ArticleHeart rhythm O22026
Safety and lesion characteristics of temperature-flow control vs power control modes in radiofrequency ablation: An in vivo study in swine.
Article in Heart rhythm O2, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Steam pop is a major safety concern in radiofrequency ablation. The temperature-flow control (TFC) mode may mitigate this risk by precisely monitoring tissue temperature. Objective: This study compared the safety and efficacy of TFC vs power control (PC) under ablation index (AI) guidance, focusing on steam pop incidence and lesion characteristics. Method: In vivo experiments were conducted in 9 swine, with atrial ablations performed under AI control at 500-600 and ventricular ablations at 550-650. Procedural parameters were recorded, and lesion characteristics and steam pops were assessed pathologically. Result: A total of 258 atrial and 117 ventricular ablations were performed in 9 pigs, of which 227 atrial and 102 ventricular ablations met the inclusion criteria. In both chambers, contact force was comparable between TFC and PC groups, but the ablation time was significantly longer with TFC ( Conclusion: TFC achieved lesion sizes similar to PC but significantly reduced steam pops at the same AI level, suggesting improved procedural safety.
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