Journal of Capital Medical University ›› 2020, Vol. 41 ›› Issue (3): 433-438.doi: 10.3969/j.issn.1006-7795.2020.03.020

• Clinical Research • Previous Articles     Next Articles

Safety and efficacy of catheter ablation for atrial fibrillation patients with history of renal transplantation

Yu Ronghui1, Tang Ribo1, Wu Jiahui1, Wen Songnan1, Lin Hui2   

  1. 1. Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China;
    2. Department of Cardiovascular, Beijing University Shougang Hospital, Beijing 100144, China
  • Received:2019-07-17 Online:2020-06-21 Published:2020-06-17
  • Supported by:
    This study was supported by National Natural Science Foundation of China (81770322), Beijing Municipal Science and Technology Project (Z181100001718174).

Abstract: Objective To study the prognosis of catheter ablation in atrial fibrillation (AF) patients with history of renal transplantation. Methods Seven AF patients with renal transplantation history who had received radiofrequency ablation due to the poor effect of antiarrhythmic drugs were selected as the case group, and 42 controls were selected according to the 1:6 matching principle (age, gender and type of atrial fibrillation). The recurrence rate, perioperative complications and the incidence of contrast nephropathy were compared and analyzed. Results No periprocedural complications and contrast nephropathy were observed in either group. During a follow-up period of 12 months, the ATa recurrent rate was higher in AF patients with renal transplantation history (Log rank test, P=0.027). Conclusion Catheter ablation for AF can be safely performed in patients with history of renal transplantation. AF patients with renal transplantation history tend to have higher ATa recurrence after the catheter ablation.

Key words: atrial fibrillation, renal transplantation, estimated glomerular filtration rate, catheter ablation

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