Steam pops during irrigated radiofrequency ablation: Feasibility of impedance monitoring for prevention

Heart Rhythm

Volumn 5, Issue 10, 2008, Pages 1411-1416

  Seiler, Jens ^a   Roberts Thomson, Kurt C ^a   Raymond, Jean Marc ^a   Vest, John ^a   Delacretaz, Etienne ^b   Stevenson, William G ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b BERN UNIVERSITY HOSPITAL   (Switzerland)

Author keywords

Catheter ablation; Impedance; Radiofrequency; Steam pop; Ventricular tachycardia

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CATHETER ABLATION; FEASIBILITY STUDY; FEMALE; HEART CATHETER; HEART TAMPONADE; HEART VENTRICLE PERFORATION; HEART VENTRICLE TACHYCARDIA; HUMAN; IMPEDANCE; LAVAGE; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RADIOFREQUENCY; STEAM POP; TEMPERATURE;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BODY TEMPERATURE; CATHETER ABLATION; ELECTRIC IMPEDANCE; FEASIBILITY STUDIES; FEMALE; HEART INJURIES; HUMANS; IRRIGATION; MALE; MIDDLE AGED; RISK FACTORS; STEAM; TACHYCARDIA, VENTRICULAR;

EID: 54549122498     PISSN: 15475271     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.hrthm.2008.07.011     Document Type: Article

References (24)

1. Borggrefe M., Budde T., Podczeck A., et al. High frequency alternating current ablation of an accessory pathway in humans. J Am Coll Cardiol 10 (1987) 576-582
2. Stevenson W.G., Friedman P.L., Kocovic D., et al. Radiofrequency catheter ablation of ventricular tachycardia after myocardial infarction. Circulation 98 (1998) 308-314
3. European Heart Rhythm Association, Heart Rhythm Society, Zipes D.P., et al. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: A report of the American College of Cardiology/American Heart Association task force and the European Society of Cardiology committee for practice guidelines (writing committee to develop guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death). J Am Coll Cardiol 48 (2006) e247-e346
4. Haines D.E., and Watson D.D. Tissue heating during radiofrequency catheter ablation: A thermodynamic model and observations in isolated perfused and superfused canine right ventricular free wall. Pacing Clin Electrophysiol 12 (1989) 962-976
5. Nath S., Lynch III C., Whayne J.G., et al. Cellular electrophysiological effects of hyperthermia on isolated guinea pig papillary muscle. Implications for catheter ablation. Circulation 88 (1993) 1826-1831
6. Yokoyama K., Nakagawa H., Wittkampf F.H., et al. Comparison of electrode cooling between internal and open irrigation in radiofrequency ablation lesion depth and incidence of thrombus and steam pop. Circulation 113 (2006) 11-19
7. Haines D.E., and Verow A.F. Observations on electrode-tissue interface temperature and effect on electrical impedance during radiofrequency ablation of ventricular myocardium. Circulation 82 (1990) 1034-1038
8. Ruffy R., Imran M.A., Santel D.J., et al. Radiofrequency delivery through a cooled catheter tip allows the creation of larger endomyocardial lesions in the ovine heart. J Cardiovasc Electrophysiol 6 (1995) 1089-1096
9. Demazumder D., Mirotznik M.S., and Schwartzman D. Biophysics of radiofrequency ablation using an irrigated electrode. J Interv Card Electrophysiol 5 (2001) 377-389
10. Calkins H., Epstein A., Packer D., et al. Catheter ablation of ventricular tachycardia in patients with structural heart disease using cooled radiofrequency energy: Results of a prospective multicenter study. J Am Coll Cardiol 35 (2000) 1905-1914
11. Soejima K., Delacretaz E., Suzuki M., et al. Saline-cooled versus standard radiofrequency catheter ablation for infarct-related ventricular tachycardias. Circulation 103 (2001) 1858-1862
12. Nakagawa H., Yamanashi W.S., Pitha J.V., et al. Comparison of in vivo tissue temperature profile and lesion geometry for radiofrequency ablation with a saline-irrigated electrode versus temperature control in a canine thigh muscle preparation. Circulation 91 (1995) 2264-2273
13. Matsumoto N., Kishi R., Kasugai H., et al. Experimental study on the effectiveness and safety of radiofrequency catheter ablation with the cooled ablation system. Circ J 67 (2003) 154-158
14. Hsu L.F., Jais P., Hocini M., et al. Incidence and prevention of cardiac tamponade complicating ablation for atrial fibrillation. Pacing Clin Electrophysiol 28 Suppl 1 (2005) S106-S109
15. Cooper J.M., Sapp J.L., Tedrow U., et al. Ablation with an internally irrigated radiofrequency catheter: Learning how to avoid steam pops. Heart Rhythm 1 (2004) 329-333
16. Avitall B., Mughal K., Hare J., et al. The effects of electrode-tissue contact on radiofrequency lesion generation. Pacing Clin Electrophysiol 20 (1997) 2899-2910
17. Strickberger S.A., Ravi S., Daoud E., et al. Relation between impedance and temperature during radiofrequency ablation of accessory pathways. Am Heart J 130 (1995) 1026-1030
18. Thiagalingam A., D'Avila A., McPherson C., et al. Impedance and temperature monitoring improve the safety of closed-loop irrigated-tip radiofrequency ablation. J Cardiovasc Electrophysiol 18 (2007) 318-325
19. d'Avila A., Houghtaling C., Gutierrez P., et al. Catheter ablation of ventricular epicardial tissue: A comparison of standard and cooled-tip radiofrequency energy. Circulation 109 (2004) 2363-2369
20. Stevenson W.G., Khan H., Sager P., et al. Identification of reentry circuit sites during catheter mapping and radiofrequency ablation of ventricular tachycardia late after myocardial infarction. Circulation 88 (1993) 1647-1670
21. Stevenson W.G., Sager P.T., Natterson P.D., et al. Relation of pace mapping QRS configuration and conduction delay to ventricular tachycardia reentry circuits in human infarct scars. J Am Coll Cardiol 26 (1995) 481-488
22. Soejima K., Suzuki M., Maisel W.H., et al. Catheter ablation in patients with multiple and unstable ventricular tachycardias after myocardial infarction: Short ablation lines guided by reentry circuit isthmuses and sinus rhythm mapping. Circulation 104 (2001) 664-669
23. Hartung W.M., Burton M.E., Deam A.G., et al. Estimation of temperature during radiofrequency catheter ablation using impedance measurements. Pacing Clin Electrophysiol 18 (1995) 2017-2021
24. Wittkampf F.H., and Nakagawa H. RF catheter ablation: Lessons on lesions. Pacing Clin Electrophysiol 29 (2006) 1285-1297