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一种新型温控、灌注射频导管与超高密度标测的兼容性。

Compatibility of a novel temperature-controlled, irrigated radiofrequency catheter with ultra-high-density mapping.

作者信息

Rodriguez Muñoz Daniel, Marco Del Castillo Álvaro, Ramos Jimenez Javier, Borrego Bernabe Luis, Madrid Montoya Alba, Lorenzo Balboa Adrián, Arribas Ynsaurriaga Fernando, Salguero-Bodes Rafael

机构信息

Cardiology Department University Hospital 12 de Octubre and Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12) Madrid Spain.

Rhythmia HDx, Boston Scientific Marlborough Massachusetts USA.

出版信息

J Arrhythm. 2023 Jul 8;39(4):676-680. doi: 10.1002/joa3.12896. eCollection 2023 Aug.

DOI:10.1002/joa3.12896
PMID:37560277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10407174/
Abstract

BACKGROUND

Compatibility of DiamondTemp (DT) radiofrequency (RF) catheter with the Rhythmia mapping system has not been manufacturer-reported nor its tracking accuracy reported.

METHODS

Consecutive patients undergoing macroreentrant atrial tachycardia ablation guided by Rhythmia and ablated using DT were prospectively enrolled. Following catheter configuration, ablation lines were performed and remapped to measure the RF tag to effective-ablation-line-center (RFT-ALC) distance.

RESULTS

Among 20 consecutive patients (54 maps), 40 ablation lines were evaluated. Overall, the RFT-ALC distance was 3.88 ± 2.95 mm, and the operator assessment of accuracy was high. No complications occurred.

CONCLUSION

The use of DT catheter guided by the Rhythmia mapping system is feasible and accurate.

摘要

背景

DiamondTemp(DT)射频(RF)导管与Rhythmia标测系统的兼容性尚未见制造商报告,其跟踪准确性也未报告。

方法

前瞻性纳入连续接受Rhythmia指导下的大折返性房性心动过速消融且使用DT进行消融的患者。导管配置完成后,进行消融线操作并重新标测以测量射频标签到有效消融线中心(RFT-ALC)的距离。

结果

在连续20例患者(54张标测图)中,评估了40条消融线。总体而言,RFT-ALC距离为3.88±2.95毫米,术者对准确性的评估较高。未发生并发症。

结论

在Rhythmia标测系统指导下使用DT导管是可行且准确的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8018/10407174/73fd171251e6/JOA3-39-676-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8018/10407174/b56b2adb7605/JOA3-39-676-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8018/10407174/73fd171251e6/JOA3-39-676-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8018/10407174/b56b2adb7605/JOA3-39-676-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8018/10407174/73fd171251e6/JOA3-39-676-g001.jpg

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JACC Clin Electrophysiol. 2023 Jul;9(7 Pt 2):1038-1047. doi: 10.1016/j.jacep.2022.12.020. Epub 2023 Feb 22.
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A Novel Temperature-Controlled Radiofrequency Catheter Ablation System Used to Treat Patients With Paroxysmal Atrial Fibrillation.一种新型的温度控制射频导管消融系统,用于治疗阵发性心房颤动患者。
JACC Clin Electrophysiol. 2021 Mar;7(3):352-363. doi: 10.1016/j.jacep.2020.11.009. Epub 2021 Jan 27.
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Basket catheter-guided ultra-high-density mapping of cardiac arrhythmias: a systematic review and meta-analysis.
篮状导管引导的心律失常超高密度标测:系统评价和荟萃分析。
Future Cardiol. 2020 Nov;16(6):735-751. doi: 10.2217/fca-2020-0032. Epub 2020 Jul 1.
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Ultra-High-Density Activation Mapping to Aid Isthmus Identification of Atrial Tachycardias in Congenital Heart Disease.超高密度激活图辅助先天性心脏病房性心动过速峡部定位。
JACC Clin Electrophysiol. 2019 Dec;5(12):1459-1472. doi: 10.1016/j.jacep.2019.08.001. Epub 2019 Oct 30.
5
Pulmonary Vein Isolation With Very High Power, Short Duration, Temperature-Controlled Lesions: The QDOT-FAST Trial.应用高功率、短时间、温度控制消融的肺静脉隔离术:QDOT-FAST 试验。
JACC Clin Electrophysiol. 2019 Jul;5(7):778-786. doi: 10.1016/j.jacep.2019.04.009. Epub 2019 May 8.
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