Contact force technology integrated with 3D navigation system for atrial fibrillation ablation: improving results?

Roberto Rordorf, Antonio Sanzo, Vincenzo Gionti

Research output: Contribution to journalReview articlepeer-review

Abstract

Introduction: Pulmonary veins isolation (PVI) by radiofrequency (RF) ablation is currently an established treatment for symptomatic, drug-resistant paroxysmal atrial fibrillation. Although the effectiveness of the therapy has been clearly demonstrated, success rate after a single procedure is still sub-optimal. The main reason for recurrences after PVI is electrical pulmonary vein-atrium reconnection. In order to increase the likelihood of permanent PVI, the creation of a transmural, durable lesion is mandatory. The main determinants of lesion size and transmurality are power, stability, duration and contact-force during RF application. In recent times, catheters with contact-force sensors have been developed and released for clinical use. Areas covered: The present review summarizes rational and clinical evidences for efficacy and safety of contact force (CF) technology integrated into 3D navigation systems for AF ablation. Expert commentary Although CF technology has a strong rational, clinical data on the superior safety and efficacy of CF technology over traditional non-CF catheters are still conflicting. The reason for that is very likely to rely on the lack of definite data on how to optimize CF parameters and how to integrate CF data with power, duration of RF applications and information on catheter stability.

Original languageEnglish
Pages (from-to)461-467
Number of pages7
JournalExpert Review of Medical Devices
Volume14
Issue number6
DOIs
Publication statusPublished - Jun 3 2017

Keywords

  • 3D mapping
  • Atrial fibrillation
  • catheter ablation
  • contact force
  • pulmonary vein isolation

ASJC Scopus subject areas

  • Surgery
  • Biomedical Engineering

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