Impact of real-time contact force and impedance measurement in pulmonary vein isolation procedures for treatment of atrial fibrillation

Clinical Research in Cardiology

Volumn 103, Issue 2, 2014, Pages 97-106

  Wakili, Reza ^a   Clauss, Sebastian ^a   Schmidt, Viola ^a   Ulbrich, Michael ^b   Hahnefeld, Anton ^a   Schüssler, Franziska ^a   Siebermair, Johannes ^a   Kääb, Stefan ^a   Estner, Heidi L ^a  

^a LUDWIG MAXIMILIANS UNIVERSITY   (Germany)

^b Heart Center Siegburg   (Germany)

Author keywords

Ablation; Arrhythmia; Atrial fibrillation; Contact force catheter; Impedance; Pulmonary vein isolation

Indexed keywords

ADULT; AGED; ATRIAL FIBRILLATION; CARDIAC CATHETERS; CATHETER ABLATION; ELECTRIC IMPEDANCE; EQUIPMENT DESIGN; FEMALE; HUMANS; MALE; MIDDLE AGED; OPERATIVE TIME; PROSPECTIVE STUDIES; PULMONARY VEINS; RECURRENCE; STRESS, MECHANICAL; TIME FACTORS; TREATMENT OUTCOME;

EID: 84893872361     PISSN: 18610684     EISSN: 18610692     Source Type: Journal    
DOI: 10.1007/s00392-013-0625-7     Document Type: Article

References (36)

1. Ehrlich JR, Kaluzny M, Baumann S et al (2011) Biomarkers of structural remodelling and endothelial dysfunction for prediction of cardiovascular events or death in patients with atrial fibrillation. Clin Res Cardiol 100(11):1029-1036. doi: 10.1007/s00392-011-0337-9
2. Providencia R, Barra S, Paiva L (2013) Atrial fibrillation, elevated troponin, ischemic stroke and adverse outcomes: understanding the connection. Clin Res Cardiol. doi: 10.1007/s00392-013-0591-0
3. Lampe B, Hammerstingl C, Schwab JO et al (2012) Adverse effects of permanent atrial fibrillation on heart failure in patients with preserved left ventricular function and chronic right apical pacing for complete heart block. Clin Res Cardiol 101(10):829-836. doi: 10.1007/s00392-012-0468-7
4. Gitt AK, Smolka W, Michailov G et al (2013) Types and outcomes of cardioversion in patients admitted to hospital for atrial fibrillation: results of the German RHYTHM-AF Study. Clin Res Cardiol. doi: 10.1007/s00392-013-0586-x
5. Meinertz T, Kirch W, Rosin L et al (2011) Management of atrial fibrillation by primary care physicians in Germany: baseline results of the ATRIUM registry. Clin Res Cardiol 100(10):897-905. doi: 10.1007/s00392-011-0320- 5
6. Said SM, Braun-Dullaeus RC (2011) Comment on the European guidelines for the management of atrial fibrillation. Clin Res Cardiol 100(6):543-544. doi: 10.1007/s00392-010-0280-1
7. Seivani Y, Abdel-Wahab M, Geist V et al (2013) Long-term safety and efficacy of dual therapy with oral anticoagulation and clopidogrel in patients with atrial fibrillation treated with drug-eluting stents. Clin Res Cardiol. doi: 10.1007/s00392-013-0592-z
8. Steiner T, Bohm M, Dichgans M et al (2013) Recommendations for the emergency management of complications associated with the new direct oral anticoagulants (DOACs), apixaban, dabigatran and rivaroxaban. Clin Res Cardiol 102(6):399-412. doi: 10.1007/s00392-013-0560-7
9. Vollmann D, Luthje L, Seegers J et al (2011) Sternal fracture after elective electrical cardioversion of atrial fibrillation. Clin Res Cardiol 100(3):261-262. doi: 10.1007/s00392-010-0251-6
10. Vollmann D, Sossalla S, Schroeter MR, Zabel M (2013) Renal artery ablation instead of pulmonary vein ablation in a hypertensive patient with symptomatic, drug-resistant, persistent atrial fibrillation. Clin Res Cardiol 102(4):315-318. doi: 10.1007/s00392-012-0529-y
11. Wohrle J, Bertrand B, Sondergaard L et al (2012) PFO closuRE and CryptogenIc StrokE (PRECISE) registry: a multi-center, international registry. Clin Res Cardiol 101(10):787-793. doi: 10.1007/s00392-012-0458-9
12. Wasmer K, Kobe J, Dechering D et al (2013) CHADS(2) and CHA(2)DS (2)-VASc score of patients with atrial fibrillation or flutter and newly detected left atrial thrombus. Clin Res Cardiol 102(2):139-144. doi: 10.1007/s00392-012-0507-4
13. Calkins H, Kuck KH, Cappato R et al (2012) 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design. Heart Rhythm 9(4):632-696.e621. doi: 10.1016/j.hrthm.2011.12.016
14. Chun KR, Schmidt B, Kuck KH et al (2013) Catheter ablation of atrial fibrillation in the young: insights from the German Ablation Registry. Clin Res Cardiol. doi: 10.1007/s00392-013-0553-6
15. Haissaguerre M, Jais P, Shah DC et al (1998) Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 339(10):659-666. doi: 10.1056/NEJM199809033391003 (Pubitemid 28402090)
16. Kuck KH, Ernst S, Dorwarth U et al (2007) Guidelines for catheter ablation. Clin Res Cardiol 96(11):833-849. doi: 10.1007/s00392-007-0590-0
17. Luthje L, Vollmann D, Seegers J et al (2011) Remote magnetic versus manual catheter navigation for circumferential pulmonary vein ablation in patients with atrial fibrillation. Clin Res Cardiol 100(11):1003-1011. doi: 10.1007/s00392-011-0333-0
18. Schmidt M, Dorwarth U, Straube F et al (2012) A novel double cryoballoon strategy in persistent atrial fibrillation: a pilot study. Clin Res Cardiol 101(10):777-785. doi: 10.1007/s00392-012-0456-y
19. Richter B, Gwechenberger M, Socas A et al (2012) Markers of oxidative stress after ablation of atrial fibrillation are associated with inflammation, delivered radiofrequency energy and early recurrence of atrial fibrillation. Clin Res Cardiol 101(3):217-225. doi: 10.1007/s00392-011-0383-3
20. Thiagalingam A, D'Avila A, Foley L et al (2010) Importance of catheter contact force during irrigated radiofrequency ablation: evaluation in a porcine ex vivo model using a force-sensing catheter. J Cardiovasc Electrophysiol 21(7):806-811. doi: 10.1111/j.1540-8167.2009.01693.x
21. Yokoyama K, Nakagawa H, Shah DC et al (2008) Novel contact force sensor incorporated in irrigated radiofrequency ablation catheter predicts lesion size and incidence of steam pop and thrombus. Circulation Arrhythmia and electrophysiology 1(5):354-362. doi: 10.1161/CIRCEP.108.803650
22. Kautzner J, Neuzil P, Peichl P, et al (2012) Contact force, force time integral and lesion continuity are critical to improve durable PV isolation: EFFICAS 2 results. Heart Rhythm 9(5S):1-564
23. Kerst G, Weig HJ, Weretka S et al (2012) Contact force-controlled zero-fluoroscopy catheter ablation of right-sided and left atrial arrhythmia substrates. Heart Rhythm 9(5):709-714. doi: 10.1016/j.hrthm.2011.12.025
24. Kuck KH, Reddy VY, Schmidt B et al (2012) A novel radiofrequency ablation catheter using contact force sensing: Toccata study. Heart Rhythm 9(1):18-23. doi: 10.1016/j.hrthm.2011.08.021
25. Neuzil P, Kautzner J, Cihak R, et al (2011) EFFICAS I early results: does gap formation following pulmonary vein isolation correlate with low contact force? Europace 13 (Suppl 3): NP. doi: 10.1093/europace/eur214 (Abstract)
26. Reddy VY, Shah D, Kautzner J et al (2012) The relationship between contact force and clinical outcome during radiofrequency catheter ablation of atrial fibrillation in the TOCCATA study. Heart Rhythm 9(11):1789-1795. doi: 10.1016/j.hrthm.2012.07.016
27. Neuzil P, Reddy VY, Kautzner J et al (2013) Electrical reconnection after pulmonary vein isolation is contingent on contact force during initial treatment: results from the EFFICAS I study. Circ Arrhythm Electrophysiol 6(2):327-333. doi: 10.1161/CIRCEP.113.000374
28. Okumura Y, Johnson SB, Bunch TJ et al (2008) A systematical analysis of in vivo contact forces on virtual catheter tip/tissue surface contact during cardiac mapping and intervention. J Cardiovasc Electrophysiol 19(6):632-640. doi: 10.1111/j.1540-8167.2008.01135.x (Pubitemid 351832288)
29. Martinek M, Lemes C, Sigmund E et al (2012) Clinical impact of an open-irrigated radiofrequency catheter with direct force measurement on atrial fibrillation ablation. Pacing Clin Electrophysiol 35(11):1312-1318. doi: 10.1111/j.1540-8159.2012.03503.x
30. Hoffmann E, Remp T, Gerth A et al (1993) Preablation 50 kHz impedance: a new parameter for assessing myocardial wall contact before radiofrequency catheter ablation. J Am Coll Cardiol 21:49A
31. Reithmann C, Remp T, Hoffmann E, Matis T, Wakili R, Steinbeck G (2005) Different patterns of the fall of impedance as the result of heating during ostial pulmonary vein ablation: implications for power titration. Pacing Clin Electrophysiol 28(12):1282-1291. doi: 10.1111/j.1540-8159.2005.00269.x (Pubitemid 43951388)
32. Zheng X, Walcott GP, Hall JA, Rollins DL, Smith WM, Kay GN, Ideker RE (2000) Electrode impedance: an indicator of electrode-tissue contact and lesion dimensions during linear ablation. J Interv Card Electrophysiol 4(4):645-654 (Pubitemid 32066524)
33. Nath S, DiMarco JP, Gallop RG, McRury ID, Haines DE (1996) Effects of dispersive electrode position and surface area on electrical parameters and temperature during radiofrequency catheter ablation. Am J Cardiol 77(9):765-767 (Pubitemid 26116696)
34. Wittkampf FH, Nakagawa H (2006) RF catheter ablation: lessons on lesions. Pacing Clin Electrophysiol 29(11):1285-1297. doi: 10.1111/j.1540-8159.2006. 00533.x (Pubitemid 44707114)
35. Haldar S, Jarman JW, Panikker S, et al (2012) Contact force sensing technology identifies sites of inadequate contact and reduces acute pulmonary vein reconnection: A prospective case control study. Int J Cardiol. doi: 10.1016/j.ijcard.2012.11.072
36. Shah DC, Lambert H, Nakagawa H, Langenkamp A, Aeby N, Leo G (2010) Area under the real-time contact force curve (force-time integral) predicts radiofrequency lesion size in an in vitro contractile model. J Cardiovasc Electrophysiol 21(9):1038-1043. doi: 10.1111/j.1540-8167.2010.01750.x