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Visualizing ablation gaps in vitro using a deflectable fiber optic endocardial visualization catheter.
J Interv Card Electrophysiol. 2009 Aug; 25(2):107-10.JI

Abstract

BACKGROUND

The efficacy of pulmonary vein isolation for the treatment of atrial fibrillation may be limited by the ability to make continuous and transmural lesions utilizing an ablation catheter. Gaps often persist between ablation lesions leading to failed electrical isolation and thus failed ablation. Recently, a deflectable fiberoptic endocardial visualization catheter has been introduced for use in imaging the coronary sinus using light in the visible spectrum. We utilize this catheter to visualize the endocardial surface and examine radiofrequency ablation lesions in porcine endocardium to determine the presence of gaps between radiofrequency lesions.

METHODS

Videos were taken of the lesions and shown to two readers who were asked to identify the gaps ranging from less than 0.1 mm-9.8 mm.

RESULTS

Ninety-four lesion gaps were reviewed. The readers demonstrated a combined accuracy of 98.4% at identifying gaps.

CONCLUSIONS

Gaps between ablation lesions can be accurately identified down to less than 1 mm distances in vitro using a direct visualization catheter. Further studies are warranted to confirm these finding in vivo.

Authors+Show Affiliations

Stanford University School of Medicine, Stanford, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

19148727

Citation

Irani, Afraaz R., et al. "Visualizing Ablation Gaps in Vitro Using a Deflectable Fiber Optic Endocardial Visualization Catheter." Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing, vol. 25, no. 2, 2009, pp. 107-10.
Irani AR, Lin B, Eversull C, et al. Visualizing ablation gaps in vitro using a deflectable fiber optic endocardial visualization catheter. J Interv Card Electrophysiol. 2009;25(2):107-10.
Irani, A. R., Lin, B., Eversull, C., Hsia, H. H., Zei, P. C., Wang, P. J., & Al-Ahmad, A. (2009). Visualizing ablation gaps in vitro using a deflectable fiber optic endocardial visualization catheter. Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing, 25(2), 107-10. https://doi.org/10.1007/s10840-008-9338-7
Irani AR, et al. Visualizing Ablation Gaps in Vitro Using a Deflectable Fiber Optic Endocardial Visualization Catheter. J Interv Card Electrophysiol. 2009;25(2):107-10. PubMed PMID: 19148727.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Visualizing ablation gaps in vitro using a deflectable fiber optic endocardial visualization catheter. AU - Irani,Afraaz R, AU - Lin,Bryant, AU - Eversull,Christian, AU - Hsia,Henry H, AU - Zei,Paul C, AU - Wang,Paul J, AU - Al-Ahmad,Amin, Y1 - 2009/01/16/ PY - 2008/06/05/received PY - 2008/10/24/accepted PY - 2009/1/17/entrez PY - 2009/1/17/pubmed PY - 2009/9/17/medline SP - 107 EP - 10 JF - Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing JO - J Interv Card Electrophysiol VL - 25 IS - 2 N2 - BACKGROUND: The efficacy of pulmonary vein isolation for the treatment of atrial fibrillation may be limited by the ability to make continuous and transmural lesions utilizing an ablation catheter. Gaps often persist between ablation lesions leading to failed electrical isolation and thus failed ablation. Recently, a deflectable fiberoptic endocardial visualization catheter has been introduced for use in imaging the coronary sinus using light in the visible spectrum. We utilize this catheter to visualize the endocardial surface and examine radiofrequency ablation lesions in porcine endocardium to determine the presence of gaps between radiofrequency lesions. METHODS: Videos were taken of the lesions and shown to two readers who were asked to identify the gaps ranging from less than 0.1 mm-9.8 mm. RESULTS: Ninety-four lesion gaps were reviewed. The readers demonstrated a combined accuracy of 98.4% at identifying gaps. CONCLUSIONS: Gaps between ablation lesions can be accurately identified down to less than 1 mm distances in vitro using a direct visualization catheter. Further studies are warranted to confirm these finding in vivo. SN - 1572-8595 UR - https://www.unboundmedicine.com/medline/citation/19148727/Visualizing_ablation_gaps_in_vitro_using_a_deflectable_fiber_optic_endocardial_visualization_catheter_ L2 - https://doi.org/10.1007/s10840-008-9338-7 DB - PRIME DP - Unbound Medicine ER -