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Pulsed field ablation using focal contact force-sensing catheters for treatment of atrial fibrillation: acute and 90-day invasive remapping results.
Anic, Ante; Phlips, Thomas; Breskovic, Toni; Koopman, Pieter; Girouard, Steven; Mediratta, Vikramaditya; Jurisic, Zrinka; Sikiric, Ivan; Lisica, Lucija; Vijgen, Johan.
Afiliación
  • Anic A; Heart and vascular center, Klinicki Bolnicki Centar (KBC) Split, Spinciceva ul. 1, Split 21000, Croatia.
  • Phlips T; Jessa Ziekenhuis, Hasselt, Belgium.
  • Breskovic T; Heart and vascular center, Klinicki Bolnicki Centar (KBC) Split, Spinciceva ul. 1, Split 21000, Croatia.
  • Koopman P; Jessa Ziekenhuis, Hasselt, Belgium.
  • Girouard S; Galvanize Therapeutics, Inc. (previously Galaxy Medical), Redwood City, CA, USA.
  • Mediratta V; Galvanize Therapeutics, Inc. (previously Galaxy Medical), Redwood City, CA, USA.
  • Jurisic Z; Heart and vascular center, Klinicki Bolnicki Centar (KBC) Split, Spinciceva ul. 1, Split 21000, Croatia.
  • Sikiric I; Heart and vascular center, Klinicki Bolnicki Centar (KBC) Split, Spinciceva ul. 1, Split 21000, Croatia.
  • Lisica L; Heart and vascular center, Klinicki Bolnicki Centar (KBC) Split, Spinciceva ul. 1, Split 21000, Croatia.
  • Vijgen J; Jessa Ziekenhuis, Hasselt, Belgium.
Europace ; 25(6)2023 06 02.
Article en En | MEDLINE | ID: mdl-37335976
AIMS: Pulsed field ablation (PFA) has emerged as a promising alternative to thermal ablation for treatment of atrial fibrillation (AF). We report performance and safety using the CENTAURI™ System (Galvanize Therapeutics) with three commercial, focal ablation catheters. METHODS AND RESULTS: ECLIPSE AF (NCT04523545) was a prospective, single-arm, multi-centre study evaluating safety and acute and chronic pulmonary vein isolation (PVI) durability using the CENTAURI System in conjunction with the TactiCath SE, StablePoint, and ThermoCool ST ablation catheters. Patients with paroxysmal or persistent AF were treated at two centres. Patients were analysed in five cohorts based upon ablation settings, catheter, and mapping system. Pulsed field ablation was performed in 82 patients (74% male, 42 paroxysmal AF). Pulmonary vein isolation was achieved in 100% of pulmonary veins (322/322) with first-pass isolation in 92.2% (297/322). There were four serious adverse events of interest (three vascular access complications and one lacunar stroke). Eighty patients (98%) underwent invasive remapping. Pulsed field ablation development Cohorts 1 and 2 showed a per-patient isolation rate of 38% and 26% and a per-PV isolation rate of 47% and 53%, respectively. Optimized PFA Cohorts 3-5 showed a per-patient isolation rate of 60%, 73%, and 81% and a per-PV isolation rate of 84%, 90%, and 92%, respectively. CONCLUSION: ECLIPSE AF demonstrated that optimized PFA using the CENTAURI System with three commercial, contact force-sensing, solid-tip focal ablation catheters resulted in transmural lesion formation and high proportion of durable PVI with a favourable safety profile, thus providing a viable treatment option for AF that integrates with contemporary focal ablation workflows.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Venas Pulmonares / Fibrilación Atrial / Ablación por Catéter Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies Límite: Female / Humans / Male Idioma: En Revista: Europace Asunto de la revista: CARDIOLOGIA / FISIOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Croacia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Venas Pulmonares / Fibrilación Atrial / Ablación por Catéter Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies Límite: Female / Humans / Male Idioma: En Revista: Europace Asunto de la revista: CARDIOLOGIA / FISIOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Croacia Pais de publicación: Reino Unido