The assessment of pulmonary vein potentials using the new achieve advance during cryoballoon ablation of atrial fibrillation
Background: The new version of inner lumen mapping catheter (Achieve Advance™; Medtronic, Minnesota, USA) includes a new solid core which provides improved rotational response, as compared to the current Achieve Mapping Catheter. In the present study, we sought to analyze the rate of visualisation o...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2019-11-01
|
Series: | Indian Pacing and Electrophysiology Journal |
Online Access: | http://www.sciencedirect.com/science/article/pii/S0972629219300749 |
id |
doaj-8bff99bdf6604c0583f8f8cec2c3ec34 |
---|---|
record_format |
Article |
spelling |
doaj-8bff99bdf6604c0583f8f8cec2c3ec342020-11-25T01:56:26ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922019-11-01196211215The assessment of pulmonary vein potentials using the new achieve advance during cryoballoon ablation of atrial fibrillationGiacomo Mugnai0Massimiliano Manfrin1Carlo de Asmundis2Erwin Ströker3Massimo Longobardi4Werner Rauhe5Cesare Storti6Pedro Brugada7Gian-Battista Chierchia8Heart Rhythm Management Center, UZ Brussel-VUB, Brussels, Belgium; Electrophysiology and Cardiac Pacing Unit, Istituto di Cura Città di Pavia, Pavia, Italy; Corresponding author. Heart Rhythm Management Centre, UZ Brussel-VUB, Laarbeeklaan 101, 1090, Brussels, Belgium.Electrophysiology and Cardiac Pacing Unit, San Maurizio Regional Hospital, Bolzano, ItalyHeart Rhythm Management Center, UZ Brussel-VUB, Brussels, BelgiumHeart Rhythm Management Center, UZ Brussel-VUB, Brussels, BelgiumElectrophysiology and Cardiac Pacing Unit, Istituto di Cura Città di Pavia, Pavia, ItalyElectrophysiology and Cardiac Pacing Unit, San Maurizio Regional Hospital, Bolzano, ItalyElectrophysiology and Cardiac Pacing Unit, Istituto di Cura Città di Pavia, Pavia, ItalyHeart Rhythm Management Center, UZ Brussel-VUB, Brussels, BelgiumHeart Rhythm Management Center, UZ Brussel-VUB, Brussels, BelgiumBackground: The new version of inner lumen mapping catheter (Achieve Advance™; Medtronic, Minnesota, USA) includes a new solid core which provides improved rotational response, as compared to the current Achieve Mapping Catheter. In the present study, we sought to analyze the rate of visualisation of real-time recordings using this new device comparing it with a large cohort of patients having undergone second generation cryoballoon (CB) ablation using the previous Achieve mapping catheter. Methods: All patients having undergone CB ablation using the Achieve Advance and the last 150 consecutive patients having undergone CB ablation using the previous Achieve were analysed. Exclusion criteria were presence of an intracavitary thrombus, uncontrolled heart failure, moderate or severe valvular disease and contraindications to general anesthesia. Results: A total of 200 consecutive patients (60.1 ± 9.5 years, 75% males) were evaluated (50 Achieve Advance and 150 old Achieve). Real-time recordings were significantly more prevalent in the “new Achieve Advance” population compared with the “old Achieve” group (73.5% vs 56.8%; p = 0.0001). Real-time recordings could be more frequently visualized in the “Achieve Advance” group in all veins except RIPV (LSPV: 86% vs 71.3%, p = 0.04; LIPV: 84% vs 62.7%, p = 0.005; RSPV: 78% vs 52%, p < 0.0001; RIPV: 46% vs 41.3%, p = 0.3). Conclusions: The rate of visualisation of real-time recordings is significantly higher using the new Achieve Advance if compared to the previous Achieve mapping catheter in the setting of CB ablation. Real-time recordings can be visualized in approximately 73.5% of veins with this new device. Keywords: Atrial fibrillation, Achieve, Catheter ablation, Pulmonary vein isolationhttp://www.sciencedirect.com/science/article/pii/S0972629219300749 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Giacomo Mugnai Massimiliano Manfrin Carlo de Asmundis Erwin Ströker Massimo Longobardi Werner Rauhe Cesare Storti Pedro Brugada Gian-Battista Chierchia |
spellingShingle |
Giacomo Mugnai Massimiliano Manfrin Carlo de Asmundis Erwin Ströker Massimo Longobardi Werner Rauhe Cesare Storti Pedro Brugada Gian-Battista Chierchia The assessment of pulmonary vein potentials using the new achieve advance during cryoballoon ablation of atrial fibrillation Indian Pacing and Electrophysiology Journal |
author_facet |
Giacomo Mugnai Massimiliano Manfrin Carlo de Asmundis Erwin Ströker Massimo Longobardi Werner Rauhe Cesare Storti Pedro Brugada Gian-Battista Chierchia |
author_sort |
Giacomo Mugnai |
title |
The assessment of pulmonary vein potentials using the new achieve advance during cryoballoon ablation of atrial fibrillation |
title_short |
The assessment of pulmonary vein potentials using the new achieve advance during cryoballoon ablation of atrial fibrillation |
title_full |
The assessment of pulmonary vein potentials using the new achieve advance during cryoballoon ablation of atrial fibrillation |
title_fullStr |
The assessment of pulmonary vein potentials using the new achieve advance during cryoballoon ablation of atrial fibrillation |
title_full_unstemmed |
The assessment of pulmonary vein potentials using the new achieve advance during cryoballoon ablation of atrial fibrillation |
title_sort |
assessment of pulmonary vein potentials using the new achieve advance during cryoballoon ablation of atrial fibrillation |
publisher |
Elsevier |
series |
Indian Pacing and Electrophysiology Journal |
issn |
0972-6292 |
publishDate |
2019-11-01 |
description |
Background: The new version of inner lumen mapping catheter (Achieve Advance™; Medtronic, Minnesota, USA) includes a new solid core which provides improved rotational response, as compared to the current Achieve Mapping Catheter. In the present study, we sought to analyze the rate of visualisation of real-time recordings using this new device comparing it with a large cohort of patients having undergone second generation cryoballoon (CB) ablation using the previous Achieve mapping catheter. Methods: All patients having undergone CB ablation using the Achieve Advance and the last 150 consecutive patients having undergone CB ablation using the previous Achieve were analysed. Exclusion criteria were presence of an intracavitary thrombus, uncontrolled heart failure, moderate or severe valvular disease and contraindications to general anesthesia. Results: A total of 200 consecutive patients (60.1 ± 9.5 years, 75% males) were evaluated (50 Achieve Advance and 150 old Achieve). Real-time recordings were significantly more prevalent in the “new Achieve Advance” population compared with the “old Achieve” group (73.5% vs 56.8%; p = 0.0001). Real-time recordings could be more frequently visualized in the “Achieve Advance” group in all veins except RIPV (LSPV: 86% vs 71.3%, p = 0.04; LIPV: 84% vs 62.7%, p = 0.005; RSPV: 78% vs 52%, p < 0.0001; RIPV: 46% vs 41.3%, p = 0.3). Conclusions: The rate of visualisation of real-time recordings is significantly higher using the new Achieve Advance if compared to the previous Achieve mapping catheter in the setting of CB ablation. Real-time recordings can be visualized in approximately 73.5% of veins with this new device. Keywords: Atrial fibrillation, Achieve, Catheter ablation, Pulmonary vein isolation |
url |
http://www.sciencedirect.com/science/article/pii/S0972629219300749 |
work_keys_str_mv |
AT giacomomugnai theassessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT massimilianomanfrin theassessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT carlodeasmundis theassessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT erwinstroker theassessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT massimolongobardi theassessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT wernerrauhe theassessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT cesarestorti theassessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT pedrobrugada theassessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT gianbattistachierchia theassessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT giacomomugnai assessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT massimilianomanfrin assessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT carlodeasmundis assessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT erwinstroker assessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT massimolongobardi assessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT wernerrauhe assessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT cesarestorti assessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT pedrobrugada assessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation AT gianbattistachierchia assessmentofpulmonaryveinpotentialsusingthenewachieveadvanceduringcryoballoonablationofatrialfibrillation |
_version_ |
1724980229325193216 |