In vivo contact force analysis and correlation with tissue impedance during left atrial mapping and catheter ablation of atrial fibrillation

Circulation: Arrhythmia and Electrophysiology

Volumn 7, Issue 1, 2014, Pages 46-54

  Makimoto, Hisaki ^a   Lin, Tina ^a   Rillig, Andreas ^a   Metzner, Andreas ^a   Wohlmuth, Peter ^a   Arya, Anita ^a   Antz, Matthias ^a   Mathew, Shibu ^a   Deiss, Sebastian ^a   Wissner, Erik ^a   Rausch, Peter ^a   Bardyszewski, Aleksander ^a   Kamioka, Masashi ^a   Li, Xuping ^a   Kuck, Karl Heinz ^a   Ouyang, Feifan ^a   Tilz, Roland Richard ^a  

^a DEPARTMENT OF CARDIOLOGY   (Germany)

Author keywords

Atrial fibrillation; Catheter ablation; Contact force; Left atrial mapping; Pulmonary vein isolation

Indexed keywords

ADULT; ARTICLE; CARDIAC MAPPING SYSTEM; CARDIOVASCULAR PROCEDURE; CATHETER ABLATION; CLINICAL ARTICLE; COMPUTER PROGRAM; CONTACT FORCE; CONTROLLED STUDY; DIAGNOSTIC TEST ACCURACY STUDY; FEMALE; FORCE; HEART ATRIUM FIBRILLATION; HEART LEFT ATRIUM; HUMAN; IMPEDANCE CARDIOGRAPH; IMPEDANCE CARDIOGRAPHY; LEFT ATRIUM MAPPING; MALE; MAPPING CATHETER; PRIORITY JOURNAL; PULMONARY VEIN; RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY AND SPECIFICITY; ACTION POTENTIAL; AGED; EQUIPMENT; HEART ATRIUM; HEART CATHETER; HEART FUNCTION TEST; HEART MUSCLE CONDUCTION SYSTEM; IMPEDANCE; LEFT ATRIAL MAPPING; MECHANICAL STRESS; MIDDLE AGED; PATHOLOGY; PATHOPHYSIOLOGY; PILOT STUDY; PREDICTIVE VALUE; PULMONARY VEIN ISOLATION; TIME; TREATMENT OUTCOME;

ATRIAL FIBRILLATION; CATHETER ABLATION; CONTACT FORCE; LEFT ATRIAL MAPPING; PULMONARY VEIN ISOLATION;

ACTION POTENTIALS; AGED; ATRIAL FIBRILLATION; CARDIAC CATHETERS; CATHETER ABLATION; ELECTRIC IMPEDANCE; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; HEART ATRIA; HEART CONDUCTION SYSTEM; HUMANS; MALE; MIDDLE AGED; PILOT PROJECTS; PREDICTIVE VALUE OF TESTS; PULMONARY VEINS; STRESS, MECHANICAL; TIME FACTORS; TREATMENT OUTCOME;

EID: 84898857141     PISSN: 19413149     EISSN: 19413084     Source Type: Journal    
DOI: 10.1161/CIRCEP.113.000556     Document Type: Article

References (18)

1. Calkins H, Brugada J, Packer DL, Cappato R, Chen SA, Crijns HJ, Damiano RJ Jr, Davies DW, Haines DE, Haissaguerre M, Iesaka Y, Jackman W, Jais P, Kottkamp H, Kuck KH, Lindsay BD, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Natale A, Pappone C, Prystowsky E, Raviele A, Ruskin JN, Shemin RJ; Heart Rhythm Society; European Heart Rhythm Association; European Cardiac Arrhythmia Society; American College of Cardiology; American Heart Association; Society of Thoracic Surgeons. HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. Europace. 2007;9: 335-379.
2. Ouyang F, Bänsch D, Ernst S, Schaumann A, Hachiya H, Chen M, Chun J, Falk P, Khanedani A, Antz M, Kuck KH. Complete isolation of left atrium surrounding the pulmonary veins: new insights from the double-Lasso technique in paroxysmal atrial fibrillation. Circulation. 2004;110: 2090-2096.
3. Ouyang F, Antz M, Ernst S, Hachiya H, Mavrakis H, Deger FT, Schaumann A, Chun J, Falk P, Hennig D, Liu X, Bänsch D, Kuck KH. Recovered pulmonary vein conduction as a dominant factor for recurrent atrial tachyarrhythmias after complete circular isolation of the pulmonary veins: lessons from double Lasso technique. Circulation. 2005;111: 127-135.
4. Tilz RR, Rillig A, Thum AM, Arya A, Wohlmuth P, Metzner A, Mathew S, Yoshiga Y, Wissner E, Kuck KH, Ouyang F. Catheter ablation of long-standing persistent atrial fibrillation: 5-year outcomes of the Hamburg Sequential Ablation Strategy. J Am Coll Cardiol. 2012;60: 1921-1929.
5. Yokoyama K, Nakagawa H, Shah DC, Lambert H, Leo G, Aeby N, Ikeda A, Pitha JV, Sharma T, Lazzara R, Jackman WM. Novel contact force and sensor incorporated in irrigated radiofrequency ablation catheter predicts lesion size and incidence of steam pop and thrombus. Circ Arrhythm Electrophysiol. 2008;1: 354-362.
6. Thiagalingam A, D'Avila A, McPherson C, Malchano Z, Ruskin J, Reddy VY. Impedance and temperature monitoring improve the safety of closed-loop irrigated-Tip radiofrequency ablation. J Cardiovasc Electrophysiol. 2007;18: 318-325.
7. Antz M, Otomo K, Nakagawa H, Yamanashi WS, Jackman WM, Kuck KH. Radiofrequency catheter ablation with the split-Tip electrode in the temperature-controlled mode. Pacing Clin Electrophysiol. 2001;24: 1765-1773.
8. Kuck KH, Reddy VY, Schmidt B, Natale A, Neuzil P, Saoudi N, Kautzner J, Herrera C, Hindricks G, Jaïs P, Nakagawa H, Lambert H, Shah DC. A novel radiofrequency ablation catheter using contact force sensing: Toccata study. Heart Rhythm. 2012;9: 18-23.
9. Kumar S, Morton JB, Lee J, Halloran K, Spence SJ, Gorelik A, Hepworth G, Kistler PM, Kalman JM. Prospective characterization of catheter-Tissue contact force at different anatomic sites during antral pulmonary vein isolation. Circ Arrhythm Electrophysiol. 2012;5: 1124-1129.
10. Reddy VY, Shah D, Kautzner J, Schmidt B, Saoudi N, Herrera C, Jaïs P, Hindricks G, Peichl P, Yulzari A, Lambert H, Neuzil P, Natale A, Kuck KH. The relationship between contact force and clinical outcome during radiofrequency catheter ablation of atrial fibrillation in the TOCCATA study. Heart Rhythm. 2012;9: 1789-1795.
11. Okumura Y, Johnson SB, Bunch TJ, Henz BD, O'Brien CJ, Packer DL. A systematical analysis of in vivo contact forces on virtual catheter tip/tissue surface contact during cardiac mapping and intervention. J Cardiovasc Electrophysiol. 2008;19: 632-640.
12. Nakagawa H, Yamanashi WS, Pitha JV, Arruda M, Wang X, Ohtomo K, Beckman KJ, McClelland JH, Lazzara R, Jackman WM. 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. 1995;91: 2264-2273.
13. Wittkampf FH, Hauer RN, Robles de Medina EO. Control of radiofrequency lesion size by power regulation. Circulation. 1989;80: 962-968.
14. Grumbrecht S, Neuzner J, Pitschner HF. Interrelation of tissue temperature versus flow velocity in two different kinds of temperature controlled catheter radiofrequency energy applications. J Interv Card Electrophysiol. 1998;2: 211-219.
15. Nakagawa H, Wittkampf FH, Yamanashi WS, Pitha JV, Imai S, Campbell B, Arruda M, Lazzara R, Jackman WM. Inverse relationship between electrode size and lesion size during radiofrequency ablation with active electrode cooling. Circulation. 1998;98: 458-465.
16. Di Biase L, Natale A, Barrett C, Tan C, Elayi CS, Ching CK, Wang P, Al-Ahmad A, Arruda M, Burkhardt JD, Wisnoskey BJ, Chowdhury P, De Marco S, Armaganijan L, Litwak KN, Schweikert RA, Cummings JE. Relationship between catheter forces, lesion characteristics, "popping," and char formation: experience with robotic navigation system. J Cardiovasc Electrophysiol. 2009;20: 436-440.
17. Shah DC, Lambert H, Nakagawa H, Langenkamp A, Aeby N, Leo G. Area under the real-Time contact force curve (force-Time integral) predicts radiofrequency lesion size in an in vitro contractile model. J Cardiovasc Electrophysiol. 2010;21: 1038-1043.
18. Fürnkranz A, Julian JK, Schmidt B, Wohlmuth P, Tilz R, Kuck KH, Ouyang F. Ipsilateral pulmonary vein isolation performed by a single continuous circular lesion: role of pulmonary vein mapping during ablation. Europace. 2011;13: 935-941.