Cardioneuroablation for the management of patients with recurrent vasovagal syncope and symptomatic bradyarrhythmias: the CNA-FWRD Registry

Cardioneuroablation has been emerging as a potential treatment alternative in appropriately selected patients with cardioinhibitory vasovagal syncope (VVS) and functional AV block (AVB). However the majority of available evidence has been derived from retrospective cohort studies performed by experi...

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Veröffentlicht in:Journal of interventional cardiac electrophysiology 2024-03
Hauptverfasser: Aksu, Tolga, Tung, Roderick, De Potter, Tom, Markman, Timothy M, Santangeli, Pasquale, du Fay de Lavallaz, Jeanne, Winterfield, Jeffrey R, Baykaner, Tina, Alyesh, Daniel, Joza, Jacqueline E, Gopinathannair, Rakesh, Badertscher, Patrick, Do, Duc H, Hussein, Ayman, Osorio, Jose, Dewland, Thomas, Perino, Alexander, Rodgers, Albert J, DeSimone, Christopher, Alfie, Alberto, Atwater, Brett D, Singh, David, Kumar, Kapil, Salcedo, Jonathan, Bradfield, Jason S, Upadhyay, Gaurav, Sood, Nitesh, Sharma, Parikshit S, Gautam, Sandeep, Kumar, Vineet, Forno, Alexander Romeno Janner Dal, Woods, Christopher E, Rav-Acha, Moshe, Valeriano, Chiara, Kapur, Sunil, Enriquez, Andres, Sundaram, Sri, Glikson, Michael, Gerstenfeld, Edward, Piccini, Jonathan, Tzou, Wendy S, Sauer, William, d'Avila, Andre, Shivkumar, Kalyanam, Huang, Henry D
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container_title Journal of interventional cardiac electrophysiology
container_volume
creator Aksu, Tolga
Tung, Roderick
De Potter, Tom
Markman, Timothy M
Santangeli, Pasquale
du Fay de Lavallaz, Jeanne
Winterfield, Jeffrey R
Baykaner, Tina
Alyesh, Daniel
Joza, Jacqueline E
Gopinathannair, Rakesh
Badertscher, Patrick
Do, Duc H
Hussein, Ayman
Osorio, Jose
Dewland, Thomas
Perino, Alexander
Rodgers, Albert J
DeSimone, Christopher
Alfie, Alberto
Atwater, Brett D
Singh, David
Kumar, Kapil
Salcedo, Jonathan
Bradfield, Jason S
Upadhyay, Gaurav
Sood, Nitesh
Sharma, Parikshit S
Gautam, Sandeep
Kumar, Vineet
Forno, Alexander Romeno Janner Dal
Woods, Christopher E
Rav-Acha, Moshe
Valeriano, Chiara
Kapur, Sunil
Enriquez, Andres
Sundaram, Sri
Glikson, Michael
Gerstenfeld, Edward
Piccini, Jonathan
Tzou, Wendy S
Sauer, William
d'Avila, Andre
Shivkumar, Kalyanam
Huang, Henry D
description Cardioneuroablation has been emerging as a potential treatment alternative in appropriately selected patients with cardioinhibitory vasovagal syncope (VVS) and functional AV block (AVB). However the majority of available evidence has been derived from retrospective cohort studies performed by experienced operators. The Cardioneuroablation for the Management of Patients with Recurrent Vasovagal Syncope and Symptomatic Bradyarrhythmias (CNA-FWRD) Registry is a multicenter prospective registry with cross-over design evaluating acute and long-term outcomes of VVS and AVB patients treated by conservative therapy and CNA. The study is a prospective observational registry with cross-over design for analysis of outcomes between a control group (i.e., behavioral and medical therapy only) and intervention group (Cardioneuroablation). Primary and secondary outcomes will only be assessed after enrollment in the registry. The follow-up period will be 3 years after enrollment. There remains a lack of prospective multicentered data for long-term outcomes comparing conservative therapy to radiofrequency CNA procedures particularly for key outcomes including recurrence of syncope, AV block, durable impact of disruption of the autonomic nervous system, and long-term complications after CNA. The CNA-FWRD registry has the potential to help fill this information gap.
doi_str_mv 10.1007/s10840-024-01789-9
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title Cardioneuroablation for the management of patients with recurrent vasovagal syncope and symptomatic bradyarrhythmias: the CNA-FWRD Registry
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