التفاصيل البيبلوغرافية
| العنوان: |
Cavotricuspid isthmus ablation guided by force‐time integral – A randomized study |
| المؤلفون: |
Asvestas, Dimitrios, Sousonis, Vasileios, Kotsovolis, George, Karanikas, Stavros, Xintarakou, Anastasia, Sakadakis, Eleftherios, Rigopoulos, Angelos G., Kalogeropoulos, Andreas S., Vardas, Panos, Tzeis, Stylianos |
| المصدر: |
Clinical Cardiology ; volume 45, issue 5, page 503-508 ; ISSN 0160-9289 1932-8737 |
| بيانات النشر: |
Wiley |
| سنة النشر: |
2022 |
| المجموعة: |
Wiley Online Library (Open Access Articles via Crossref) |
| الوصف: |
Background Force‐time integral (FTI) is an ablation marker of lesion quality and transmurality. A target FTI of 400 gram‐seconds (gs) has been shown to improve durability of pulmonary vein isolation, following atrial fibrillation ablation. However, relevant targets for cavotricuspid isthmus (CTI) ablation are lacking. Hypothesis We sought to investigate whether CTI ablation with 600 gs FTI lesions is associated with reduced rate of transisthmus conduction recovery compared to 400 gs lesions. Methods Fifty patients with CTI‐dependent flutter were randomized to ablation using 400 gs (FTI400 group, n = 26) or 600 gs FTI lesions (FTI600 group, n = 24). The study endpoint was spontaneous or adenosine‐mediated recovery of transisthmus conduction, after a 20‐min waiting period. Results The study endpoint occurred in five patients (19.2%) in group FTI400 and in four patients (16.7%) in group FTI600, p = .81. First‐pass CTI block was similar in both groups (50% in FTI400 vs. 54.2% in FTI600, p = .77). There were no differences in the total number of lesions, total ablation time, procedure time and fluoroscopy duration between the two groups. There were no major complications in any group. In the total population, patients not achieving first‐pass CTI block had significantly higher rate of acute CTI conduction recovery, compared to those with first‐pass block (29.2% vs. 7.7% respectively, p = .048). Conclusions CTI ablation using 600 gs FTI lesions is not associated with reduced spontaneous or adenosine‐mediated recurrence of transisthmus conduction, compared to 400 gs lesions. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1002/clc.23805 |
| الإتاحة: |
https://doi.org/10.1002/clc.23805Test |
| حقوق: |
http://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: |
edsbas.9CE76D7F |
| قاعدة البيانات: |
BASE |
