Occlusion tool software for pulmonary vein occlusion verification in atrial fibrillation cryoballoon ablation
Abstract Background Optimal pulmonary vein (PV) occlusion, usually verified with selective contrast injection, is mandatory to obtain an effective PV isolation during cryoballoon (CB) ablation. Aim of the study The purpose of this study was to verify the feasibility and the accuracy of a new dielect...
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crwiley:10.1111/pace.14130 2023-12-03T10:18:14+01:00 Occlusion tool software for pulmonary vein occlusion verification in atrial fibrillation cryoballoon ablation Cauti, Filippo Maria Solimene, Francesco Stabile, Giuseppe Polselli, Marco Schillaci, Vincenzo Arestia, Alberto Shopova, Gergana Iaia, Luigi Giannitti, Carlo Maria Rossi, Pietro Bianchi, Stefano 2020 http://dx.doi.org/10.1111/pace.14130 https://onlinelibrary.wiley.com/doi/pdf/10.1111/pace.14130 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/pace.14130 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Pacing and Clinical Electrophysiology volume 44, issue 1, page 63-70 ISSN 0147-8389 1540-8159 Cardiology and Cardiovascular Medicine General Medicine journal-article 2020 crwiley https://doi.org/10.1111/pace.14130 2023-11-09T13:24:01Z Abstract Background Optimal pulmonary vein (PV) occlusion, usually verified with selective contrast injection, is mandatory to obtain an effective PV isolation during cryoballoon (CB) ablation. Aim of the study The purpose of this study was to verify the feasibility and the accuracy of a new dielectric sensing system in assessing PV occlusion during CB ablation in patients with atrial fibrillation (AF). Methods We enrolled 28 consecutive patients with paroxysmal or persistent AF. After transseptal access, a detailed image reconstruction of left atrium and PVs was achieved with an octapolar or decapolar mapping catheter (Achieve catheter, Medtronic Inc.) and KODEX‐EPD system (EPD Solutions, a Philips company). The degree of PV occlusion with the inflated Arctic Front Advance Cryoballoon (Medtronic Inc.) was verified using the new “occlusion tool” software module (EPD Solutions, a Philips company) and compared to an angiogram obtained with contrast medium injection in each PV. Results A total of 105 PV CB occlusion were tested. The new occlusion tool software module showed a 91% sensitivity and 76% specificity in assessing a complete PV occlusion verified with contrast medium injection. The positive predictive value was 80%, and the negative predictive value was 88.6%. Mean procedure time was 81 ± 17 minutes. Mean fluoroscopy time was 6 ± 2 minutes. No 30‐day complications were observed. Conclusion The new dielectric imaging system was able to assess the degree of PV occlusion during a CB ablation with good sensitivity and specificity. Article in Journal/Newspaper Arctic Wiley Online Library (via Crossref) Arctic Pacing and Clinical Electrophysiology 44 1 63 70 |
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Cardiology and Cardiovascular Medicine General Medicine |
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Cardiology and Cardiovascular Medicine General Medicine Cauti, Filippo Maria Solimene, Francesco Stabile, Giuseppe Polselli, Marco Schillaci, Vincenzo Arestia, Alberto Shopova, Gergana Iaia, Luigi Giannitti, Carlo Maria Rossi, Pietro Bianchi, Stefano Occlusion tool software for pulmonary vein occlusion verification in atrial fibrillation cryoballoon ablation |
topic_facet |
Cardiology and Cardiovascular Medicine General Medicine |
description |
Abstract Background Optimal pulmonary vein (PV) occlusion, usually verified with selective contrast injection, is mandatory to obtain an effective PV isolation during cryoballoon (CB) ablation. Aim of the study The purpose of this study was to verify the feasibility and the accuracy of a new dielectric sensing system in assessing PV occlusion during CB ablation in patients with atrial fibrillation (AF). Methods We enrolled 28 consecutive patients with paroxysmal or persistent AF. After transseptal access, a detailed image reconstruction of left atrium and PVs was achieved with an octapolar or decapolar mapping catheter (Achieve catheter, Medtronic Inc.) and KODEX‐EPD system (EPD Solutions, a Philips company). The degree of PV occlusion with the inflated Arctic Front Advance Cryoballoon (Medtronic Inc.) was verified using the new “occlusion tool” software module (EPD Solutions, a Philips company) and compared to an angiogram obtained with contrast medium injection in each PV. Results A total of 105 PV CB occlusion were tested. The new occlusion tool software module showed a 91% sensitivity and 76% specificity in assessing a complete PV occlusion verified with contrast medium injection. The positive predictive value was 80%, and the negative predictive value was 88.6%. Mean procedure time was 81 ± 17 minutes. Mean fluoroscopy time was 6 ± 2 minutes. No 30‐day complications were observed. Conclusion The new dielectric imaging system was able to assess the degree of PV occlusion during a CB ablation with good sensitivity and specificity. |
format |
Article in Journal/Newspaper |
author |
Cauti, Filippo Maria Solimene, Francesco Stabile, Giuseppe Polselli, Marco Schillaci, Vincenzo Arestia, Alberto Shopova, Gergana Iaia, Luigi Giannitti, Carlo Maria Rossi, Pietro Bianchi, Stefano |
author_facet |
Cauti, Filippo Maria Solimene, Francesco Stabile, Giuseppe Polselli, Marco Schillaci, Vincenzo Arestia, Alberto Shopova, Gergana Iaia, Luigi Giannitti, Carlo Maria Rossi, Pietro Bianchi, Stefano |
author_sort |
Cauti, Filippo Maria |
title |
Occlusion tool software for pulmonary vein occlusion verification in atrial fibrillation cryoballoon ablation |
title_short |
Occlusion tool software for pulmonary vein occlusion verification in atrial fibrillation cryoballoon ablation |
title_full |
Occlusion tool software for pulmonary vein occlusion verification in atrial fibrillation cryoballoon ablation |
title_fullStr |
Occlusion tool software for pulmonary vein occlusion verification in atrial fibrillation cryoballoon ablation |
title_full_unstemmed |
Occlusion tool software for pulmonary vein occlusion verification in atrial fibrillation cryoballoon ablation |
title_sort |
occlusion tool software for pulmonary vein occlusion verification in atrial fibrillation cryoballoon ablation |
publisher |
Wiley |
publishDate |
2020 |
url |
http://dx.doi.org/10.1111/pace.14130 https://onlinelibrary.wiley.com/doi/pdf/10.1111/pace.14130 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/pace.14130 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Pacing and Clinical Electrophysiology volume 44, issue 1, page 63-70 ISSN 0147-8389 1540-8159 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/pace.14130 |
container_title |
Pacing and Clinical Electrophysiology |
container_volume |
44 |
container_issue |
1 |
container_start_page |
63 |
op_container_end_page |
70 |
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1784265222395002880 |