Atrial fibrillation ablation: "Perpetual motion" of open irrigated tip catheters at 50 W is safe and improves outcomes

PACE - Pacing and Clinical Electrophysiology

Volumn 34, Issue 5, 2011, Pages 531-539

  Winkle, Roger A ^a,b   Mead, R Hardwin ^a,b   Engel, Gregory ^a,b   Patrawala, Rob A ^a,b  

^a Cardiovascular Medicine and Cardiac Arrhythmias   (United States)

^b SEQUOIA HOSPITAL   (United States)

Author keywords

Atrial fibrillation; Atrial fibrillation ablation; Irrigated tip catheters

Indexed keywords

ADULT; AGED; ARTICLE; CATHETER ABLATION; CLOSED TIP CATHETER; CONTROLLED STUDY; COUGHING; ESOPHAGUS INJURY; FEMALE; FLUOROSCOPY; HEART ATRIUM FIBRILLATION; HEART BLOCK; HEART ELECTROPHYSIOLOGY; HEART TAMPONADE; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; OPEN IRRIGATED TIP CATHETER; OUTCOME ASSESSMENT; PATIENT SAFETY; PERICARDIOCENTESIS; PERPETUAL MOTION; PULMONARY VALVE STENOSIS; STROKE;

ANTICOAGULANTS; ATRIAL FIBRILLATION; CATHETER ABLATION; ELECTROCARDIOGRAPHY; FEMALE; FLUOROSCOPY; HUMANS; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; TREATMENT OUTCOME;

EID: 79957564461     PISSN: 01478389     EISSN: 15408159     Source Type: Journal    
DOI: 10.1111/j.1540-8159.2010.02990.x     Document Type: Article

References (8)

1. Calkins H, Brugada J, Packer DL, Capppato R, Chen S, Crijns H, Damiano RJ, et al. HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: Recommendations for personnel, policy, procedures and follow-up. Heart Rhythm 2007; 4:1-46.
2. Kanj MH, Wazni O, Fahmy T, Thal S, Patel D, Elay C, Di Biase L, et al. Pulmonary vein antral isolation using an open irrigation ablation catheter for the treatment of atrial fibrillation. J Am Coll Cardiol 2007; 49:1634-1641. (Pubitemid 46551624)
3. Bunch TJ, Day JD. Novel ablative approach for atrial fibrillation to decrease risk of esophageal injury. Heart Rhythm 2008; 5:624-627.
4. Bunch TJ, Bruce GK, Johnson SB, Sarabanda A, Milton MA, Packer DL. Analysis of catheter-tip (8-mm) and actual tissue temperatures achieved during radiofrequency ablation at the orifice of the pulmonary vein. Circulation 2004; 110:2988-2995. (Pubitemid 39491988)
5. Bruce GK, Bunch TJ, Milton MA, Sarabanda A, Johnson SB, Packer DL. Discrepancies between catheter tip and tissue temperature in cooled-tip ablation. Relevance to guiding left atrial ablation. Circulation 2005; 112:954-960.
6. Yokoyama K, Nakagawa H, Wittkampf FHM, Pitha JV, Lazzara R, Jackman WM. Comparison of electrode cooling between internal and open irrigation in radiofrequency ablation lesion depth and incidence of thrombus and steam pop. Circulation 2006; 113:11-19. (Pubitemid 43958483)
7. Calkins H, Reynolds MR, Spector P, Sondhi M, Xu Y, Martin A, Williams CJ, et al. Treatment of atrial fibrillation with antiarrhythmic drugs or radiofrequency ablation: Two systematic literature reviews and meta-analyses. Circ Arrhythm Electrophysiol 2009; 2:349-361.
8. Cappato R, Calkins H, Chen SA, Chen S, Davies W, Iesaka Y, Kalman J, et al. Updated worldwide survey on the methods, efficacy and safety of catheter ablation for human atrial fibrillation. Circ Arrhythm Electrophysiol 2010; 3:32-38.