ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2016
Reduced residual conduction gaps and favourable outcome in contact force-guided circumferential pulmonary vein isolation.
Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Pooled it
- Impact of contact force technology on reducing the recurrence and major complications of atrial fibrillation ablation: A systematic review and meta-analysis.Anatolian journal of cardiology · 2017Pooled it
- HELT-EHeart and vessels · 2025Article
- Comparing cryoballoon and contact-force guided radiofrequency ablation in pulmonary vein isolation for atrial fibrillation in patients with hypertrophic cardiomyopathy.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024Article
- Association between left atrial low-voltage area and induction and recurrence of macroreentrant atrial tachycardia in pulmonary vein isolation for atrial fibrillation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024Article
- Ablation of Paroxysmal Atrial Fibrillation: between Present and Future.Reviews in cardiovascular medicine · 2024Review
- Progress in atrial fibrillation ablation during 25 years of Europace journal.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023Article
- Improved procedural workflow for catheter ablation of paroxysmal AF with high-density mapping system and advanced technology: Rationale and study design of a multicenter international study.Clinical cardiology · 2022Article
- Procedural Efficiency, Efficacy, and Safety of High-Power, Short-Duration Radiofrequency Ablation Delivered by STSF Catheter for Paroxysmal Atrial Fibrillation.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Comparison of lesion characteristics between conventional and high-power short-duration ablation using contact force-sensing catheter in patients with paroxysmal atrial fibrillation.BMC cardiovascular disorders · 2021Article
- The application of novel segmentation software to create left atrial geometry for atrial fibrillation ablation: The implication of spatial resolution.Journal of the Chinese Medical Association : JCMA · 2020Article
- Porous tip contact force-sensing catheters for pulmonary vein isolation: performance in a clinical routine setting.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2020Article
- Intracardiac echocardiography-guided simultaneous pulmonary vein isolation and percutaneous transvenous mitral commissurotomy.HeartRhythm case reports · 2020Article
- Left atrial remodeling index is a feasible predictor of poor prognosis in patients with acute ischemic stroke.Heart and vessels · 2019Article
- Low-fluoroscopy atrial fibrillation ablation with contact force and ultrasound technologies: a learning curve.Pragmatic and observational research · 2019Article
- The Impact of Advances in Atrial Fibrillation Ablation Devices on the Incidence and Prevention of Complications.Arrhythmia & electrophysiology review · 2018Review
- Comparison of the efficacy between impedance-guided and contact force-guided atrial fibrillation ablation using an automated annotation system.Journal of arrhythmia · 2018Article
- Optimal ablation index parameters for radiofrequency ablation therapy of atrial fibrillation.Pakistan journal of medical sciencesArticle
- Safety and Long-Term Success of Persistent Atrial Fibrillation Ablation Using THERMOCOOL SMARTTOUCH® Catheter: Real-World Experience.Journal of atrial fibrillationArticle
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsAlthough contact force (CF)-guided circumferential pulmonary vein isolation (CPVI) for paroxysmal atrial fibrillation (PAF) is useful, AF recurrence at long-term follow-up still remains to be resolved. The purpose of this study was to assess safety and efficacy of CF-guided CPVI and to compare residual conduction gaps during CPVI and long-term outcome between the conventional (non-CF-guided) and the CF-guided CPVI. METHODS AND
resultsWe studied the 50 consecutive PAF patients undergoing CPVI by a ThermoCool EZ Steer catheter (conventional group, mean age 61 ± 10 years) and the other 50 consecutive PAF patients by a ThermoCool SmartTouch catheter (CF group, 65 ± 11 years). The procedure parameters and residual conduction gaps during CPVI, and long-term outcome for 12 months were compared between the two groups. Circumferential pulmonary vein isolation was successfully accomplished without any major complications in both groups. Total procedure and total fluoroscopy times were both significantly shorter in the CF group than in the conventional group (160 ± 30 vs. 245 ± 61 min, P < 0.001, and 17 ± 8 vs. 54 ± 27 min, P < 0.001, respectively). Total number of residual conduction gaps was significantly less in the CF group than in the conventional group (2.7 ± 1.7 vs. 6.3 ± 2.7, P < 0.05). The AF recurrence-free rates after CPVI during 12-month follow-up were 96% (48/50) in the CF group and 82% (41/50) in the conventional group (P = 0.02 by log rank test). Multivariate Cox regression analysis further supported this finding.
conclusionContact force-guided CPVI is safe and more effective in reducing not only the procedure time but also the AF recurrence than the conventional CPVI, possibly due to reduced residual conduction gaps during CPVI procedure.
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