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December 12, 2023Indian Pacing and Electrophysiology JournalOpen Access

Symmetrical recovery time course between impedance and intramyocardial temperature after bipolar radiofrequency ablation; Role of impedance monitoring to estimate temperature rise

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Key result

Impedance and intramyocardial temperature show similar recovery times after bipolar radiofrequency ablation.

  • n=7

Why the study?

It was uncertain why impedance decline is related to steam-pop during RF ablation and whether impedance decline correlates to intramyocardial temperature.

Does impedance recovery correlate with intramyocardial temperature recovery after bipolar radiofrequency ablation in a porcine model?

Design

Ex vivo experimental study

Authors

TKTakumi KasaiOSOsamu SaitohKFKyogo Fuse

Discussion

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Member takes

Overview

Impedance may surrogate temperature recovery after bipolar ablation in animals; leaves open clinical utility for steam-pop prevention.

Structured PICO

Does impedance recovery correlate with intramyocardial temperature recovery after bipolar radiofrequency ablation in a porcine model?

P
Population
7 perfused porcine myocardium undergoing 21 bipolar ablations
I
Intervention
Bipolar radiofrequency ablation (40 W, 30-g contact, 120 s) with impedance and intramyocardial temperature monitoring
O
Outcome
Recovery process of impedance and its correlation to intramyocardial temperature (IMT) after ablationsurrogate

Impedance recovery closely mirrors intramyocardial temperature recovery after bipolar RF ablation, supporting impedance monitoring as a reliable surrogate for tissue temperature to prevent steam-pops.

Cite This Study

Kasai et al. (2023) studied Radiofrequency ablation (n=7). Bipolar radiofrequency ablation was evaluated on Recovery process of impedance and its correlation to intramyocardial temperature (IMT). Recovery time constants for impedance (100.1 ± 34.5 s) and intramyocardial temperature (108.7 ± 27.3 s) after bipolar radiofrequency ablation showed symmetric shapes with no statistical difference.

synapsesocial.com/papers/6a11da7c3e1890633cb4d523https://doi.org/10.1016/j.ipej.2023.12.001
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Relation between impedance and electrode temperature during radiofrequency catheter ablation of accessory pathways and atrioventricular nodal reentrant tachycardia1998 · 14 citations
  2. 2Impedance Monitoring During Radiofrequency Catheter Ablation in Humans1992 · 71 citations
  3. 3Real-time characterization of radiofrequency lesions by local multifrequency impedance with thermal correction2024
  4. 4Estimation of Temperature During Radiofrequency Catheter Ablation Using Impedance Measurements1995 · 51 citations
  5. 5Circuit Impedance Could Be a Crucial Factor Influencing Radiofrequency Ablation Efficacy and Safety: A Myocardial Phantom Study of the Problem and Its Correction2015 · 44 citations