Durable pulmonary vein isolation with optimized high‐power and very high‐power short‐duration temperature‐controlled ablation: A step‐by‐step guide.
Introduction: Through systematic scientific rigor, the CLOSE guided workflow was developed and has been shown to improve pulmonary vein isolation durability. However, this technique was developed at a time when using power‐controlled ablation catheters with conventional power ranges was the norm. Th...
| Publicado en: | Journal of Cardiovascular Electrophysiology Vol. 35; no. 5; pp. 886 - 895 |
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| Autores principales: | , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177635955&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177635955 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10453873 GSB jtl: Journal of Cardiovascular Electrophysiology issn: 10453873 maglogo: Y pubinfo: dt: May2024 vid: 35 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 177635955 175749427 177635955 177635955 10.1111/jce.16217 177635955 ppf: 886 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Durable pulmonary vein isolation with optimized high‐power and very high‐power short‐duration temperature‐controlled ablation: A step‐by‐step guide. aug: au: De Potter, Tom J. R. De Becker, Benjamin Duytschaever, Mattias affil: Cardiovascular Center, Division of Cardiology, Onze Lieve Vrouwziekenhuis Hospital, Aalst, Belgium. sug: subj: Atrial Fibrillation Physiopathology Pulmonary Veins Physiopathology Atrial Fibrillation Surgery Pulmonary Veins Surgery Catheter Ablation Methods Radiofrequency Ablation Methods Vascular Access Devices Time Factors Temperature Treatment Outcomes Human In Vivo Studies Action Potentials Workflow Heart Rate Equipment Design Biophysics Catheter Irrigation, Vascular Catheters, Vascular Funding Source ab: Introduction: Through systematic scientific rigor, the CLOSE guided workflow was developed and has been shown to improve pulmonary vein isolation durability. However, this technique was developed at a time when using power‐controlled ablation catheters with conventional power ranges was the norm. There has been increased adoption of a high‐power and very high‐power short‐duration ablation practice propelled by the availability of the temperature‐controlled radiofrequency QDOT MICRO catheter. Methods: There are fundamental differences in biophysics between very high‐ powered temperature guided ablation and conventional ablation strategy that may impact patient outcomes. The catheter's design and ablation modes offer flexibility in technique while accommodating the individual operator's clinical discretion and preference to deliver a durable, transmural, and contiguous lesion set. Results: Here, we provide recommendations for 3 different workflows using the QDOT MICRO catheter in a step‐by‐step manner for pulmonary vein isolation based on our cumulative experience as early adopters of the technology and the data available in the scientific literature. Conclusions: With standardization, temperature‐controlled ablation with the QDOT MICRO catheter provides operators the flexibility of implementing different ablation strategies to ensure durable contiguous pulmonary vein isolation depending on patient characteristics. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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