A linear ablating system in the left and right atrium: feasibility, catheter performance and clinical results
| Autor: | Cliona Murphy, Hollie Seffens, Aruna Arujuna, Jaswinder Gill, Azmat Hayat |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty clinical outcome Inferior vena cava Asymptomatic linear ablation Superior vena cava Physiology (medical) Internal medicine medicine Sinus rhythm catheter performance Atrium (architecture) business.industry Atrial fibrillation medicine.disease Surgery Catheter medicine.vein lcsh:RC666-701 Cardiology cardiovascular system Original Article medicine.symptom Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Indian Pacing and Electrophysiology Journal Indian Pacing and Electrophysiology Journal, Vol 12, Iss 3, Pp 82-85 (2012) |
| ISSN: | 0972-6292 |
| Popis: | Introduction We describe the use of a ablating system to compartmentalise and regionally isolate the atria in paroxysmal and persistent atrial fibrillation (AF). Methods 40 patients were studied, 25 paroxysmal AF and 14 persistent AF. One patient enrolled was later found to be in left atrial flutter and was excluded. The Cardima Revelation® TX catheter system with Intellitemp® Radiofrequency (RF) energy control device and a Medtronic Atakar® RF generator were used to place wide area circumferential ablations to achieve conduction block into the left and right sided pulmonary veins. Roof lines and mitral isthmus lines were also performed. In patients with persistent AF and in repeat procedures, right atrial compartmentalisation was performed with an anterior superior vena cava (SVC) to inferior vena cava (IVC) line and a septal SVC to IVC line. Results At 6 months, 18 of the 39 patients were asymptomatic, 10 had improved symptoms and 22 were in sinus rhythm. In the paroxysmal group, 11 were asymptomatic, 7 had improved symptoms and 16 (64%) were in sinus rhythm. In the persistent group, 7 were asymptomatic, 3 had improved symptoms and 6 (43%) were in sinus rhythm. The total group AF burden was 37.8 ± 5.4 hrs pre-procedure and 23.1 ± 5.1 hrs at 6 months post procedure. Mean temperature, impedance and power recorded at each pole demonstrated effective power delivery at all poles. No catheter charring was observed, complication rates were comparable to standard AF ablation technique. Conclusion Linear ablation in the left and right atria to mimic Cox’s Maze is feasible and safe using this ablating system. |
| Databáze: | OpenAIRE |
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