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9 results on '"Große Meininghaus, Dirk"'

2. A worldwide survey on incidence, management and prognosis of oesophageal fistula formation following atrial fibrillation catheter ablation: The POTTER-AF study

Author

Tilz, Roland Richard, Schmidt, Vanessa, Pürerfellner, Helmut, Maury, Philippe, Chun, Kr Julian, Martinek, Martin, Sohns, Christian, Schmidt, Boris, Mandel, Franck, Gandjbakhch, Estelle, Laredo, Mikael, Gunawardene, Melanie Anuscha, Willems, Stephan, Beiert, Thomas, Borlich, Martin, Iden, Leon, Füting, Anna, Spittler, Raphael, Gaspar, Thomas, Richter, Sergio, Schade, Anja, Kuniss, Malte, Neumann, Thomas, Francke, Alexander, Wunderlich, Carsten, Shin, Dong-In, Grosse Meininghaus, Dirk, Foresti, Mike, Bonsels, Marc, Reek, David, Wiegand, Uwe, Bauer, Alexander, Metzner, Andreas, Eckardt, Lars, Popescu, Sorin Ștefan, Krahnefeld, Olaf, Sticherling, Christian, Kühne, Michael, Nguyen, Dinh Quang, Roten, Laurent, Saguner, Ardan M, Linz, Dominik, van der Voort, Pepijn, Mulder, Bart A, Vijgen, Johan, Almorad, Alexandre, Guenancia, Charles, Fauchier, Laurent, Boveda, Serge, De Greef, Y, Da Costa, Antoine, Jais, Pierre, Derval, Nicolas, Milhem, Antoine, Jesel, Laurence, Garcia, Rodrigue, Poty, Hervé, Khoueiry, Ziad, Seitz, Julien, Laborderie, Julien, Mechulan, Alexis, Brigadeau, Francois, Zhao, Alexandre, Saludas, Yannick, Piot, Olivier, Ahluwalia, Nikhil, Martin, Claire, Chen, Jian, Antolic, Bor, Leventopoulos, Georgios, Özcan, Emin Evren, Yorgun, Hikmet, Cay, Serkan, Yalin, Kivanc, Botros, Maichel Sobhy, Mahmoud, Ahmed Taher, Jędrzejczyk-Patej, Ewa, Inaba, Osamu, Okumura, Ken, Ejima, Koichiro, Khakpour, Houman, Boyle, Noel, Catanzaro, J N, Reddy, Vivek, Mohanty, Sanghamitra, Natale, Andrea, Blessberger, Hermann, Yang, Bing, Stevens, Irene, Sommer, Philipp, Veltmann, Christian, Steven, Daniel, Vogler, Julia, Kuck, Karl-Heinz, Merino, José Luis, Keelani, Ahmad, and Heeger, Christian-H

Subjects
610 Medicine & health, ddc:610, Cardiology and Cardiovascular Medicine
Abstract

Aims Oesophageal fistula represents a rare but dreadful complication of atrial fibrillation catheter ablation. Data on its incidence, management, and outcome are sparse. Methods and results This international multicentre registry investigates the characteristics of oesophageal fistulae after treatment of atrial fibrillation by catheter ablation. A total of 553 729 catheter ablation procedures (radiofrequency: 62.9%, cryoballoon: 36.2%, other modalities: 0.9%) were performed, at 214 centres in 35 countries. In 78 centres 138 patients [0.025%, radiofrequency: 0.038%, cryoballoon: 0.0015% (P < 0.0001)] were diagnosed with an oesophageal fistula. Peri-procedural data were available for 118 patients (85.5%). Following catheter ablation, the median time to symptoms and the median time to diagnosis were 18 (7.75, 25; range: 0–60) days and 21 (15, 29.5; range: 2–63) days, respectively. The median time from symptom onset to oesophageal fistula diagnosis was 3 (1, 9; range: 0–42) days. The most common initial symptom was fever (59.3%). The diagnosis was established by chest computed tomography in 80.2% of patients. Oesophageal surgery was performed in 47.4% and direct endoscopic treatment in 19.8% and conservative treatment in 32.8% of patients. The overall mortality was 65.8%. Mortality following surgical (51.9%) or endoscopic treatment (56.5%) was significantly lower as compared to conservative management (89.5%) [odds ratio 7.463 (2.414, 23.072) P < 0.001]. Conclusion Oesophageal fistula after catheter ablation of atrial fibrillation is rare and occurs mostly with the use of radiofrequency energy rather than cryoenergy. Mortality without surgical or endoscopic intervention is exceedingly high.

Published
2023

3. Prognostic impact of age and gender on patients with electrical storm

Author

Weidner, Kathrin, primary, Schupp, Tobias, additional, Rusnak, Jonas, additional, Mueller, Julian, additional, Taton, Gabriel, additional, Reiser, Linda, additional, Bollow, Armin, additional, Reichelt, Thomas, additional, Ellguth, Dominik, additional, Engelke, Niko, additional, Barre, Max, additional, Große Meininghaus, Dirk, additional, Hoppner, Jorge, additional, El-Battrawy, Ibrahim, additional, Mashayekhi, Kambis, additional, Akin, Ibrahim, additional, and Behnes, Michael, additional

Published
2023
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5. Prognostic Value of Cardiac Troponin I in Patients with Ventricular Tachyarrhythmias

Author

Akin, Ibrahim, primary, Behnes, Michael, additional, Müller, Julian, additional, Forner, Jan, additional, Abumayyaleh, Mohammad, additional, Mashayekhi, Kambis, additional, Akin, Muharrem, additional, Bertsch, Thomas, additional, Weidner, Kathrin, additional, Rusnak, Jonas, additional, Große Meininghaus, Dirk Große, additional, Kittel, Maximilian, additional, and Schupp, Tobias, additional

Published
2022
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8. A worldwide survey on incidence, management and prognosis of oesophageal fistula formation following atrial fibrillation catheter ablation: The POTTER-AF study.

Author

Tilz RR, Schmidt V, Pürerfellner H, Maury P, Chun KJ, Martinek M, Sohns C, Schmidt B, Mandel F, Gandjbakhch E, Laredo M, Gunawardene MA, Willems S, Beiert T, Borlich M, Iden L, Füting A, Spittler R, Gaspar T, Richter S, Schade A, Kuniss M, Neumann T, Francke A, Wunderlich C, Shin DI, Grosse Meininghaus D, Foresti M, Bonsels M, Reek D, Wiegand U, Bauer A, Metzner A, Eckardt L, Popescu SȘ, Krahnefeld O, Sticherling C, Kühne M, Nguyen DQ, Roten L, Saguner AM, Linz D, van der Voort P, Mulder BA, Vijgen J, Almorad A, Guenancia C, Fauchier L, Boveda S, De Greef Y, Da Costa A, Jais P, Derval N, Milhem A, Jesel L, Garcia R, Poty H, Khoueiry Z, Seitz J, Laborderie J, Mechulan A, Brigadeau F, Zhao A, Saludas Y, Piot O, Ahluwalia N, Martin C, Chen J, Antolic B, Leventopoulos G, Özcan EE, Yorgun H, Cay S, Yalin K, Botros MS, Mahmoud AT, Jędrzejczyk-Patej E, Inaba O, Okumura K, Ejima K, Khakpour H, Boyle N, Catanzaro JN, Reddy V, Mohanty S, Natale A, Blessberger H, Yang B, Stevens I, Sommer P, Veltmann C, Steven D, Vogler J, Kuck KH, Merino JL, Keelani A, and Heeger CH

Abstract

Aims: Oesophageal fistula represents a rare but dreadful complication of atrial fibrillation catheter ablation. Data on its incidence, management and outcome are sparse., Methods and Results: This international multicenter registry investigates the characteristics of oesophageal fistulae after treatment of atrial fibrillation by catheter ablation. A total of 553,729 catheter ablation procedures (radiofrequency: 62.9%, cryoballoon: 36.2%, other modalities: 0.9%) were performed at 214 centers in 35 countries. In 78 centers 138 patients (0.025%, radiofrequency: 0.038%, cryoballoon: 0.0015% (p<0.0001)) were diagnosed with an oesophageal fistula. Periprocedural data were available for 118 patients (85.5%). Following catheter ablation, the median time to symptoms and the median time to diagnosis were 18 (7.75, 25; range: 0-60) days and 21 (15, 29.5; range: 2-63) days, respectively. The median time from symptom onset to oesophageal fistula diagnosis was 3 (1, 9; range: 0-42) days. The most common initial symptom was fever (59.3%). The diagnosis was established by chest computed tomography in 80.2% of patients. Oesophageal surgery was performed in 47.4% and direct endoscopic treatment in 19.8%, and conservative treatment in 32.8% of patients. The overall mortality was 65.8%. Mortality following surgical (51.9%) or endoscopic treatment (56.5%) was significantly lower as compared to conservative management (89.5%) (odds ratio 7.463 (2.414, 23.072) p<0.001)., Conclusions: Oesophageal fistula after catheter ablation of atrial fibrillation is rare and occurs mostly with the use of radiofrequency energy rather than cryoenergy. Mortality without surgical or endoscopic intervention is exceedingly high., (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.)

Published
2023
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9. A case report of simultaneous His pacemaker implantation and atrioventricular junction ablation following unsuccessful treatment of atrial fibrillation.

Author

Grosse Meininghaus D, Lengiewicz M, Blembel K, and Kruells-Muench J

Abstract

Background: Atrial fibrillation can contribute to heart failure. Frequently, rhythm control is unachievable. Atrioventricular (AV) junction ablation and pacemaker implantation remain to be a therapeutic option for rate control in atrial fibrillation. Interventricular asynchrony is a potential downside of right ventricular pacing. However, cardiac resynchronization therapy and His pacing restore physiological activation sequences of the ventricles., Case Summary: The reported patient had undergone several interventions to cure atrial fibrillation without sufficient rhythm control and experienced deleterious effects of recurrent arrhythmias. Finally, we decided to ablate the AV junction simultaneously with the implantation of a His bundle pacemaker. Atrioventricular junction ablation had to be repeated following conduction recurrence. A left-sided transaortic approach was required to create a permanent effect and to avoid distal lesions. His pacing was not affected by the AV junction ablation at all. The pre-existing widened QRS was normalized by His pacing, the patient became free of any complaints with full restoration of exertion capability., Discussion: His pacing has the potential to contribute to a revival of the 'ablate-and-pace' concept for incurable atrial fibrillation by restoring physiological ventricular activation, thereby overcoming the particular drawbacks of continuous ventricular pacing. Atrioventricular junction ablation simultaneously with the pacemaker implantation procedure is safe and feasible. His pacing is at least an alternative for cardiac resynchronization therapy. The implantation procedure is sometimes challenging., (© The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology.)

Published
2020
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