Table 3.
Univariate and stepdown multivariate analyses for predicting TSP‐related cardiac tamponade during left atrial ablation
Covariate | Odds ratio (CI): Univariate analysis | p value | Adjusted odds ratio (CI): Final step of multivariate analysis | p value |
---|---|---|---|---|
Male | 1.29 (0.65–2.55) | .47 | ||
Age >65 years | 1.84 (1.05–3.56) | .029 | 2.4 (1.19–4.2) | .006 |
EHRA class | 1.16 (0.24–2.74) | .74 | ||
Ischemic heart disease | 1.66 (0.89–4.83) | .11 | 1.63 (0.67–4.05) | .54 |
Dilated cardiomyopathy | 0.91 (0.22–3.79) | .89 | ||
Hypertrophic cardiomyopathy | 1.9 (0.87–3.55) | .09 | 1.44 (0.77–3.1) | .35 |
Congenital heart disease | 1.28 (0.81–2.4) | .32 | ||
Previous sternotomy | 0.77 (0.3–1.16) | .15 | 0.64 (0.18–2.3) | .47 |
Left atrial dilatation | 0.87 (0.48–1.29) | .13 | 1.12 (0.77–1.88) | .33 |
Anticoagulation | Warfarin: 0.62 (0.23–1.67) | .31 | ||
Direct oral anticoagulant: 1.38 (0.73–7.4) | .22 | |||
Re‐do procedure | 1.97 (1.19–2.43) | .035 | 1.95 (1.29–3.43) | .042 |
Cryoablation | 1.53 (0.86–3.1) | .26 | ||
Transoesophageal echo | 0.51 (0.27–0.89) | .021 | 0.51 (0.11–0.94) | .023 |
High‐volume operator | 0.5 (0.31–0.77) | .008 | 0.4 (0.17–0.85) | .002 |
TSP puncture sheath | Cryosheath: 0.93 (0.22–3.88) | .92 | ||
Agilis: 0.77 (0.41–3.1) | .39 | |||
Vizigo: 0.67 (0.31–4.2) | .76 | |||
Mullins: 1.09 (0.52–2.31) | .82 | |||
Swartz: 1.42 (0.72–2.81) | .31 | |||
TSP puncture needle | Brockenbrough: 1.25 (0.66–2.36) | .48 | ||
Endrys: 0.88 (0.45–1.72) | .71 | |||
Transseptal guidewire | 0.38 (0.15–0.81) | .002 | 0.22 (0.08–0.62) | .001 |
First pass unsuccessful | 3.93 (2.13–6.85) | .019 | 4.42 (2.45–8.2) | .001 |
Note: Significant p values in bold.
Abbreviations: CI, confidence interval; TSP, transseptal puncture.