| Item type |
リポジトリ登録用アイテムタイプ（シンプル）(1) |
| 公開日 |
2025-03-27 |
| タイトル |
|
|
タイトル |
Impact of the irrigation flow technology on contact force-guided pulmonary vein isolation: a prospective, randomized study |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Atrial fibrillation |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Catheter ablation |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Circumferential pulmonary vein isolation |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Radiofrequency |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Surround flow catheter tip irrigation |
| 資源タイプ |
|
|
資源タイプ識別子（シンプル） |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ（シンプル） |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Yuya, Sorimachi
Daisuke, Horiuchi
Masaomi, Kimura
Yuichi, Toyama
Kimitaka, Nishizaki
Takahiko, Kinjo
Yuji, Ishida
Taihei, Itoh
Shingo, Sasaki
Hirofumi, Tomita
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: Safety and efficacy of the irrigation flow technology on contact force （CF）-guided circumferential pulmonary vein isolation （CPVI） remain unknown. We investigated the impact of the irrigation flow by comparing the application time to achieve unexcitability by pacing from the ablation catheter tip.
Methods: A 56-hole porous tip （PT） irrigation system （ThermoCool SmartTouch Surround Flow; STSF） were compared with a conventional 6-hole catheter tip （ThermoCool SmartTouch; ST）. Forty-two patients with atrial fibrillation（ mean age 61±10 years） undergoing CPVI were randomly assigned to either STSF（ PT group; n=21） or ST （non-PT group; n=21） catheter ablation. Radiofrequency （RF） application at 30W was performed while pacing at 6 sites along the left CPVI line before the CPVI. The CF was adjusted to maintain 10 g. After the study, PVI was
performed with the conventional method.
Results: The PT group had a shorter median RF application time from superior to anterior sites than the non-PT group （10 seconds; interquartile range （IQR）, 7–17, versus 29 seconds; IQR, 13–51; P<0.01）. There was no difference in RF application time from inferior to posterior sites. Except for one patient in the PT group who had esophageal erosion, CPVI was performed without complications.
Conclusions: The PT irrigation system is more effective than the 6-hole irrigation tip system in the formation of lesions, especially at the roof-anterior sites. |
|
言語 |
en |
| 書誌情報 |
ja : 弘前医学
en : Hirosaki Medical Journal
巻 75,
号 2-4,
p. 97-109,
発行日 2025-03-10
|
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2434-4656 |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00211444 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 出版者 |
|
|
出版者 |
弘前大学大学院医学研究科 |
|
言語 |
ja |
Hirosaki Med J 75-2-4_97.pdf (785 KB)
