PMID- 33883380 OWN - NLM STAT- MEDLINE DCOM- 20220215 LR - 20220215 IS - 1347-4820 (Electronic) IS - 1346-9843 (Linking) VI - 85 IP - 8 DP - 2021 Jul 21 TI - Efficacy and Safety of SATAKE HotBalloon((R)) Catheter for Treatment of Paroxysmal Atrial Fibrillation - A Post-Marketing Surveillance Study. PG - 1314-1320 LID - 10.1253/circj.CJ-20-0883 [doi] AB - BACKGROUND: SATAKE HotBalloon((R))catheter (HBC) is a radiofrequency balloon catheter for the treatment of atrial fibrillation (AF), and was approved for use in Japan to treat drug-resistant paroxysmal AF in 2015. Post-marketing surveillance study was conducted by Toray Industries, Inc. to evaluate the efficacy and safety of HBC treatment in patients with paroxysmal AF in a real-world setting. This study is the first nation-wide survey of HBC treatment for paroxysmal AF in clinical practice in Japan.Methods and Results:This was a single-arm, multicenter observational study with an observation period of 48 weeks after ablation. Pulmonary vein isolation and AF non-recurrence rates were evaluated and adverse events (AEs) were observed at 46 sites in Japan. An AF event was defined as recurrence of AF or re-ablation from 12 to 48 weeks after ablation. The success rate of pulmonary vein isolation was 99.0% (486/491) for patients with AF. The cumulative AF non-recurrence rate was 94.1% at 24 weeks and 87.8% at 48 weeks. AEs were found to occur 21.5% (114/530), and ablation-related AEs were found to occur 2.6% (14/530) during the study period, with the most common being pericardial effusion (0.8%, 4/530). CONCLUSIONS: This study demonstrates the efficacy and safety of HBC ablation in Japanese patients with recurrent symptomatic paroxysmal AF refractory to antiarrhythmic therapy. FAU - Yoshida, Yukihiko AU - Yoshida Y AD - Japanese Red Cross Nagoya Dai-ni Hospital. FAU - Yamane, Teiichi AU - Yamane T AD - Jikei University School of Medicine. FAU - Nakahara, Shiro AU - Nakahara S AD - Dokkyo Medical University Saitama Medical Center. FAU - Kobori, Atsushi AU - Kobori A AD - Kobe City Medical Center General Hospital. FAU - Sohara, Hiroshi AU - Sohara H AD - Shonantobu General Hospital. FAU - Aonuma, Kazutaka AU - Aonuma K AD - University of Tsukuba. FAU - Satake, Shutaro AU - Satake S AD - Hayama Heart Center. CN - HotBalloon PMS Study Investigators LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20210421 PL - Japan TA - Circ J JT - Circulation journal : official journal of the Japanese Circulation Society JID - 101137683 SB - IM MH - *Atrial Fibrillation/surgery MH - *Catheter Ablation MH - Catheters MH - Humans MH - Product Surveillance, Postmarketing MH - Prospective Studies MH - *Pulmonary Veins/surgery MH - Recurrence MH - Treatment Outcome OTO - NOTNLM OT - Atrial fibrillation OT - Catheter ablation OT - HotBalloon(R) OT - Pulmonary vein isolation EDAT- 2021/04/23 06:00 MHDA- 2022/02/16 06:00 CRDT- 2021/04/22 06:06 PHST- 2021/04/23 06:00 [pubmed] PHST- 2022/02/16 06:00 [medline] PHST- 2021/04/22 06:06 [entrez] AID - 10.1253/circj.CJ-20-0883 [doi] PST - ppublish SO - Circ J. 2021 Jul 21;85(8):1314-1320. doi: 10.1253/circj.CJ-20-0883. Epub 2021 Apr 21.