Contact Force-Sensing Versus Standard Catheters in Non-Fluoroscopic Radiofrequency Catheter Ablation of Idiopathic Outflow Tract Ventricular Arrhythmias

Overview

Journal J Clin Med

Specialty General Medicine

Date 2022 Feb 15

PMID 35160043

Authors

Grzegorz Karkowski

Marcin Kuniewicz

Andrzej Zabek

Edward Kozluk

Maciej Debski

Pawel T Matusik

Jacek Lelakowski

Affiliations

Soon will be listed here.

Abstract

Background: Adequate contact between the catheter tip and tissue is important for optimal lesion formation and, in some procedures, it has been associated with improved effectiveness and safety. We evaluated the potential benefits of contact force-sensing (CFS) catheters during non-fluoroscopic radiofrequency catheter ablation (NF-RFCA) of idiopathic ventricular arrhythmias (VAs) originating from outflow tracts (OTs).

Methods: A group of 102 patients who underwent NF-RFCA (CARTO, Biosense Webster Inc., Irvine, CA, USA) of VAs from OTs between 2014 to 2018 was retrospectively analyzed.

Results: We included 52 (50.9%) patients in whom NF-RFCA was performed using CFS catheters and 50 (49.1%) who were ablated using standard catheters. Arrhythmias were localized in the right and left OT in 70 (68.6%) and 32 (31.4%) patients, respectively. The RFCA acute success rate was 96.1% = 98) and long-term success during a minimum 12-month follow-up (mean 51.3 ± 21.6 months) was 85.3% ( = 87), with no difference between CFS and standard catheters. There was no difference in complications rate between CFS ( = 1) and standard catheter ( = 2) ablations.

Conclusions: There is no additional advantage of CFS catheters use over standard catheters during NF-RFCA of OT-VAs in terms of procedural effectiveness and safety.

Citing Articles

Zero-fluoroscopy approach for radiofrequency catheter ablation of left-sided, idiopathic ventricular arrhythmias - feasibility, efficacy, and safety evaluation.

Rodkiewicz D, Momot K, Kozluk E, Piatkowska A, Kwasiborski P, Buksinska-Lisik M Postepy Kardiol Interwencyjnej. 2025; 20(4):474-479.

PMID: 39897020 PMC: 11783260. DOI: 10.5114/aic.2024.142618.

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