High-Power Short-Duration Ablation of Paroxysmal and Persistent Atrial Fibrillation

被引：2

作者：

Hoyos, Carolina ^{[1
]}

Matos, Carlos D. ^{[1
]}

Miranda-Arboleda, Andres F. ^{[1
]}

Patino, Carlos ^{[1
]}

Hincapie, Daniela ^{[1
]}

Osorio, Jose ^{[2
]}

Zei, Paul C. ^{[1
]}

Romero, Jorge E. ^{[1
]}

机构：

[1] Harvard Med Sch, Brigham & Womens Hosp, Cardiac Arrhythmia Serv, Div Cardiovasc Med, Boston, MA 02115 USA

[2] Mercy Hosp, HCA Electrophysiol, Miami, FL 33133 USA

来源：

REVIEWS IN CARDIOVASCULAR MEDICINE | 2023年 / 24卷 / 12期

关键词：

atrial fibrillation; pulmonary vein isolation; high-power short-duration; radiofrequency ablation; ablation techniques; PULMONARY VEIN ISOLATION; RADIOFREQUENCY CATHETER ABLATION; SUPERIOR VENA-CAVA; CONTACT FORCE; ELECTRICAL ISOLATION; POSTERIOR WALL; IRRIGATED CATHETER; TEMPERATURE; AF; APPENDAGE;

D O I：

10.31083/j.rcm2412363

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Catheter ablation has become a cornerstone in atrial fibrillation (AF) therapy, improving freedom from all-atrial arrhythmias, as well as outperforming antiarrhythmic drugs in alleviating AF-related symptoms, reducing hospitalizations, and enhancing quality of life. Nevertheless, the success rate of traditional radiofrequency ablation (RFA) methods remains less than ideal. To address these issues, refinement in RFA strategies has been developed to improve efficacy and laboratory efficiency during pulmonary vein isolation (PVI). High-power short-duration (HPSD) RFA has emerged as a safe strategy to reduce the time required to produce durable lesions. This article reviews critical aspects of HPSD ablation in the management of both paroxysmal and persistent AF, covering aspects such as effectiveness, safety, procedural intricacies, and the underlying biophysics.

引用

页数：13

共 72 条

[1] Rapid pacing and high-frequency jet ventilation additively improve catheter stability during atrial fibrillation ablation [J].

Aizer, Anthony ;

Qiu, Jessica K. ;

Cheng, Austin, V ;

Wu, Patrick B. ;

Barbhaiya, Chirag R. ;

Jankelson, Lior ;

Linton, Patrick ;

Bernstein, Scott A. ;

Park, David S. ;

Holmes, Douglas S. ;

Chinitz, Larry A. .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2020, 31 (07) :1678-1686

[2] High-power, low-flow, short-ablation durationthe key to avoid collateral injury? [J].

Ali-Ahmed, Fatima ;

Goyal, Vishal ;

Patel, Meet ;

Orelaru, Felix ;

Haines, David E. ;

Wong, Wai Shun .

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2019, 55 (01) :9-16

[3] Small or large isolation areas around the pulmonary veins for the treatment of atrial fibrillation? -: Results from a prospective randomized study [J].

Arentz, Thomas ;

Weber, Reinhold ;

Buerkle, Gerd ;

Herrera, Claudia ;

Blum, Thomas ;

Stockinger, Jochem ;

Minners, Jan ;

Neumann, Franz Josef ;

Kalusche, Dietrich .

CIRCULATION, 2007, 115 (24) :3057-3063

[4] Electrical isolation of the superior vena cava: An adjunctive strategy to pulmonary vein antrum isolation improving the outcome of AF ablation [J].

Arruda, Mauricio ;

Mlcochova, Hanka ;

Prasad, Subramanya K. ;

Kilicaslan, Fethi ;

Saliba, Walid ;

Patel, Dimpi ;

Fahmy, Tamer ;

Morales, Luis Saenz ;

Schweikert, Robert ;

Martin, David ;

Burkhardt, David ;

Cummings, Jennifer ;

Bhargava, Mandeep ;

Dresing, Thomas ;

Wazni, Oussama ;

Kanj, Mohamed ;

Natale, Andrea .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2007, 18 (12) :1261-1266

[5] High-Power Radiofrequency Catheter Ablation of Atrial Fibrillation Using Late Gadolinium Enhancement Magnetic Resonance Imaging as a Novel Index of Esophageal Injury [J].

Baher, Alex ;

Kheirkhahan, Mobin ;

Rechenmacher, Stephen J. ;

Marashly, Qussay ;

Kholmovski, Eugene G. ;

Siebermair, Johannes ;

Acharya, Madan ;

Aljuaid, Mossab ;

Morris, Alan K. ;

Kaur, Gagandeep ;

Han, Frederick T. ;

Wilson, Brent D. ;

Steinberg, Benjamin A. ;

Marrouche, Nassir F. ;

Chelu, Mihail G. .

JACC-CLINICAL ELECTROPHYSIOLOGY, 2018, 4 (12) :1583-1594

[6] Effect of Baseline Impedance on Ablation Lesion Dimensions A Multimodality Concept Validation From Physics to Clinical Experience [J].

Barkagan, Michael ;

Rottmann, Markus ;

Leshem, Eran ;

Shen, Changyu ;

Buxton, Alfred E. ;

Anter, Elad .

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2018, 11 (10)

[7] High-power and short-duration ablation for pulmonary vein isolation: Safety, efficacy, and long-term durability [J].

Barkagan, Michael ;

Contreras-Valdes, Fernando M. ;

Leshem, Eran ;

Buxton, Alfred E. ;

Nakagawa, Hiroshi ;

Anter, Elad .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2018, 29 (09) :1287-1296

[8] Five seconds of 50-60 W radio frequency atrial ablations were transmural and safe: an in vitro mechanistic assessment and force-controlled in vivo validation [J].

Bhaskaran, Abhishek ;

Chik, William ;

Pouliopoulos, Jim ;

Nalliah, Chrishan ;

Qian, Pierre ;

Barry, Tony ;

Nadri, Fazlur ;

Samanta, Rahul ;

Tran, Ying ;

Thomas, Stuart ;

Kovoor, Pramesh ;

Thiagalingam, Aravinda .

EUROPACE, 2017, 19 (05) :874-880

[9]

Calkins H, 2018, EUROPACE, V20, pE1, DOI [10.1093/europace/eux274, 10.1016/j.hrthm.2017.05.012, 10.1093/europace/eux275]

[10] Feasibility and safety of pulmonary vein isolation by high-power short-duration radiofrequency application: short-term results of the POWER-FAST PILOT study [J].

Castrejon-Castrejon, Sergio ;

Martinez Cossiani, Marcel ;

Ortega Molina, Marta ;

Escobar, Carlos ;

Froilan Torres, Consuelo ;

Gonzalo Bada, Nerea ;

Diaz de la Torre, Marta ;

Suarez Parga, Jose Manuel ;

Lopez Sendon, Jose Luis ;

Luis Merino, Jose .

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2020, 57 (01) :57-65

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