Porous tip radiofrequency ablation catheter reduced heart failure‐related complications and healthcare resource utilization in paroxysmal atrial fibrillation patients
Abstract Introduction A 56‐hole porous tip radiofrequency catheter was developed to provide more uniform cooling with less fluid delivery than a prior 6‐hole irrigated design. This study aimed to evaluate the impact of contact force (CF) ablation with the porous tip on complications (congestive hear...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-06-01
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| Series: | Journal of Arrhythmia |
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| Online Access: | https://doi.org/10.1002/joa3.12830 |
| _version_ | 1797804559377104896 |
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| author | Alexandru Costea Bereket Haile Adam Barone Maddie Schenthal Kathrine Romanowicz Srinivas Rajsheker Lee Ming Boo Tina D. Hunter |
| author_facet | Alexandru Costea Bereket Haile Adam Barone Maddie Schenthal Kathrine Romanowicz Srinivas Rajsheker Lee Ming Boo Tina D. Hunter |
| author_sort | Alexandru Costea |
| collection | DOAJ |
| description | Abstract Introduction A 56‐hole porous tip radiofrequency catheter was developed to provide more uniform cooling with less fluid delivery than a prior 6‐hole irrigated design. This study aimed to evaluate the impact of contact force (CF) ablation with the porous tip on complications (congestive heart failure [CHF] and non‐CHF related), healthcare resource utilization, and procedural efficiency in patients undergoing de novo paroxysmal atrial fibrillation (PAF) ablations in a real‐world setting. Methods Consecutive de novo PAF ablations were performed between February 2014 and March 2019 by six operators at a single US academic center. The 6‐hole design was used through December 2016 with the 56‐hole porous tip adopted in October 2016. The outcomes of interest included symptomatic CHF presentation and CHF‐related complications. Results Of 174 patients who were included, mean age was 61.1 ± 10.8 years, 67.8% were male, and 25.3% had a history of CHF. Ablation with the porous tip catheter significantly decreased fluid delivery (1177 vs. 1912 mL with the 6‐hole design; p < .0001). CHF‐related complications within 7 days, particularly fluid overload, were substantially reduced with the porous tip (15.2% vs. 5.3% of patients; p = .0281) and the proportion of patients with symptomatic CHF presentation within 30 days postablation was significantly lower (14.7% vs. 32.5%; p = .0058). Conclusion The 56‐hole porous tip led to significantly reduced CHF‐related complications and healthcare utilization in PAF patients undergoing CF catheter ablation when compared to the prior 6‐hole design. This reduction likely results from the significant decrease in fluid delivery during the procedure. |
| first_indexed | 2024-03-13T05:37:58Z |
| format | Article |
| id | doaj.art-d5203bc44079443090cef931ca883900 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-03-13T05:37:58Z |
| publishDate | 2023-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-d5203bc44079443090cef931ca8839002023-06-14T05:25:21ZengWileyJournal of Arrhythmia1880-42761883-21482023-06-0139335235810.1002/joa3.12830Porous tip radiofrequency ablation catheter reduced heart failure‐related complications and healthcare resource utilization in paroxysmal atrial fibrillation patientsAlexandru Costea0Bereket Haile1Adam Barone2Maddie Schenthal3Kathrine Romanowicz4Srinivas Rajsheker5Lee Ming Boo6Tina D. Hunter7Internal Medicine Department University of Cincinnati Cincinnati Ohio USACollege of Medicine University of Cincinnati Cincinnati Ohio USAHeritage College of Osteopathic Medicine Ohio University Athens Ohio USADepartment of Biology Bellarmine University Louisville Kentucky USAInternal Medicine Department University of Cincinnati Cincinnati Ohio USAInternal Medicine Department University of Cincinnati Cincinnati Ohio USAClinical Science and External Research, Biosense Webster, Inc. Irvine California USAReal World Evidence, CTI Clinical Trial & Consulting Covington Kentucky USAAbstract Introduction A 56‐hole porous tip radiofrequency catheter was developed to provide more uniform cooling with less fluid delivery than a prior 6‐hole irrigated design. This study aimed to evaluate the impact of contact force (CF) ablation with the porous tip on complications (congestive heart failure [CHF] and non‐CHF related), healthcare resource utilization, and procedural efficiency in patients undergoing de novo paroxysmal atrial fibrillation (PAF) ablations in a real‐world setting. Methods Consecutive de novo PAF ablations were performed between February 2014 and March 2019 by six operators at a single US academic center. The 6‐hole design was used through December 2016 with the 56‐hole porous tip adopted in October 2016. The outcomes of interest included symptomatic CHF presentation and CHF‐related complications. Results Of 174 patients who were included, mean age was 61.1 ± 10.8 years, 67.8% were male, and 25.3% had a history of CHF. Ablation with the porous tip catheter significantly decreased fluid delivery (1177 vs. 1912 mL with the 6‐hole design; p < .0001). CHF‐related complications within 7 days, particularly fluid overload, were substantially reduced with the porous tip (15.2% vs. 5.3% of patients; p = .0281) and the proportion of patients with symptomatic CHF presentation within 30 days postablation was significantly lower (14.7% vs. 32.5%; p = .0058). Conclusion The 56‐hole porous tip led to significantly reduced CHF‐related complications and healthcare utilization in PAF patients undergoing CF catheter ablation when compared to the prior 6‐hole design. This reduction likely results from the significant decrease in fluid delivery during the procedure.https://doi.org/10.1002/joa3.12830atrial fibrillationcatheter ablationcontact forceheart failureporous tip |
| spellingShingle | Alexandru Costea Bereket Haile Adam Barone Maddie Schenthal Kathrine Romanowicz Srinivas Rajsheker Lee Ming Boo Tina D. Hunter Porous tip radiofrequency ablation catheter reduced heart failure‐related complications and healthcare resource utilization in paroxysmal atrial fibrillation patients Journal of Arrhythmia atrial fibrillation catheter ablation contact force heart failure porous tip |
| title | Porous tip radiofrequency ablation catheter reduced heart failure‐related complications and healthcare resource utilization in paroxysmal atrial fibrillation patients |
| title_full | Porous tip radiofrequency ablation catheter reduced heart failure‐related complications and healthcare resource utilization in paroxysmal atrial fibrillation patients |
| title_fullStr | Porous tip radiofrequency ablation catheter reduced heart failure‐related complications and healthcare resource utilization in paroxysmal atrial fibrillation patients |
| title_full_unstemmed | Porous tip radiofrequency ablation catheter reduced heart failure‐related complications and healthcare resource utilization in paroxysmal atrial fibrillation patients |
| title_short | Porous tip radiofrequency ablation catheter reduced heart failure‐related complications and healthcare resource utilization in paroxysmal atrial fibrillation patients |
| title_sort | porous tip radiofrequency ablation catheter reduced heart failure related complications and healthcare resource utilization in paroxysmal atrial fibrillation patients |
| topic | atrial fibrillation catheter ablation contact force heart failure porous tip |
| url | https://doi.org/10.1002/joa3.12830 |
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