Perioperative medicine & outcomes
Anesthetic and Perioperative Considerations for Convergent Procedure for Atrial Fibrillation: A Retrospective Observational Cohort Study
Authors' conclusion
This retrospective analysis of medical records showed that many patients with recurrent AF presenting for convergent procedure carry a burden of multiple comorbidities (eg, obesity, obstructive sleep apnea), and history of unsuccessful ablations.
Study context
- Population
- Adults with atrial fibrillation (AF) undergoing the convergent procedure before January 2024, single quaternary teaching hospital35 persistent longstanding AF
- Participants
- 40 adults
- Outcome
- Anesthetic and perioperative characteristics
Methodological detailssingle-centre, retrospective chart review
- Single-centre
- Retrospective chart review
Main finding
As reported in the abstract
- Age, mean (SD)
- 64 (SD, 6) years
- Male
- 33 (83%)
- Obesity
- 27 (68%)
- OSA
- 29 (73%)
- History of tachycardia-mediated cardiomyopathy
- 10 (25%)
- Significant alcohol use
- 10 (25%)
- Prior endocardial ablation
- 16 (40%)
- Prior cardioversion
- 37 (93%)
- Receiving anticoagulation
- 39 (98%)
- ≥1 antiarrhythmic medication
- 38 (95%)
- GA, inhalational
- 39 (98%)
- TIVA
- 1 (3%)
- Regional analgesia adjuncts
- 36 (88%)
- Cardiopulmonary bypass (CPB) required (1 planned, 2 emergent)
- 3 (8%)
- Extubated in the operating room
- 37 (93%)
- Intensive care unit (ICU) admission (planned or unplanned)
- 11 (28%)
- Median ICU LOS
- 1 day
- Median hospital LOS
- 4 days
Observational data: associations, not effects.
Original publication
Anesthetic and Perioperative Considerations for Convergent Procedure for Atrial Fibrillation: A Retrospective Observational Cohort Study. J Cardiothorac Vasc Anesth. Published 14 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →