Novel Radiofrequency Balloon Catheter - Impact of Ablation Parameters on Single-Shot Isolation

Standard

Novel Radiofrequency Balloon Catheter - Impact of Ablation Parameters on Single-Shot Isolation. / My, Ilaria; Bordignon, Stefano; Butt, Mahi; Rottner, Laura; Marc, Lemoine; Moser, Fabian; Wenzel, Jan-Per; Obergassel, Julius; Schleberger, Ruben; Moser, Julia; Dinshaw, Leon; Kirchhof, Paulus; Reissmann, Bruno; Ouyang, Feifan; Chun, Kyoung-Ryul Julian; Schmidt, Boris; Rillig, Andreas; Metzner, Andreas.

in: CIRC J, Jahrgang 87, Nr. 7, 23.06.2023, S. 950-956.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

APA

Vancouver

Bibtex

@article{569cdb8a4529493ba470c275a6965d5f,
title = "Novel Radiofrequency Balloon Catheter - Impact of Ablation Parameters on Single-Shot Isolation",
abstract = "BACKGROUND: A novel multielectrode radiofrequency balloon (RFB) catheter has been released for pulmonary vein isolation (PVI).Methods and Results: In this observational study consecutive patients with drug-refractory paroxysmal or persistent atrial fibrillation (AF) undergoing first-time PVI were enrolled in 2 high-volume ablation centers. All procedures were conducted in conjunction with a 3D-mapping system. Clinical, procedural and ablation parameters were systematically analyzed. 105 patients (58% male; 52% paroxysmal AF, 68±11.3 years mean age, left atrial volume index 38.6±14.8 mL/m2) were included. 241/412 (58.5%) PVs were successfully isolated with a single shot (SS), with a time-to-isolation of 11.6±8 s. Total number of radiofrequency applications was 892 (mean 2.2/PV), resulting in successful isolation of 408/412 (99%) PVs at the end of the procedure. Mean electrodes' impedance drop was significantly higher in the SS-PVI compared with non-SS applications (21.5±6.6 vs. 18.6±6.5 Ohm). Concordantly, higher temperature rise was observed in the SS vs. non-SS applications (10.9±4.9℃ vs. 9.6±4.7℃).CONCLUSIONS: In this multicenter real-world study, mean impedance drop and temperature rise were associated with successful SS-PVI applying the novel RFB catheter. These parameters may help to guide efficient usage of the new RF balloon.",
author = "Ilaria My and Stefano Bordignon and Mahi Butt and Laura Rottner and Lemoine Marc and Fabian Moser and Jan-Per Wenzel and Julius Obergassel and Ruben Schleberger and Julia Moser and Leon Dinshaw and Paulus Kirchhof and Bruno Reissmann and Feifan Ouyang and Chun, {Kyoung-Ryul Julian} and Boris Schmidt and Andreas Rillig and Andreas Metzner",
year = "2023",
month = jun,
day = "23",
doi = "10.1253/circj.CJ-23-0220",
language = "English",
volume = "87",
pages = "950--956",
journal = "CIRC J",
issn = "1346-9843",
publisher = "Japanese Circulation Society",
number = "7",

}

RIS

TY - JOUR

T1 - Novel Radiofrequency Balloon Catheter - Impact of Ablation Parameters on Single-Shot Isolation

AU - My, Ilaria

AU - Bordignon, Stefano

AU - Butt, Mahi

AU - Rottner, Laura

AU - Marc, Lemoine

AU - Moser, Fabian

AU - Wenzel, Jan-Per

AU - Obergassel, Julius

AU - Schleberger, Ruben

AU - Moser, Julia

AU - Dinshaw, Leon

AU - Kirchhof, Paulus

AU - Reissmann, Bruno

AU - Ouyang, Feifan

AU - Chun, Kyoung-Ryul Julian

AU - Schmidt, Boris

AU - Rillig, Andreas

AU - Metzner, Andreas

PY - 2023/6/23

Y1 - 2023/6/23

N2 - BACKGROUND: A novel multielectrode radiofrequency balloon (RFB) catheter has been released for pulmonary vein isolation (PVI).Methods and Results: In this observational study consecutive patients with drug-refractory paroxysmal or persistent atrial fibrillation (AF) undergoing first-time PVI were enrolled in 2 high-volume ablation centers. All procedures were conducted in conjunction with a 3D-mapping system. Clinical, procedural and ablation parameters were systematically analyzed. 105 patients (58% male; 52% paroxysmal AF, 68±11.3 years mean age, left atrial volume index 38.6±14.8 mL/m2) were included. 241/412 (58.5%) PVs were successfully isolated with a single shot (SS), with a time-to-isolation of 11.6±8 s. Total number of radiofrequency applications was 892 (mean 2.2/PV), resulting in successful isolation of 408/412 (99%) PVs at the end of the procedure. Mean electrodes' impedance drop was significantly higher in the SS-PVI compared with non-SS applications (21.5±6.6 vs. 18.6±6.5 Ohm). Concordantly, higher temperature rise was observed in the SS vs. non-SS applications (10.9±4.9℃ vs. 9.6±4.7℃).CONCLUSIONS: In this multicenter real-world study, mean impedance drop and temperature rise were associated with successful SS-PVI applying the novel RFB catheter. These parameters may help to guide efficient usage of the new RF balloon.

AB - BACKGROUND: A novel multielectrode radiofrequency balloon (RFB) catheter has been released for pulmonary vein isolation (PVI).Methods and Results: In this observational study consecutive patients with drug-refractory paroxysmal or persistent atrial fibrillation (AF) undergoing first-time PVI were enrolled in 2 high-volume ablation centers. All procedures were conducted in conjunction with a 3D-mapping system. Clinical, procedural and ablation parameters were systematically analyzed. 105 patients (58% male; 52% paroxysmal AF, 68±11.3 years mean age, left atrial volume index 38.6±14.8 mL/m2) were included. 241/412 (58.5%) PVs were successfully isolated with a single shot (SS), with a time-to-isolation of 11.6±8 s. Total number of radiofrequency applications was 892 (mean 2.2/PV), resulting in successful isolation of 408/412 (99%) PVs at the end of the procedure. Mean electrodes' impedance drop was significantly higher in the SS-PVI compared with non-SS applications (21.5±6.6 vs. 18.6±6.5 Ohm). Concordantly, higher temperature rise was observed in the SS vs. non-SS applications (10.9±4.9℃ vs. 9.6±4.7℃).CONCLUSIONS: In this multicenter real-world study, mean impedance drop and temperature rise were associated with successful SS-PVI applying the novel RFB catheter. These parameters may help to guide efficient usage of the new RF balloon.

U2 - 10.1253/circj.CJ-23-0220

DO - 10.1253/circj.CJ-23-0220

M3 - SCORING: Journal article

C2 - 37286488

VL - 87

SP - 950

EP - 956

JO - CIRC J

JF - CIRC J

SN - 1346-9843

IS - 7

ER -