Slit-based irrigation catheters can reduce procedure-related ischemic stroke in atrial fibrillation patients undergoing radiofrequency catheter ablation
DC Field | Value | Language |
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dc.contributor.author | Kim, Yun Gi | - |
dc.contributor.author | Shim, Jaemin | - |
dc.contributor.author | Boo, Ki Yung | - |
dc.contributor.author | Kim, Do Young | - |
dc.contributor.author | Lee, Kwang-No | - |
dc.contributor.author | Choi, Jong-Il | - |
dc.contributor.author | Kim, Young-Hoon | - |
dc.date.accessioned | 2021-08-30T12:15:33Z | - |
dc.date.available | 2021-08-30T12:15:33Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2020-10-01 | - |
dc.identifier.issn | 1932-6203 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/52517 | - |
dc.description.abstract | Open irrigation ablation catheters are now the standard in radiofrequency catheter ablation (RFCA) of atrial fibrillation (AF). Among various irrigation catheters, laser-cut slit-based irrigation system (Cool Flex and FlexAbility) has a unique design to cool the catheter tip more efficiently. We aimed to assess the safety of slit-based irrigation catheters regarding prevention of procedure-related ischemic complication in AF patients undergoing RFCA. The analysis was performed with Korea University Medicine Anam Hospital RFCA registry. Procedure-related ischemic complication was defined as ischemic stroke or transient ischemic attack (TIA) occurring within 30 days after RFCA. Patients were divided into 3 groups: non-irrigation, hole-based irrigation, and slit-based irrigation catheter groups. A total of 3,120 AF patients underwent first RFCA. Non-irrigation, non-slit-based irrigation, and slit based irrigation catheters were used in 290, 1,539, and 1,291 patients, respectively. As compared with non-irrigation and non-slit-based irrigation catheter groups, slit-based irrigation catheter group had significantly older age, higher prevalence of non-paroxysmal AF, large left atrial size, and decreased left atrial appendage flow velocity. The CHA(2)DS(2)-VASc score was not different among the 3 groups. Procedure-related ischemic complication occurred in 17 patients (0.54%) with 16 ischemic strokes and 1 TIA event: 5/290 (1.72%), 11/1,539 (0.71%), and 1/1,291 (0.08%) events in non-irrigation, non-slit-based irrigation, and slit-based irrigation catheter groups, respectively (p = 0.001). Slit-based irrigation catheter was superior in direct comparison with non-slit-based irrigation catheter (0.71% vs. 0.08%; p = 0.009). Slit-based irrigation catheters were highly effective in preventing procedure -related ischemic complications. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | PUBLIC LIBRARY SCIENCE | - |
dc.subject | COMPLICATIONS | - |
dc.subject | THROMBOEMBOLISM | - |
dc.subject | MANAGEMENT | - |
dc.subject | THROMBUS | - |
dc.subject | IMPACT | - |
dc.title | Slit-based irrigation catheters can reduce procedure-related ischemic stroke in atrial fibrillation patients undergoing radiofrequency catheter ablation | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Yun Gi | - |
dc.contributor.affiliatedAuthor | Shim, Jaemin | - |
dc.contributor.affiliatedAuthor | Choi, Jong-Il | - |
dc.identifier.doi | 10.1371/journal.pone.0239339 | - |
dc.identifier.scopusid | 2-s2.0-85092249705 | - |
dc.identifier.wosid | 000590270000028 | - |
dc.identifier.bibliographicCitation | PLOS ONE, v.15, no.10 | - |
dc.relation.isPartOf | PLOS ONE | - |
dc.citation.title | PLOS ONE | - |
dc.citation.volume | 15 | - |
dc.citation.number | 10 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Science & Technology - Other Topics | - |
dc.relation.journalWebOfScienceCategory | Multidisciplinary Sciences | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | THROMBOEMBOLISM | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | THROMBUS | - |
dc.subject.keywordPlus | IMPACT | - |
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