Which is the best catheter to perform atrial fibrillation ablation? A comparison between standard ThermoCool, SmartTouch, and Surround Flow catheters
Autor: | Antonio Scarà, Lucia De Luca, Alberto Bandini, Luigi Sciarra, Alessio Borrelli, Serena Dottori, Marcello Galvani, Paolo Golia, Marco Rebecchi, Alessandro Fagagnini, Andrea Natalizia, Ermenegildo De Ruvo, Fabrizio Guarracini, Leonardo Calò |
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Rok vydání: | 2014 |
Předmět: |
Adult
Male Cardiac Catheterization medicine.medical_specialty Time Factors Radio Waves medicine.medical_treatment Treatment outcome Catheter ablation Physiology (medical) Internal medicine Atrial Fibrillation medicine Humans Fluoroscopy Aged Paroxysmal AF Aged 80 and over medicine.diagnostic_test business.industry Atrial fibrillation Mean age Middle Aged medicine.disease Ablation Catheter Treatment Outcome Pulmonary Veins Catheter Ablation Cardiology Female Electrophysiologic Techniques Cardiac Cardiology and Cardiovascular Medicine Nuclear medicine business |
Zdroj: | Journal of Interventional Cardiac Electrophysiology. |
ISSN: | 1572-8595 1383-875X |
Popis: | Catheter ablation (CA) is an established therapy for atrial fibrillation (AF). The SmartTouch catheter (STc) provides information about catheter tip to tissue contact force (CF). The Surround Flow catheter (SFc) provides a uniform cooling of the tip during ablation. We sought to analyze the impact of STc and SFc on CA of paroxysmal AF in terms of feasibility and acute efficacy. Sixty-three patients (mean age 57.6 ± 9.8 years, 53 males) with paroxysmal AF underwent pulmonary veins (PVs) antral isolation, by using standard ThermoCool catheter (TCc) in 21, STc in 21, and SFc in 21. Total procedural, fluoroscopy, and radiofrequency (RF) delivery times; percentage of persistently deconnected PVs after 30 min; and percentage of isolated PVs at the end of the procedure were measured. The use of both STc and SFc obtained a reduction of fluoroscopy time (TCc 34 ± 18 min, STc 20 ± 10 min, p |
Databáze: | OpenAIRE |
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