Performance of a non-irrigated bipolar radiofrequency ablation clamp on beating human hearts
This study is intended to examine the efficacy of a non-irrigated bipolar RF clamp and explore the factors that can influence its performance on beating human hearts using the electrophysiology mapping method. A total of 83 atrial fibrillation (AF) patients were included in this study. Based on the...
Gespeichert in:
| Veröffentlicht in: | International journal of cardiology 2024-03, Vol.399, p.131749-131749, Article 131749 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 131749 |
|---|---|
| container_issue | |
| container_start_page | 131749 |
| container_title | International journal of cardiology |
| container_volume | 399 |
| creator | Weng, Fan Yan, Tao Zhu, Miao Zhu, Shijie Zhu, Kai Wang, Chunsheng Zhao, Zongliang Guo, Changfa |
| description | This study is intended to examine the efficacy of a non-irrigated bipolar RF clamp and explore the factors that can influence its performance on beating human hearts using the electrophysiology mapping method.
A total of 83 atrial fibrillation (AF) patients were included in this study. Based on the Body mass index (BMI, kg/m2), the AF patients were divided into the normal group (18.5 ≤ BMI |
| doi_str_mv | 10.1016/j.ijcard.2024.131749 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2913449319</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S016752732400041X</els_id><sourcerecordid>2913449319</sourcerecordid><originalsourceid>FETCH-LOGICAL-c311t-92f54b7b80569fff5159f07dec2fb5447986d381c5af30c06219f62034309b3b3</originalsourceid><addsrcrecordid>eNp9kEtLxDAQgIMouj7-gUiOXrrm2TYXQcQXCHrQmxCSdKJZ2mZNuoL_3kjVo6cZhm9eH0LHlCwpofXZahlWzqRuyQgTS8ppI9QWWtC2ERVtpNhGi4I1lWQN30P7Oa8IIUKpdhft8ZYqJZlcoJdHSD6mwYwOcPTY4DGOVUgpvJoJOmzDOvYm4WS6EH2C9w2M7hMb25spxBG73gxrXBILpTC-4rdNmYXfwKQpH6Idb_oMRz_xAD1fXz1d3lb3Dzd3lxf3leOUTpViXgrb2JbIWnnvJZXKk6YDx7yVQjSqrbtyspPGc-JIzajyNSNccKIst_wAnc5z1ymWA_Okh5Ad9L0ZIW6yZopyIRSnqqBiRl2KOSfwep3CYNKnpkR_e9UrPXvV31717LW0nfxs2NgBur-mX5EFOJ8BKH9-BEg6u1BUQRcSuEl3Mfy_4QuOuIr5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2913449319</pqid></control><display><type>article</type><title>Performance of a non-irrigated bipolar radiofrequency ablation clamp on beating human hearts</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Weng, Fan ; Yan, Tao ; Zhu, Miao ; Zhu, Shijie ; Zhu, Kai ; Wang, Chunsheng ; Zhao, Zongliang ; Guo, Changfa</creator><creatorcontrib>Weng, Fan ; Yan, Tao ; Zhu, Miao ; Zhu, Shijie ; Zhu, Kai ; Wang, Chunsheng ; Zhao, Zongliang ; Guo, Changfa</creatorcontrib><description>This study is intended to examine the efficacy of a non-irrigated bipolar RF clamp and explore the factors that can influence its performance on beating human hearts using the electrophysiology mapping method.
A total of 83 atrial fibrillation (AF) patients were included in this study. Based on the Body mass index (BMI, kg/m2), the AF patients were divided into the normal group (18.5 ≤ BMI < 25) and the overweight or obese group (BMI ≥ 25). They all underwent a stand-alone surgical ablation through our off-pump biatrial mini-maze procedure. After we completed each time of ablation, the achievement of PV isolation was checked using the electrophysiology mapping method. The number of ablation times to achieve the PV isolation on the left and right PVs was recorded respectively.
86.7% (72/83) PV isolation on the LPV and 72.3% (60/83) PV isolation on the RPV could be achieved respectively after performing a single time of surgical ablation. Three times of ablations resulted in 100.0% PV isolation on the left and right PVs. In the normal BMI group, the ratio of patients who achieved a complete PV isolation after a single time of ablation was 83.7% (36/43), which was higher than the 60.0% (24/40) in the overweight or obese group.
Performing three times of ablations resulted in 100% PV isolation on the left and right PVs. The bipolar RF clamp had a better performance on the LPV than on the RPV. The patients' BMI also influenced the Atricure clamp’ s performance.
•Performing three successive ablations maximized the lesion transmurality and resulted in 100% PV isolation.•The bipolar RF clamp had a better performance on the LPV than on the RPV.•BMI was the main factor that influenced the ablation efficacy of the bipolar RF clamp on the beating human hearts.</description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/j.ijcard.2024.131749</identifier><identifier>PMID: 38199525</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Atrial fibrillation ; Atrial Fibrillation - diagnosis ; Atrial Fibrillation - surgery ; Bipolar radiofrequency clamp ; BMI ; Catheter Ablation - methods ; Epicardial fat ; Humans ; Obesity - surgery ; Overweight ; Pulmonary vein isolation ; Pulmonary Veins - surgery ; Radiofrequency Ablation ; Treatment Outcome</subject><ispartof>International journal of cardiology, 2024-03, Vol.399, p.131749-131749, Article 131749</ispartof><rights>2024</rights><rights>Copyright © 2024. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c311t-92f54b7b80569fff5159f07dec2fb5447986d381c5af30c06219f62034309b3b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S016752732400041X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38199525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weng, Fan</creatorcontrib><creatorcontrib>Yan, Tao</creatorcontrib><creatorcontrib>Zhu, Miao</creatorcontrib><creatorcontrib>Zhu, Shijie</creatorcontrib><creatorcontrib>Zhu, Kai</creatorcontrib><creatorcontrib>Wang, Chunsheng</creatorcontrib><creatorcontrib>Zhao, Zongliang</creatorcontrib><creatorcontrib>Guo, Changfa</creatorcontrib><title>Performance of a non-irrigated bipolar radiofrequency ablation clamp on beating human hearts</title><title>International journal of cardiology</title><addtitle>Int J Cardiol</addtitle><description>This study is intended to examine the efficacy of a non-irrigated bipolar RF clamp and explore the factors that can influence its performance on beating human hearts using the electrophysiology mapping method.
A total of 83 atrial fibrillation (AF) patients were included in this study. Based on the Body mass index (BMI, kg/m2), the AF patients were divided into the normal group (18.5 ≤ BMI < 25) and the overweight or obese group (BMI ≥ 25). They all underwent a stand-alone surgical ablation through our off-pump biatrial mini-maze procedure. After we completed each time of ablation, the achievement of PV isolation was checked using the electrophysiology mapping method. The number of ablation times to achieve the PV isolation on the left and right PVs was recorded respectively.
86.7% (72/83) PV isolation on the LPV and 72.3% (60/83) PV isolation on the RPV could be achieved respectively after performing a single time of surgical ablation. Three times of ablations resulted in 100.0% PV isolation on the left and right PVs. In the normal BMI group, the ratio of patients who achieved a complete PV isolation after a single time of ablation was 83.7% (36/43), which was higher than the 60.0% (24/40) in the overweight or obese group.
Performing three times of ablations resulted in 100% PV isolation on the left and right PVs. The bipolar RF clamp had a better performance on the LPV than on the RPV. The patients' BMI also influenced the Atricure clamp’ s performance.
•Performing three successive ablations maximized the lesion transmurality and resulted in 100% PV isolation.•The bipolar RF clamp had a better performance on the LPV than on the RPV.•BMI was the main factor that influenced the ablation efficacy of the bipolar RF clamp on the beating human hearts.</description><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - surgery</subject><subject>Bipolar radiofrequency clamp</subject><subject>BMI</subject><subject>Catheter Ablation - methods</subject><subject>Epicardial fat</subject><subject>Humans</subject><subject>Obesity - surgery</subject><subject>Overweight</subject><subject>Pulmonary vein isolation</subject><subject>Pulmonary Veins - surgery</subject><subject>Radiofrequency Ablation</subject><subject>Treatment Outcome</subject><issn>0167-5273</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxDAQgIMouj7-gUiOXrrm2TYXQcQXCHrQmxCSdKJZ2mZNuoL_3kjVo6cZhm9eH0LHlCwpofXZahlWzqRuyQgTS8ppI9QWWtC2ERVtpNhGi4I1lWQN30P7Oa8IIUKpdhft8ZYqJZlcoJdHSD6mwYwOcPTY4DGOVUgpvJoJOmzDOvYm4WS6EH2C9w2M7hMb25spxBG73gxrXBILpTC-4rdNmYXfwKQpH6Idb_oMRz_xAD1fXz1d3lb3Dzd3lxf3leOUTpViXgrb2JbIWnnvJZXKk6YDx7yVQjSqrbtyspPGc-JIzajyNSNccKIst_wAnc5z1ymWA_Okh5Ad9L0ZIW6yZopyIRSnqqBiRl2KOSfwep3CYNKnpkR_e9UrPXvV31717LW0nfxs2NgBur-mX5EFOJ8BKH9-BEg6u1BUQRcSuEl3Mfy_4QuOuIr5</recordid><startdate>20240315</startdate><enddate>20240315</enddate><creator>Weng, Fan</creator><creator>Yan, Tao</creator><creator>Zhu, Miao</creator><creator>Zhu, Shijie</creator><creator>Zhu, Kai</creator><creator>Wang, Chunsheng</creator><creator>Zhao, Zongliang</creator><creator>Guo, Changfa</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240315</creationdate><title>Performance of a non-irrigated bipolar radiofrequency ablation clamp on beating human hearts</title><author>Weng, Fan ; Yan, Tao ; Zhu, Miao ; Zhu, Shijie ; Zhu, Kai ; Wang, Chunsheng ; Zhao, Zongliang ; Guo, Changfa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-92f54b7b80569fff5159f07dec2fb5447986d381c5af30c06219f62034309b3b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - surgery</topic><topic>Bipolar radiofrequency clamp</topic><topic>BMI</topic><topic>Catheter Ablation - methods</topic><topic>Epicardial fat</topic><topic>Humans</topic><topic>Obesity - surgery</topic><topic>Overweight</topic><topic>Pulmonary vein isolation</topic><topic>Pulmonary Veins - surgery</topic><topic>Radiofrequency Ablation</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weng, Fan</creatorcontrib><creatorcontrib>Yan, Tao</creatorcontrib><creatorcontrib>Zhu, Miao</creatorcontrib><creatorcontrib>Zhu, Shijie</creatorcontrib><creatorcontrib>Zhu, Kai</creatorcontrib><creatorcontrib>Wang, Chunsheng</creatorcontrib><creatorcontrib>Zhao, Zongliang</creatorcontrib><creatorcontrib>Guo, Changfa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weng, Fan</au><au>Yan, Tao</au><au>Zhu, Miao</au><au>Zhu, Shijie</au><au>Zhu, Kai</au><au>Wang, Chunsheng</au><au>Zhao, Zongliang</au><au>Guo, Changfa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Performance of a non-irrigated bipolar radiofrequency ablation clamp on beating human hearts</atitle><jtitle>International journal of cardiology</jtitle><addtitle>Int J Cardiol</addtitle><date>2024-03-15</date><risdate>2024</risdate><volume>399</volume><spage>131749</spage><epage>131749</epage><pages>131749-131749</pages><artnum>131749</artnum><issn>0167-5273</issn><eissn>1874-1754</eissn><abstract>This study is intended to examine the efficacy of a non-irrigated bipolar RF clamp and explore the factors that can influence its performance on beating human hearts using the electrophysiology mapping method.
A total of 83 atrial fibrillation (AF) patients were included in this study. Based on the Body mass index (BMI, kg/m2), the AF patients were divided into the normal group (18.5 ≤ BMI < 25) and the overweight or obese group (BMI ≥ 25). They all underwent a stand-alone surgical ablation through our off-pump biatrial mini-maze procedure. After we completed each time of ablation, the achievement of PV isolation was checked using the electrophysiology mapping method. The number of ablation times to achieve the PV isolation on the left and right PVs was recorded respectively.
86.7% (72/83) PV isolation on the LPV and 72.3% (60/83) PV isolation on the RPV could be achieved respectively after performing a single time of surgical ablation. Three times of ablations resulted in 100.0% PV isolation on the left and right PVs. In the normal BMI group, the ratio of patients who achieved a complete PV isolation after a single time of ablation was 83.7% (36/43), which was higher than the 60.0% (24/40) in the overweight or obese group.
Performing three times of ablations resulted in 100% PV isolation on the left and right PVs. The bipolar RF clamp had a better performance on the LPV than on the RPV. The patients' BMI also influenced the Atricure clamp’ s performance.
•Performing three successive ablations maximized the lesion transmurality and resulted in 100% PV isolation.•The bipolar RF clamp had a better performance on the LPV than on the RPV.•BMI was the main factor that influenced the ablation efficacy of the bipolar RF clamp on the beating human hearts.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>38199525</pmid><doi>10.1016/j.ijcard.2024.131749</doi><tpages>1</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0167-5273 |
| ispartof | International journal of cardiology, 2024-03, Vol.399, p.131749-131749, Article 131749 |
| issn | 0167-5273 1874-1754 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2913449319 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Atrial fibrillation Atrial Fibrillation - diagnosis Atrial Fibrillation - surgery Bipolar radiofrequency clamp BMI Catheter Ablation - methods Epicardial fat Humans Obesity - surgery Overweight Pulmonary vein isolation Pulmonary Veins - surgery Radiofrequency Ablation Treatment Outcome |
| title | Performance of a non-irrigated bipolar radiofrequency ablation clamp on beating human hearts |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T23%3A36%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Performance%20of%20a%20non-irrigated%20bipolar%20radiofrequency%20ablation%20clamp%20on%20beating%20human%20hearts&rft.jtitle=International%20journal%20of%20cardiology&rft.au=Weng,%20Fan&rft.date=2024-03-15&rft.volume=399&rft.spage=131749&rft.epage=131749&rft.pages=131749-131749&rft.artnum=131749&rft.issn=0167-5273&rft.eissn=1874-1754&rft_id=info:doi/10.1016/j.ijcard.2024.131749&rft_dat=%3Cproquest_cross%3E2913449319%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2913449319&rft_id=info:pmid/38199525&rft_els_id=S016752732400041X&rfr_iscdi=true |