Abstract
Contact with cardiac tissue is an important determinant of lesion efficacy during atrial fibrillation (AF) ablation. The Sensei X™ robotic navigation system (RNS) (Hansen Medical, Mountain View, CA, USA) has been validated for contact force (CF) sensing expressed in grams (g). The Thermocool® SmartTouch™ catheter enables the measurement of catheter tip CF and direction inside the heart. We aimed to investigate the catheter CF with and without RNS during pulmonary vein isolation (PVI) procedures. Eighty patients with symptomatic AF (56 males, age 63 ± 18) were enrolled in this study. Fifty-seven patients had paroxysmal AF and 23 early persistent AF. All procedures were performed with the Thermocool® SmartTouch™ ablation catheter. Forty patients were randomized to perform PVI with the Sensei X™ RNS (group 1), while in the other 40 patients (group 2), PVI was performed without the RNS. AF ablation was performed successfully in all patients without complications, while contact force was kept in the established 10-40 g range. A significantly higher CF was documented on the PVs in group 1 compared to group 2. The 1-year freedom from AF recurrence was higher in group 1 compared to group 2 (90 vs. 65 %, p = 0.04). Moreover, a significa...Continue Reading
References
Apr 1, 2008·Journal of Cardiovascular Electrophysiology·Yasuo OkumuraDouglas L Packer
Nov 20, 2008·Journal of Cardiovascular Electrophysiology·Luigi Di BiaseJennifer E Cummings
Jul 4, 2009·Journal of Cardiovascular Electrophysiology·Oussama M WazniWalid Saliba
Aug 7, 2009·Journal of Cardiovascular Electrophysiology·Luigi Di BiaseAndrea Natale
Aug 19, 2009·Heart·Lamia Ait-AliEugenio Picano
Oct 2, 2009·Journal of Cardiovascular Electrophysiology·Daniel StevenStephan Willems
May 12, 2010·Journal of Cardiovascular Electrophysiology·Stephan WillemsThomas Rostock
Mar 3, 2011·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Michela CasellaClaudio Tondo
Aug 30, 2011·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Karl-Heinz KuckDipen C Shah
Mar 6, 2012·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Hugh CalkinsUNKNOWN Heart Rhythm Society Task Force on Catheter and Surgical Ablation of Atrial Fibrillation
Mar 27, 2012·Cardiovascular Journal of Africa·Faizel LorgatSam Chitsaz
Apr 13, 2012·Pacing and Clinical Electrophysiology : PACE·Edward R DuncanRichard J Schilling
Apr 19, 2012·Journal of Cardiovascular Electrophysiology·Rong BaiAndrea Natale
Jul 24, 2012·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Vivek Y ReddyKarl-Heinz Kuck
Aug 28, 2012·European Heart Journal·A John CammUNKNOWN ESC Committee for Practice Guidelines (CPG)
Sep 6, 2012·Pacing and Clinical Electrophysiology : PACE·Martin MartinekHelmut Pürerfellner
Dec 12, 2012·International Journal of Cardiology·Shouvik HaldarTom Wong
Feb 5, 2013·Journal of Cardiovascular Electrophysiology·Hiroya MizunoPaolo Della Bella
Jul 23, 2013·Circulation. Arrhythmia and Electrophysiology·Hiroshi NakagawaWarren M Jackman
Sep 12, 2013·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Matthew D OlsonWilliam H Sauer
Oct 10, 2013·Journal of Cardiovascular Electrophysiology·Saurabh KumarJonathan M Kalman
Nov 21, 2013·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Luigi Di BiaseAndrea Natale
Mar 19, 2014·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Antonio Dello RussoClaudio Tondo
Jun 25, 2014·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Waqas UllahRichard J Schilling
Jul 10, 2014·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Gerald V NaccarelliUNKNOWN VENTURE-AF Investigators
Sep 16, 2014·Pacing and Clinical Electrophysiology : PACE·Waqas UllahRichard J Schilling
Citations
Feb 15, 2018·Surgical Endoscopy·Brian S PetersDmitry Oleynikov
Oct 11, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hugh CalkinsUNKNOWN Document Reviewers:
Feb 6, 2020·Journal of Cardiovascular Electrophysiology·Guillaume BassilJim W Cheung
Apr 4, 2018·Biomedical Microdevices·Yan ZhaoYuhua Jiang
Aug 31, 2018·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Jan-Hendrik van den BruckDaniel Steven
May 16, 2018·JACC. Clinical Electrophysiology·Bruce D Lindsay
Aug 17, 2021·The Neuroradiology Journal·Kazim H NarsinhDaniel L Cooke