Avoiding Bladder Catheters During Atrial Fibrillation Ablation

This study sought to determine if atrial fibrillation (AF) ablation can be performed safely without bladder catheterization. Patients undergoing AF ablation often receive bladder catheters. Catheterization is associated with potential complications. The ABCD-AF (Avoiding Bladder Catheters During Atr...

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Bibliographic Details
Published in:JACC. Clinical electrophysiology 2020-02, Vol.6 (2), p.185-190
Main Authors: Ahmed, Asim S., Clark, Brad A., Joshi, Sandeep A., Nair, Girish V., Olson, Jeffrey A., Padanilam, Benzy J., Patel, Parin J.
Format: Article
Language:English
Subjects:
Aged
atrial fibrillation
Atrial Fibrillation - surgery
bladder catheter
Catheter Ablation - methods
Female
hematuria
Humans
Male
Middle Aged
Postoperative Complications
pulmonary vein isolation
Treatment Outcome
Unnecessary Procedures
Urinary Catheterization
Urinary Retention
urinary tract infection
Urinary Tract Infections
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Summary:This study sought to determine if atrial fibrillation (AF) ablation can be performed safely without bladder catheterization. Patients undergoing AF ablation often receive bladder catheters. Catheterization is associated with potential complications. The ABCD-AF (Avoiding Bladder Catheters During Atrial Fibrillation) ablation study evaluates the advantages of performing AF ablation without routine catheterization. In this single-center, prospective, randomized controlled trial, 80 patients received bladder catheterization (group A), and 80 patients received only as-needed catheterization (group B). The primary endpoint was a composite of cystitis, urethral injury, hematuria, dysuria, or urinary retention. The mean patient age was 63 ± 13 years, and 33% of patients were female. The primary outcome was reached in 45 patients in group A and 11 patients in group B (p 
ISSN:2405-500X
2405-5018
DOI:10.1016/j.jacep.2019.10.003