Formation of thermal coagulum on multielectrode catheters during phased radiofrequency energy ablation of persistent atrial fibrillation

التفاصيل البيبلوغرافية
العنوان: Formation of thermal coagulum on multielectrode catheters during phased radiofrequency energy ablation of persistent atrial fibrillation
المؤلفون: Philippe, Debruyne, Tom, Rossenbacker, Bart, Vankelecom, Filip, Charlier, John, Roosen, Bavo, Ector, Luc, Janssens
المصدر: Pacing and clinical electrophysiology : PACE. 37(2)
سنة النشر: 2013
مصطلحات موضوعية: Adult, Male, Hot Temperature, Radio Waves, Embolism, Equipment Design, Middle Aged, Equipment Failure Analysis, Treatment Outcome, Atrial Fibrillation, Chronic Disease, Catheter Ablation, Humans, Equipment Failure, Female, Blood Coagulation, Electrodes
الوصف: Radiofrequency ablation (RFA) can unfavorably cause coagulum on the ablation electrode. The aim of this study was to assess this phenomenon on three different multielectrode catheters used to treat persistent atrial fibrillation with duty-cycled RFA.Twenty-six consecutive patients have been treated with the pulmonary vein ablation catheter (PVAC) and the multiarray ablation catheter (MAAC). In 13 patients, additional ablation with the multiarray septal catheter (MASC) has been performed. The multichannel RF generator GENius™ (Medtronic Inc., Minneapolis, MN, USA) independently delivered energy in a bipolar and unipolar mode (ratio of 4/1, 2/1, or 1/1) to any of the electrodes. Versions 14.2, 14.3, and 14.4 of the generator were used. Coagulum presence was determined postablation by careful visual inspection of the catheter electrodes. No coagulum formation was visualized on the PVACs. Coagulum formation was visualized in 59% of the electrodes of the MAACs using a 2/1 mode and the 14.2 software version versus 69% using the 14.4 version and a 2/1 mode (P = 0.7) versus 14% of the electrodes applying a 1/1 ratio and the 14.4 software version (P0.001).Duty-cycled RFA in 2/1 bipolar/unipolar ratio generates a substantial frequency of coagulum formation on the multielectrode catheters MAAC and MASC. The use of the 14.4 version of the software to drive the RF generator and the use of energy in the default 1/1 bipolar/unipolar ratio could significantly reduce the frequency of coagulum formation, but so far, could not completely overcome it. The PVAC did not form coagulum, regardless of generator version or energy ratio used.
تدمد: 1540-8159
URL الوصول: https://explore.openaire.eu/search/publication?articleId=pmid________::13f1a62dae9f99b9fd9c904096bdde9b
https://pubmed.ncbi.nlm.nih.gov/24024481
رقم الانضمام: edsair.pmid..........13f1a62dae9f99b9fd9c904096bdde9b
قاعدة البيانات: OpenAIRE