Contact Force-Sensing versus Standard Catheters in Non-Fluoroscopic Radiofrequency Catheter Ablation of Idiopathic Outflow Tract Ventricular Arrhythmias
Background: Adequate contact between the catheter tip and tissue is important for optimal lesion formation and, in some procedures, it has been associated with improved effectiveness and safety. We evaluated the potential benefits of contact force-sensing (CFS) catheters during non-fluoroscopic radi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/3/593 |
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| author | Grzegorz Karkowski Marcin Kuniewicz Andrzej Ząbek Edward Koźluk Maciej Dębski Paweł T. Matusik Jacek Lelakowski |
| author_facet | Grzegorz Karkowski Marcin Kuniewicz Andrzej Ząbek Edward Koźluk Maciej Dębski Paweł T. Matusik Jacek Lelakowski |
| author_sort | Grzegorz Karkowski |
| collection | DOAJ |
| description | Background: Adequate contact between the catheter tip and tissue is important for optimal lesion formation and, in some procedures, it has been associated with improved effectiveness and safety. We evaluated the potential benefits of contact force-sensing (CFS) catheters during non-fluoroscopic radiofrequency catheter ablation (NF-RFCA) of idiopathic ventricular arrhythmias (VAs) originating from outflow tracts (OTs). Methods: A group of 102 patients who underwent NF-RFCA (CARTO, Biosense Webster Inc., Irvine, CA, USA) of VAs from OTs between 2014 to 2018 was retrospectively analyzed. Results: We included 52 (50.9%) patients in whom NF-RFCA was performed using CFS catheters and 50 (49.1%) who were ablated using standard catheters. Arrhythmias were localized in the right and left OT in 70 (68.6%) and 32 (31.4%) patients, respectively. The RFCA acute success rate was 96.1% <i>(n</i> = 98) and long-term success during a minimum 12-month follow-up (mean 51.3 ± 21.6 months) was 85.3% (<i>n</i> = 87), with no difference between CFS and standard catheters. There was no difference in complications rate between CFS (<i>n</i> = 1) and standard catheter (<i>n</i> = 2) ablations. Conclusions: There is no additional advantage of CFS catheters use over standard catheters during NF-RFCA of OT-VAs in terms of procedural effectiveness and safety. |
| first_indexed | 2024-03-09T23:41:58Z |
| format | Article |
| id | doaj.art-81179dc5d6694615b57693905da4eab8 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T23:41:58Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-81179dc5d6694615b57693905da4eab82023-11-23T16:50:52ZengMDPI AGJournal of Clinical Medicine2077-03832022-01-0111359310.3390/jcm11030593Contact Force-Sensing versus Standard Catheters in Non-Fluoroscopic Radiofrequency Catheter Ablation of Idiopathic Outflow Tract Ventricular ArrhythmiasGrzegorz Karkowski0Marcin Kuniewicz1Andrzej Ząbek2Edward Koźluk3Maciej Dębski4Paweł T. Matusik5Jacek Lelakowski6Department of Electrocardiology, The John Paul II Hospital, 31-202 Kraków, PolandDepartment of Electrocardiology, The John Paul II Hospital, 31-202 Kraków, PolandDepartment of Electrocardiology, The John Paul II Hospital, 31-202 Kraków, PolandDepartment of Cardiology, Medical University of Warsaw, 02-097 Warsaw, PolandDepartment of Cardiology, Norfolk and Norwich University Hospital, University of East Anglia, Norwich NR4 7TJ, UKDepartment of Electrocardiology, The John Paul II Hospital, 31-202 Kraków, PolandDepartment of Electrocardiology, The John Paul II Hospital, 31-202 Kraków, PolandBackground: Adequate contact between the catheter tip and tissue is important for optimal lesion formation and, in some procedures, it has been associated with improved effectiveness and safety. We evaluated the potential benefits of contact force-sensing (CFS) catheters during non-fluoroscopic radiofrequency catheter ablation (NF-RFCA) of idiopathic ventricular arrhythmias (VAs) originating from outflow tracts (OTs). Methods: A group of 102 patients who underwent NF-RFCA (CARTO, Biosense Webster Inc., Irvine, CA, USA) of VAs from OTs between 2014 to 2018 was retrospectively analyzed. Results: We included 52 (50.9%) patients in whom NF-RFCA was performed using CFS catheters and 50 (49.1%) who were ablated using standard catheters. Arrhythmias were localized in the right and left OT in 70 (68.6%) and 32 (31.4%) patients, respectively. The RFCA acute success rate was 96.1% <i>(n</i> = 98) and long-term success during a minimum 12-month follow-up (mean 51.3 ± 21.6 months) was 85.3% (<i>n</i> = 87), with no difference between CFS and standard catheters. There was no difference in complications rate between CFS (<i>n</i> = 1) and standard catheter (<i>n</i> = 2) ablations. Conclusions: There is no additional advantage of CFS catheters use over standard catheters during NF-RFCA of OT-VAs in terms of procedural effectiveness and safety.https://www.mdpi.com/2077-0383/11/3/593contact forcenon-fluoroscopic ablationoutflow tractspremature ventricular contractionsventricular arrhythmias |
| spellingShingle | Grzegorz Karkowski Marcin Kuniewicz Andrzej Ząbek Edward Koźluk Maciej Dębski Paweł T. Matusik Jacek Lelakowski Contact Force-Sensing versus Standard Catheters in Non-Fluoroscopic Radiofrequency Catheter Ablation of Idiopathic Outflow Tract Ventricular Arrhythmias Journal of Clinical Medicine contact force non-fluoroscopic ablation outflow tracts premature ventricular contractions ventricular arrhythmias |
| title | Contact Force-Sensing versus Standard Catheters in Non-Fluoroscopic Radiofrequency Catheter Ablation of Idiopathic Outflow Tract Ventricular Arrhythmias |
| title_full | Contact Force-Sensing versus Standard Catheters in Non-Fluoroscopic Radiofrequency Catheter Ablation of Idiopathic Outflow Tract Ventricular Arrhythmias |
| title_fullStr | Contact Force-Sensing versus Standard Catheters in Non-Fluoroscopic Radiofrequency Catheter Ablation of Idiopathic Outflow Tract Ventricular Arrhythmias |
| title_full_unstemmed | Contact Force-Sensing versus Standard Catheters in Non-Fluoroscopic Radiofrequency Catheter Ablation of Idiopathic Outflow Tract Ventricular Arrhythmias |
| title_short | Contact Force-Sensing versus Standard Catheters in Non-Fluoroscopic Radiofrequency Catheter Ablation of Idiopathic Outflow Tract Ventricular Arrhythmias |
| title_sort | contact force sensing versus standard catheters in non fluoroscopic radiofrequency catheter ablation of idiopathic outflow tract ventricular arrhythmias |
| topic | contact force non-fluoroscopic ablation outflow tracts premature ventricular contractions ventricular arrhythmias |
| url | https://www.mdpi.com/2077-0383/11/3/593 |
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