Duty-cycled multi-electrode radiofrequency vs. Conventional irrigated point-by-point radiofrequency ablation for recurrent atrial fibrillation: Comparative 3-year data

Europace

Volumn 16, Issue 6, 2014, Pages 820-825

  De Greef, Y ^a   Buysschaert, I ^a   Schwagten, B ^a   Stockman, D ^a   Tavernier, R ^b   Duytschaever, M ^b,c  

^a MIDDELHEIM HOSPITAL   (Belgium)

^b Hospital Sint Jan   (Belgium)

^c GHENT UNIVERSITY HOSPITAL   (Belgium)

Author keywords

Atrial fibrillation; Electro anatomical mapping system; Pulmonary vein ablation catheter; Pulmonary vein isolation

Indexed keywords

DIURETIC AGENT; LOW MOLECULAR WEIGHT HEPARIN; WARFARIN;

ABLATION CATHETER; ADULT; ARTICLE; CARDIOVERSION; CLINICAL FEATURE; CONVENTIONAL PULMONARY VEIN ISOLATION; DUTY CYCLED MULTI ELECTRODE RADIOFREQUENCY ABLATION; FEMALE; FLUID RETENTION; FOLLOW UP; GROIN HEMATOMA; HEART ARRHYTHMIA; HEART ATRIUM FIBRILLATION; HEART DISEASE; HEART TAMPONADE; HEMOPTYSIS; HUMAN; INTERMETHOD COMPARISON; IRRIGATED POINT BY POINT RADIOFREQUENCY ABLATION; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PERICARDITIS; PRIORITY JOURNAL; PULMONARY VEIN ISOLATION; PULMONARY VEIN OBSTRUCTION; RADIOFREQUENCY ABLATION; RECURRENT DISEASE; STOMACH PARESIS; TREATMENT OUTCOME; ATRIAL FIBRILLATION; CATHETER ABLATION; COMPUTER ASSISTED SURGERY; CONTROLLED STUDY; DEVICES; ELECTROCARDIOGRAPHY; ELECTRODE; HEART MUSCLE CONDUCTION SYSTEM; LAVAGE; LONGITUDINAL STUDY; MIDDLE AGED; MULTIMODALITY CANCER THERAPY; PROCEDURES; PULMONARY VEIN; RANDOMIZED CONTROLLED TRIAL; SURGERY;

ATRIAL FIBRILLATION; BODY SURFACE POTENTIAL MAPPING; CATHETER ABLATION; COMBINED MODALITY THERAPY; ELECTRODES; FEMALE; FOLLOW-UP STUDIES; HEART CONDUCTION SYSTEM; HUMANS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; PULMONARY VEINS; RECURRENCE; SURGERY, COMPUTER-ASSISTED; THERAPEUTIC IRRIGATION; TREATMENT OUTCOME;

EID: 84901855475     PISSN: 10995129     EISSN: 15322092     Source Type: Journal    
DOI: 10.1093/europace/eut398     Document Type: Article

References (26)

1. Boersma LV, Wijffels MC, Oral H, Wever EF, Morady F. Pulmonary vein isolation by duty-cycled bipolar and unipolar radiofrequency energy with amultielectrode ablation catheter. Heart Rhythm 2008;5:1635-42.
2. Fredersdorf S, Weber S, Jilek C, Heinicke N, VON Bary C, Jungbauer C et al. Safe and Rapid Isolation of Pulmonary Veins Using a Novel Circular Ablation Catheter and Duty-Cycled RF Generator. J Cardiovasc Electrophysiol 2009;20: 1097-101.
3. Wieczorek M, Hoeltgen R, Akin E, Salili AR, Oral H, Morady F. Results of short-term and long-term pulmonary vein isolation for paroxysmal atrial fibrillation using dutycycled bipolar and unipolar radiofrequency energy. J Cardiovasc Electrophysiol 2010; 21:399-405.
4. Beukema RP, Beukema WP, Smit JJ, Ramdat Misier AR, Delnoij PP, Wellens H et al. Efficacy of multi-electrode duty-cycled radiofrequency ablation for pulmonary vein disconnection in patients with paroxysmal and persistent atrial fibrillation. Europace 2010;12:502-7.
5. Mulder AA, Wijffels MC, Wever EF, Boersma LV. Freedom from paroxysmal atrial fibrillation after successful pulmonary vein isolation with pulmonary vein ablation catheter-phased radiofrequency energy: 2-year follow-up and predictors of failure. Europace 2012;14:818-25.
6. Bulava A, Haniš J, Sitek D, Ošmera O, Karpianus D, Snorek M et al. Catheter ablation for paroxysmal atrial fibrillation: a randomized comparison between multielectrode catheter and point-by-point ablation. Pacing Clin Electrophysiol 2010;33:1039-46.
7. Khaykin Y, Zarnett L, Friedlander D, Wulffhart ZA, Whaley B, Giewercer D et al. Point-by-point pulmonary vein antrum isolation guided by intracardiac echocardiography and 3D mapping and duty-cycled multipolar AF ablation: effect of multipolar ablation on procedure duration and fluoroscopy time. J Interv Card Electrophysiol 2012;34:303-10.
8. Choo WK, Farwell D, Harris S. Experience of atrial fibrillation ablation in a new cardiac centre using three-dimensional mapping and multielectrode duty-cycled radiofrequency ablation. Arch Cardiovasc Dis 2011;104:396-402.
9. Bittner A, Mönnig G, Zellerhoff S, Pott C, Köbe J, Dechering D et al. Randomized study comparing duty-cycled bipolar and unipolar radiofrequency with point-by-point ablation in pulmonary vein isolation. Heart Rhythm 2011;8: 1383-90.
10. Beukema RJ, Elvan A, Smit JJ, Delnoy PP, Misier AR, Reddy V. Pulmonary vein isolation to treat paroxysmal atrial fibrillation: conventional versus multi-electrode radiofrequency ablation. J Interv Card Electrophysiol 2012;34:143-52.
11. Looi KL, Gajendragadkar P, Taha T, Elsik M, Scully E, Heck P et al. Long-term outcomes (>2 years) of atrial fibrillation ablation using a multi-electrode ablation catheter in patients with paroxysmal atrial fibrillation. J Interv Card Electrophysiol 2013;36: 61-9.
12. Tivig C, Dang L, Brunner-La Rocca HP, Ozcan S, Duru F, Scharf C. Duty-cycled unipolar/bipolar versus conventional radiofrequency ablation in paroxysmal and persistent atrial fibrillation. Int J Cardiol 2012;31:185-91.
13. Calkins H, Kuck KH, Cappato R, Brugada J, Camm J, Chen SA et al. 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. Europace 2012;14:528-606.
14. De Greef Y, Schwagten B, De Keulenaer G, Stockman D. Pulmonary vein stenosis after pulmonary vein ablation catheter-guided pulmonary vein isolation. Heart Rhythm 2010;7:1306-8.
15. Malmborg H, Lonnerholm S, Blomstrom P, Blomstrom-Lundqvist C. Ablation of atrial fibrillation with cryoballoon or duty-cycled radiofrequency pulmonary vein ablation catheter: a randomized controlled study comparing the clinical outcome and safety: the AF-COR study. Europace 2013;15:1567-73.
16. Ouyang F, Tilz R, Chun J, Schmidt B, Wissner E, Zerm T et al. Long-term results of catheter ablation in paroxysmal atrial fibrillation: lessons from a 5-year follow-up. Circulation 2010;122:2368-77.
17. Weerasooriya R, Khairy P, Litalien J, Macle L, Hocini M, Sacher F et al. Catheter ablation for atrial fibrillation: are results maintained at 5 years of follow-up? J Am Coll Cardiol 2011;57:160-6.
18. Bertaglia E, Tondo C, De Simone A, Zoppo F, Mantica M, Turco P et al. Does catheter ablation cure atrial fibrillation? Single-procedure outcome of drug-refractory atrial fibrillation ablation: a 6-year multicentre experience. Europace 2010;12: 181-7.
19. Sawhney N, Anousheh R, Chen WC, Narayan S, Feld GK. Five-year outcomes after segmental pulmonary vein isolation for paroxysmal atrial fibrillation. Am J Cardiol 2009;104:366-72.
20. Wokhlu A, Hodge DO, Monahan KH, Asirvatham SJ, Friedman PA, Munger TM et al. Long-term outcome of atrial fibrillation ablation: impact and predictors of very late recurrence. J Cardiovasc Electrophysiol 2010;21:1071-78.
21. Medi C, Sparks PB, Morton JB, Kistler PM, Halloran K, Rosso R et al. Pulmonary vein antral isolation for paroxysmal atrial fibrillation: results from long-term follow-up. J Cardiovasc Electrophysiol 2011;22:137-41.
22. Ganesan A, Shipp NJ, Brooks AG, Kuklik P, Lau DH, Lim HS et al. Long-term outcomes of catheter ablation of atrial fibrillation: a systematic reviewand meta-analysis. J Am Heart Assoc 2013;2:e004549.
23. Neumann T, Wójcik M, Berkowitsch A, Erkapic D, Zaltsberg S, Greiss H et al. Cryoballoon ablation of paroxysmal atrial fibrillation: 5-year outcome after single procedure and predictors of success. Europace 2013;15:1143-9.
24. Camm AJ, Kirchhof P, Lip GY, Schotten U, Savelieva I, Ernst S et al. Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology. Eur Heart J 2010;31: 2369-429.
25. Gaita F, Leclercq JF, Schumacher B, Scaglione M, Toso E, Halimi F et al. Incidence of silent cerebral thromboembolic lesions after atrial fibrillation ablation may change according to technology used. J Cardiovasc Electrophysiol 2011;22: 961-8.
26. Herrera Siklódy C, Deneke T, Hocini M, Lehrmann H, Shin DI, Miyazaki S et al. Incidence of Asymptomatic Intracranial Embolic Events after Pulmonary Vein Isolation: comparison of different atrial fibrillation ablation technologies in a multicenter study. J Am Coll Cardiol 2011;58:681-8.