Willems S, Reichenspurner H, Hakmi S. Heparin Bridging or Continuation of Oral Anticoagulation for Transvenous Lead Extraction? Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
37
|
Driehuis E, Kolders S, Devriese L, Willems S, Clevers H, de Bree R, de Ruiter E. Head and neck squamous cell carcinoma organoids as a platform for personalized medicine. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy318.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
38
|
Jungen C, Kuklik P, Eickholt C, Akbulak R, Klatt N, Hartmann J, Gunawardene M, Geisler A, Jularic M, Klene C, Klutmann S, Willems S, Mester J, Meyer C. 3012Ventricular arrhythmia ablation in areas of mismatch between sympathetic innervation and electroanatomical voltage. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.3012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
39
|
De Maesschalck S, Willems S, Hanssens L. 7.10-P4Analysing the Belgian HIS data on diversity and health. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky048.237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
40
|
Castro L, Pecha S, Vogler J, Gosau N, Willems S, Reichenspurner H, Hakmi S. The Dilemma After CRT Device Removal: A Bi-ventricular Bridging Solution is Needed. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
|
41
|
Bernhardt A, Klatt N, Jungen C, Scherschel K, Willems S, Reichenspurner H, Meyer C. A New Ex-Vivo Working Heart Model without Ischemia-Reperfusion Damage to Analyze Electrophysiological Properties of a Denervated Heart. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
42
|
Hindricks G, Weiner S, Jais P, Wong T, Maddox W, Garcia-Bolao IJ, Ji SY, Sacher F, Willems S, Mounsey JP, Maury P, Bollmann A, Tung R, Raciti G, Mcelderry T. 527Safety and acute effectiveness of the 3D RHYTHMIA mapping system for ablation of arrhythmias: results of the TRUE-HD study. Europace 2018. [DOI: 10.1093/europace/euy015.294] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
43
|
Jilek C, Brachmann J, Lewalter T, Kuck KH, Andresen D, Willems S, Spitzer SG, Straube F, Schumacher B, Eckardt L, Danilovic D, Thomas D, Hochadel M, Senges J. 1012No support for additional left atrial substrate modification among patients with persistent atrial fibrillation at first PVI procedure- Results from German Ablation registry. Europace 2018. [DOI: 10.1093/europace/euy015.561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
44
|
Dinshaw L, Akbulak Ö, Schaeffer B, Jularic M, Gunawardene M, Muench J, Klatt N, Hartmann J, Eickholt C, Gosau N, Patten M, Willems S, Meyer C. P844Long-term outcome of ablation for atrial fibrillation in patients with hypertrophic cardiomyopathy. Europace 2018. [DOI: 10.1093/europace/euy015.447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
45
|
Garcia-Bolao JI, Mcelderry T, Weiner S, Jais P, Wong T, Maddox W, Ji SY, Sacher F, Willems S, Mounsey J, Maury P, Bollmann A, Tung R, Raciti G, Hindricks G. P1173Repeated ablation of atrial fibrillation with ultra-high density mapping: workflow and validation in clinical practice. Insights from the TRUE HD study. Europace 2018. [DOI: 10.1093/europace/euy015.658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
46
|
Pecha S, Castro L, Vogler J, Gosau N, Willems S, Reichenspurner H, Hakmi S. The Bridge Occlusion Balloon as a Safety Net in High-Risk Transvenous Lead Extraction Procedures: A Novel Approach. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
47
|
Castro L, Pecha S, Linder M, Vogler J, Gosau N, Willems S, Reichenspurner H, Hakmi S. Laser Lead Extraction in Patients with Venous Stenosis or Occlusion: System Upgrade or Revision Is Needed. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
48
|
Bernhardt A, Hakmi S, Lietz P, Klatt N, Pamirsad M, Jungen C, Reitmeier A, Willems S, Reichenspurner H, Scherschel K, Meyer C. A New Ex-Vivo Working Heart Model without Ischemia-Reperfusion Damage. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
49
|
Hakmi S, Pecha S, Castro L, Vogler J, Gosau N, Willems S, Reichenspurner H. The Benefits of Femoral Access in Patients Undergoing Transvenous Lead Extraction via Subclavian Route. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
50
|
Pecha S, Hakmi S, Petersen J, Wagner F, Willems S, Reichenspurner H. Do We Need to Open the Left Atrium for Surgical AF Ablation in Paroxysmal AF Concomitant to CABG or AVR? Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|