From April 29th to May 1st, 2022, the 43rd Annual Meeting of the American Heart Rhythm Society will be held. Thousands of the world’s latest clinical research results, showing the latest progress in the current field of arrhythmia diagnosis and treatment. There are also Chinese clinicians in this heart rhythm event, including the team of Shanghai Tenth People’s HospitalProfessor Xu Yawei, Professor Zhao Dongdong, and Professor Ren Chongyuan< /span> presents a study of the perioperative period between minimal one-stop surgery guided by DSA alone and traditional one-stop surgery guided by esophageal ultrasound (TEE). The clinical research on safety and long-term outcomes has been unanimously recognized by the HRS 2022 Organizing Committee and won the third prize for young researchers! The voice of China was once again expressed on the world stage, and the demeanor of Chinese clinical researchers was shown to the world. Research introduction
The award The primary objective of the study was to compare the perioperative safety and long-term outcomes between minimalist one-stop surgery guided by DSA alone and traditional one-stop surgery guided by esophageal ultrasound (TEE). The study included 138 non-valvular atrial fibrillation (AF) patients who underwent catheter ablation + left atrial appendage closure one-stop operation in Shanghai Tenth People’s Hospital from February 2019 to December 2020. The occurrence of postoperative complications and long-term clinical prognosis.
The results of the study showed that there was no significant difference in fluoroscopy time between the minimalist group and the traditional group (15.2±5.4 minutes vs. 14.4±7.1 minutes, P=0.074), The minimalist group had significantly less operation time than the traditional group (95.7±27.6 minutes vs 108.9±30.3 minutes, P=0.018). The incidence of perioperative complications (cardiac tamponade, etc.) was similar between the two groups. After an average of 2 years of clinical follow-up, only 3 patients in the conventional group had a small residual leak of ≤3mm (P=0.232). Survival analysis of AF recurrence Kaplan-Meier estimates showed the incidence of atrial arrhythmias between the two groups (minimalist group 13/65 (20.0%) vs traditional group 18/63 (28.6%), P=0.964), the incidence of stroke (0/65 vs 3/63 (4.8%), P= 0.232), and the incidence of major adverse cardiovascular events (7/65 (10.8%) in the minimalist group %) vs the traditional group 11/63 (17.5%) P= 0.502) was not significantly different. Preliminary research results show that compared with the traditional one-stop operation, the minimalist one-stop operation can shorten the operation time, and also has considerable perioperative safety and long-term prognosis.
Shanghai Tenth Hospital leads the comprehensive management of atrial fibrillation
This study won the third prize of the Heart Rhythm Society 2022 Young Investigation Reward. The study preliminarily explored the safety and effectiveness of the minimalist one-stop operation. The study showed that the minimalist one-stop operation time was significantly shortened, and the long-term follow-up was safe and effective. For experienced operators, the minimalist one-stop operation is feasible. one-stop surgical approach.
Under the leadership of Professor Xu Yawei, Director Zhao Dongdong and Director Tang Kai’s superb skills and comprehensive patient management level, the Arrhythmia Center of Shanghai Tenth People’s Hospital has accumulated rich experience , has completed more than 800 one-stop operations, which is the leading domestic and international level. In addition, more than 10 papers related to one-stop surgery in the Arrhythmia Center of Shanghai Tenth People’s Hospital have been published in international SCI journals. On the basis of rich experience, the center took the lead in proposing innovative concepts such as “minimalist” one-stop, “closed-loop management of atrial fibrillation”, which provided new ideas and evidence for the diagnosis and treatment of atrial fibrillation, and led the innovation and progress of atrial fibrillation treatment. . The Cardiology Department of the Tenth Hospital, which has rich and solid experience, will further share and demonstrate the experience and research results of arrhythmia diagnosis and treatment on domestic and international platforms in the future, and promote the development and progress of the diagnosis and treatment of atrial fibrillation patients.
Xu YaweiChief physician, second-level professor, doctoral supervisor, tenured professor of Tongji University strong>Director of the Heart Center of Shanghai Tenth People’s Hospital, Director of the Institute of Pan-vascular Diseases, Tongji University School of Medicine, the 2nd National Famous Doctor
National Key R&D Program Project Chief Scientist
Vice Chairman of Chinese Medical Association Internal Medicine BranchVice President of Chinese Medical Doctor Association Cardiovascular Internal Medicine BranchChinese Hospital Executive Vice President and Secretary General of the Cardiac Rehabilitation Management Committee of the Association Executive Vice President and Secretary General of World Chinese Cardiovascular Association (WACC)Vice Chairman of China Chest Pain Center AllianceVice Chairman of China Atrial Fibrillation Center Alliance Vice Dean of Atrial Fibrillation College of China Atrial Fibrillation CenterExecutive Chairman of China Cardiac Rehabilitation AllianceExecutive Chairman of Shanghai Chest Pain Center Alliance……I have been engaged in clinical and scientific research of cardiovascular diseases for many years, and can be proficient in catheter interventional treatment of coronary heart disease, cryoablation of atrial fibrillation, left atrial appendage occlusion, cardiac physiological permanent pacemaker Installation, interventional treatment of congenital heart disease, interventional treatment of atherosclerotic peripheral vascular disease, laser ablation, rotational atherectomy and other interventional treatment techniques. He is good at the overall treatment of coronary heart disease through the radial artery approach, and has been committed to the treatment of acute myocardial infarction for more than 30 years.
A long way to goTongji University School of Medicine, Shanghai Tenth People’s Hospital Doctor of Cardiology, HRS member Under the tutelage of Professor Xu Yawei, he served as the chairman of the Soochow University Medical Students Association, and has won more than 20 honors such as national scholarship, outstanding student cadre, outstanding student cadre pacesetter, and outstanding study award. Published 8 SCI papers as the first author/co-first author, with a cumulative impact factor of more than 20 points. At present, the main research direction is the clinical research of interventional treatment of arrhythmia and the research and development of innovative interventional technologies. He has designed and participated in the large-scale one-stop surgical clinical research “CLACBAC study”, and the relevant results have been published in “JCE”, “Chinese Arrhythmia” and other journals , and presented at the HRS, OCC, CSC and other conferences in the United States.
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