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†These authors contributed equally.
Background: The combination of left atrial appendage closure (LAAC) and
catheter ablation (CA) in a single procedure is a safe and effective form of
treatment for atrial fibrillation (AF). However, several findings have argued
that LAAC might increase the risk of AF recurring. Therefore, this study
investigated the impact of insufficient ablation on AF recurrence after the
hybrid procedures of CA and LAAC. Methods: We reviewed 107 consecutive
patients with AF who received the CA and LAAC hybrid procedures (combined group).
In the case–control study, another 107 patients who underwent only CA (ablation
group) were successfully matched using propensity score matching. After
correcting the insufficient ablation, 107 consecutive patients were enrolled
prospectively. During the follow-up period, postprocedural 24-hour monitor
recordings and a portable electrocardiogram (ECG) monitoring device were used to detect AF
recurrence. Transesophageal echocardiography was used to evaluate LAAC.
Results: The combined group showed an increase in the risk of AF
recurrence after 539.2