Will the insulated-tip radiofrequency catheter transform ablation procedures?
contact force
insulated-tip catheter
lesion formation
radiofrequency ablation
Journal
Journal of cardiovascular electrophysiology
ISSN: 1540-8167
Titre abrégé: J Cardiovasc Electrophysiol
Pays: United States
ID NLM: 9010756
Informations de publication
Date de publication:
06 2022
06 2022
Historique:
received:
09
03
2022
accepted:
10
03
2022
pubmed:
25
3
2022
medline:
10
6
2022
entrez:
24
3
2022
Statut:
ppublish
Résumé
Radiofrequency (RF) ablation has been the most widely employed energy source for catheter ablation to date. However, most of conventional RF ablation energy dissipates into the bloodstream before reaching the target tissue. Technology that conveys RF energy exclusively toward target tissue may potentially improve the quality, safety, and outcome of the RF ablation procedures. RF ablation using a novel insulated-tip catheter (Sirona Medical Technologies [SMT]) may refine RF ablation in the future to minimize the risk of iatrogenic complications. Although it is still unclear whether the results of the SMT catheter can be translated to a human beating heart, the data for SMT catheter of this study are very promising.
Types de publication
Editorial
Comment
Langues
eng
Sous-ensembles de citation
IM
Pagination
1157-1159Commentaires et corrections
Type : CommentOn
Informations de copyright
© 2022 Wiley Periodicals LLC.
Références
Huang SK, Jordan N, Graham A, et al. Closed chest catheter desiccation of atrioventricular junction using radio-frequency energy-a new method of catheter ablation. Circulation. 1985;72(suppl 3):389.
Huang SK. Use of RF energy for catheter ablation of the endomyocardium: A prospective energy source. J Electrophys. 1986;1:78-91.
Ariyarathna N, Kumar S, Thomas SP, Stevenson WG, Michaud GF. Role of Contact Force Sensing in Catheter Ablation of Cardiac Arrhythmias: Evolution or History Repeating Itself? JACC Clin Electrophysiol. 2018;Jun 4(6):707-723. doi:10.1016/j.jacep.2018.03.014 PMID: 29929663.
Natale A, Reddy VY, Monir G, et al. catheter ablation with a contact force sensing catheter: results of the prospective, multicenter SMART-AF trial. J Am Coll Cardiol. 2014;Aug 19 64(7):647-656. doi:10.1016/j.jacc.2014.04.072 PMID: 25125294
Wittkampf FH, Nakagawa HRF. catheter ablation: Lessons on lesions. Pacing Clin Electrophysiol. 2006;Nov 29(11):1285-1297. doi:10.1111/j.1540-8159.2006.00533.x PMID: 17100685
Arash Aryana, Ramiro MIrastorza, Enrique Berjano, et al. Radiofrequency Ablation Using a Novel Insulated-Tip Ablation Catheter Can Create Uniform Lesions Comparable in Size to Conventional Irrigated Ablation Catheters While Using a Fraction of the Energy and Irrigation J Cardiovasc Electrophysiol.
Kumar S, Romero J, Stevenson WG, et al. Impact of Lowering Irrigation Flow Rate on Atrial Lesion Formation in Thin Atrial Tissue: Preliminary Observations From Experimental and Clinical Studies. JACC Clin Electrophysiol. 2017;Oct 3(10):1114-1125. doi:10.1016/j.jacep.2017.09.001 Epub 2017 Oct 16 PMID: 29759494
Kumar S, Calkins H, Michaud GF. Contact Force-Guided Pulmonary Vein Isolation: The Quest for Perfection Continues. JACC Clin Electrophysiol. 2016;Nov 2(6):700-702. doi:10.1016/j.jacep.2016.09.008 Epub 2016 Nov 21 PMID: 29759748
Matia Frances R, Hernandez Madrid A, Delgado A, et al. Characterization of the impact of catheter-tissue contact force in lesion formation during cavo-tricuspid isthmus ablation in an experimental swine model. Europace. 2014;Nov 16(11):1679-1683. doi:10.1093/europace/eut351 Epub 2013 Nov 13 PMID: 24225068
Shurrab M, Di Biase L, Briceno DF, et al. Impact of Contact Force Technology on Atrial Fibrillation Ablation: A Meta-Analysis. J Am Heart Assoc. 2015;Sep 21 4(9):e002476. doi:10.1161/JAHA.115.002476 PMID: 26391136; PMCID: PMC4599513
Shah DC, Lambert H, Nakagawa H, Langenkamp A, Aeby N, Leo G. Area under the real-time contact force curve (force-time integral) predicts radiofrequency lesion size in an in vitro contractile model. J Cardiovasc Electrophysiol. 2010;Sep 21(9):1038-1043. doi:10.1111/j.1540-8167.2010.01750.x PMID: 20367658
Reddy VY, Shah D, Kautzner J, et al. The relationship between contact force and clinical outcome during radiofrequency catheter ablation of atrial fibrillation in the TOCCATA study. Heart Rhythm. 2012;Nov 9(11):1789-1795. doi:10.1016/j.hrthm.2012.07.016 Epub 2012 Jul 20. PMID: 22820056