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June 1, 2009Journal of Cardiovascular Electrophysiology

Safe and Rapid Isolation of Pulmonary Veins Using a Novel Circular Ablation Catheter and Duty‐Cycled RF Generator

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Why the study?

Does a single-catheter technique utilizing a decapolar catheter and duty-cycled RF generator safely and efficiently achieve pulmonary vein isolation in patients with atrial fibrillation?

Population

21 consecutive patients with paroxysmal AF (n=17) and persistent AF (n=4), mean age 59 +/- 12 years, 9 males.

Design

Case_series

Follow-up

6 months

Key result

A single-catheter technique for pulmonary vein isolation using a decapolar catheter and duty-cycled RF generator achieved a 99% acute isolation rate and an 86% success rate at 6 months.

Authors

SFSabine FredersdorfSWStefan WeberCJClemens Jilek

Discussion

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Overview

Supports feasibility of single-catheter PVI but should not change practice; leaves open comparative efficacy versus standard techniques.

Structured PICO

Does a single-catheter technique utilizing a decapolar catheter and duty-cycled RF generator safely and efficiently achieve pulmonary vein isolation in patients with atrial fibrillation?

P
Population
21 patients (mean age 59) with paroxysmal or persistent atrial fibrillation undergoing pulmonary vein isolation, followed for 6 months.
I
Intervention
Single-catheter technique for pulmonary vein (PV) isolation utilizing a decapolar catheter combined with a duty-cycled, unipolar-bipolar radiofrequency (RF) generator.
O
Outcome
Feasibility of PV isolation (isolation achieved in veins), procedure time, fluoroscopy time, procedural complications, success rate at 6 months, and asymptomatic PV-stenosis.

A novel single-catheter technique with a duty-cycled RF generator achieved 99% pulmonary vein isolation with short procedure times and no complications in patients with atrial fibrillation.

Cite This Study

Fredersdorf et al. (2009) studied Atrial fibrillation (n=21). Single-catheter technique using a decapolar catheter and duty-cycled RF generator was evaluated on Success rate at 6 months. A single-catheter technique for pulmonary vein isolation using a decapolar catheter and duty-cycled RF generator achieved a 99% acute isolation rate and an 86% success rate at 6 months.

synapsesocial.com/papers/6a239cacffed3004559ee13fhttps://doi.org/10.1111/j.1540-8167.2009.01501.x
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