Background: A major innovation in atrial fibrillation (AF) ablation has been the introduction of contact force (CF) sensing catheters.
Objective: To evaluate procedural and clinical effects of transitioning to CF-guided AF ablation.
Methods: Consecutive AF ablation patients were studied. Procedural data recorded was total radiofrequency time, time to isolate the left pulmonary veins (LPVs), and time to isolate the right pulmonary veins (RPVs). Clinically, the 3 and 12-month maintenance of sinus rhythm was noted and compared by: paroxysmal vs. persistent AF; CT scan LA volume more or less than 150 cc; CHA2DS2VASC more or less than 2; and LVEF more or less than 55%. Safety data was recorded as well.
Results: The procedural times were shorter with CF. The overall 3 and 12-month incidence of sinus rhythm was similar. However, sinus rhythm was more frequent at 12 months with CF in patients with an LA volume of more than 150 cc. There was no difference in outcomes with stratification by CHA2DS2VASC score or LVEF.
Conclusion: For AF ablation, introduction of CF-sensing technology reduced procedure times with similar overall sinus rhythm maintenance at 3 and 12 months. CF improved 12-month outcomes in patients with an enlarged LA.
Credits: Daniel R. Frisch, MD, Sean J. Dikdan, MD