ArticleClinical research in cardiology : official journal of the German Cardiac Society2018
Acute and long-term outcome of focal atrial tachycardia ablation in the real world: results of the german ablation registry.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- From mapping to clipping: The role of thoracoscopic left atrial appendage clipping in refractory focal left atrial tachycardia.HeartRhythm case reports · 2026Article
- Predictors of 90-Days Readmission and Emergency Visits Following Catheter Ablation for Arrhythmias: A Retrospective Study.International journal of general medicine · 2026Article
- Management of patients with atrial tachycardia: a clinical consensus statement of the European Heart Rhythm Association (EHRA) of the ESC, endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), and the Association for European Paediatric and Congenital Cardiology (AEPC).Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025Article
- First Report of Focal Atrial Tachycardia Originating From the Left Atrial Appendage in a 13-Year-Old Girl Treated Using the OPTRELL Multipolar Mapping Catheter.Journal of arrhythmia · 2025Article
- Comparing Phenotypes for Acute and Long-Term Response to Atrial Fibrillation Ablation Using Machine Learning.Circulation. Arrhythmia and electrophysiology · 2025Article
- Comparison of safety and effectiveness of different sheaths in ablation of focal atrial tachycardia: a retrospective study.Journal of thoracic disease · 2024Article
- Outcomes After Supraventricular Tachycardia Ablation in Patients With Group 1 Pulmonary Hypertension.Cardiology research · 2023Article
- [Focal atrial tachycardias: diagnostics and therapy].Herzschrittmachertherapie & Elektrophysiologie · 2022Article
- Sex and racial disparities in catheter ablation.Heart rhythm O2 · 2022Review
- Single-center experience of ultra-high-density mapping guided catheter ablation of focal atrial tachycardia.Clinical cardiology · 2022Article
- JCS/JHRS 2019 guideline on non-pharmacotherapy of cardiac arrhythmias.Journal of arrhythmia · 2021Article
- The characteristics and efficacy of catheter ablation of focal atrial tachycardia arising from an epicardial site.Clinical cardiology · 2021Article
- [Safety and efficiency of interventional electrophysiology utilizing the German "Belegarztsystem"].Herzschrittmachertherapie & Elektrophysiologie · 2020Article
- Noninvasive localization of cardiac arrhythmias using electromechanical wave imaging.Science translational medicine · 2020Article
- [Catheter ablation of supraventricular tachycardia].Herzschrittmachertherapie & Elektrophysiologie · 2019Review
- Digitalis therapy is associated with higher comorbidities and poorer prognosis in patients undergoing ablation of atrial arrhythmias: data from the German Ablation Registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2019Article
- Prognostic impact of recurrences of ventricular tachyarrhythmias and appropriate ICD therapies in a high-risk ICD population.Clinical research in cardiology : official journal of the German Cardiac Society · 2019Article
- Focal atrial tachycardia ablation: Highly successful with conventional mapping.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019Article
- German Cardiac Society Working Group on Cellular Electrophysiology state-of-the-art paper: impact of molecular mechanisms on clinical arrhythmia management.Clinical research in cardiology : official journal of the German Cardiac Society · 2019Review
- Atrial Tachycardias and Atypical Atrial Flutters: Mechanisms and Approaches to Ablation.Arrhythmia & electrophysiology review · 2019Review
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCatheter ablation of focal atrial tachycardia (FAT) can be a challenging procedure and results have been rarely described. The purpose of this study was to determine the characteristics and results of FAT ablation in the large cohort of the German Ablation Registry.
methodsThe German Ablation Registry is a nationwide prospective multicenter database including 12566 patients who underwent an ablation procedure between 2007 and 2010. Among them 431 (3.4%) underwent an FAT ablation and 413 patients with documented locations were analyzed. Patients were divided into three groups according to the FAT location: biatrial (BiA, n = 31, 7.5%), left atrial (LA, n = 110, 26.5%), and right atrial (RA, n = 272, 66%).
resultsAcute success rate was 84% (68 vs. 85 vs. 85% in biA, LA, and RA, respectively, p = 0.038). 4.8% of patients had an early recurrence during hospitalization, most in biatrial location (p < 0.001). No major acute complication occurred. At 12 months, 81% were asymptomatic or improved. The incidence of major adverse cardiovascular and cerebrovascular events (MACCE) was 3.7%. Arrhythmia freedom without antiarrhythmic drugs was 58% and was lower in biA (34 vs. 56% in LA vs. 62% in RA, p = 0.019). Early recurrence during hospitalization was an outstanding predictive factor for recurrence during follow-up.
conclusionIn this large patient population, FAT ablation had a relatively high acute success rate with a low complication rate. During follow-up, the recurrence rate was high, particularly in biatrial location. This was frequently predicted by an early recurrence during hospitalization.
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