Key result
Ultrasound-guided venipuncture was associated with a near-to-zero risk of major clinical vascular complications compared to no ultrasound guidance (0% vs 1.7%, P=0.02) during cryoballoon ablation.
Why the study?
Does ultrasound-guided venipuncture and post-procedural evaluation reduce vascular complications in patients undergoing cryoballoon ablation for atrial fibrillation?
Population
1435 consecutive patients undergoing cryoballoon ablation for atrial fibrillation requiring insertion of a…
Comparison
Ultrasound guidance for venipuncture and… vs No ultrasound guidance for venipuncture or…
Design
Cohort
Follow-up
1 day post-procedure for US evaluation; readmission…
Authors
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May support ultrasound-guided access to reduce vascular complications in cryoballoon ablation; leaves open need for randomized confirmation.
Cohort (n=1,435)
Yes
Does ultrasound-guided venipuncture and post-procedural evaluation reduce vascular complications in patients undergoing cryoballoon ablation for atrial fibrillation?
Absolute Event Rate: 0% vs 1.7%
p-value: p=0.02
Routine use of ultrasound for venous access guidance during AF cryoballoon ablation significantly reduces vascular complications to near zero.
Ströker et al. (2018) conducted a cohort in Atrial fibrillation (n=1,435). Vascular ultrasound for venipuncture guidance and post-procedural evaluation vs. No vascular ultrasound guidance or evaluation was evaluated on Major clinical complications (requiring intervention and/or prolonged stay) (p=0.02). Ultrasound-guided venipuncture was associated with a near-to-zero risk of major clinical vascular complications compared to no ultrasound guidance (0% vs 1.7%, P=0.02) during cryoballoon ablation.
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