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Relationship Between Ablation Lesion Size Estimated by Ablation Index and Different Ablation Settings—an Ex Vivo Porcine Heart Study
This study aimed to verify the reliability of ablation index (AI) for ablation lesion estimating with different settings for radiofrequency (RF) parameters: power, impedance, contact angles, irrigation rate, temperature of irrigation saline, and irrigation solution. RF ablations ( N = 66) were perf...
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Published in: | Journal of cardiovascular translational research 2020-12, Vol.13 (6), p.965-969 |
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container_title | Journal of cardiovascular translational research |
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creator | Huang, Shu-Tao Dong, Jian-Zeng Du, Xin Wu, Jia-Hui Yu, Rong-Hui Long, De-Yong Ning, Man Sang, Cai-Hua Jiang, Chen-Xi Bai, Rong Wen, Song-Nan Liu, Nian Li, Song-Nan Wang, Wei Guo, Xue-Yuan Zhao, Xin Chen, Xuan Cui, Yi-Kai Tang, Ri-Bo Ma, Chang-Sheng |
description | This study aimed to verify the reliability of ablation index (AI) for ablation lesion estimating with different settings for radiofrequency (RF) parameters: power, impedance, contact angles, irrigation rate, temperature of irrigation saline, and irrigation solution. RF ablations (
N
= 66) were performed on ex vivo porcine left ventricle submerged in 37 °C saline. The aforementioned ablation parameters were changed to measure whether the size of the ablation lesion was consistent at a fixed AI value of 500. The maximum lesion diameter (
r
= − 0.631,
P
= 0.028), depth (
r
= − 0.896,
P
|
doi_str_mv | 10.1007/s12265-020-10037-0 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2409194082</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2409194082</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-ce63af585ed274ffcfa0d7f8c86ae8264a1687b8a381f23d6e0af71a60240aa73</originalsourceid><addsrcrecordid>eNp9kM1OGzEQxy3UilDgBThUPvayrT92194jH6GJFKkVob1azu44Ndp4g-0FwqknnoAn7JPUdFNy4zRjz2_-0vwQOqHkMyVEfAmUsbLICCNZenORkT10QKvUFLwq3r32UozQhxBuCCkZEWIfjTjLpSwqcYCerqDV0XYu_LJrfAbxHsDh08XwiWcQXsrcPgIeh2hXOkKDF5sdMXUNPGDtGnxhjQEPLu6Gc4jRumX48_tZOzx-wD_tXYe_d762DvAEtI94Hvtmc4TeG90GON7WQ_Tjcnx9Pslm375Oz09nWc1zEbMaSq5NIQtomMiNqY0mjTCylqUGycpc01KKhdRcUsN4UwLRRlBdEpYTrQU_RJ-G3LXvbnsIUa1sqKFttYOuDyphFa1yIllC2YDWvgvBg1Frn-73G0WJevGvBv8q-Vf__CuSlj5u8_vFCprXlf_CE8AHIKSRW4JXN13vXbr5rdi_xImTNg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2409194082</pqid></control><display><type>article</type><title>Relationship Between Ablation Lesion Size Estimated by Ablation Index and Different Ablation Settings—an Ex Vivo Porcine Heart Study</title><source>Springer Nature</source><creator>Huang, Shu-Tao ; Dong, Jian-Zeng ; Du, Xin ; Wu, Jia-Hui ; Yu, Rong-Hui ; Long, De-Yong ; Ning, Man ; Sang, Cai-Hua ; Jiang, Chen-Xi ; Bai, Rong ; Wen, Song-Nan ; Liu, Nian ; Li, Song-Nan ; Wang, Wei ; Guo, Xue-Yuan ; Zhao, Xin ; Chen, Xuan ; Cui, Yi-Kai ; Tang, Ri-Bo ; Ma, Chang-Sheng</creator><creatorcontrib>Huang, Shu-Tao ; Dong, Jian-Zeng ; Du, Xin ; Wu, Jia-Hui ; Yu, Rong-Hui ; Long, De-Yong ; Ning, Man ; Sang, Cai-Hua ; Jiang, Chen-Xi ; Bai, Rong ; Wen, Song-Nan ; Liu, Nian ; Li, Song-Nan ; Wang, Wei ; Guo, Xue-Yuan ; Zhao, Xin ; Chen, Xuan ; Cui, Yi-Kai ; Tang, Ri-Bo ; Ma, Chang-Sheng</creatorcontrib><description>This study aimed to verify the reliability of ablation index (AI) for ablation lesion estimating with different settings for radiofrequency (RF) parameters: power, impedance, contact angles, irrigation rate, temperature of irrigation saline, and irrigation solution. RF ablations (
N
= 66) were performed on ex vivo porcine left ventricle submerged in 37 °C saline. The aforementioned ablation parameters were changed to measure whether the size of the ablation lesion was consistent at a fixed AI value of 500. The maximum lesion diameter (
r
= − 0.631,
P
= 0.028), depth (
r
= − 0.896,
P
< 0.001), and volume (
r
= − 0.745,
P
< 0.005) were significantly reduced with an increase of the impedance. The lesion depth (
P
< 0.05) and the lesion volume (
P
< 0.05) were significantly larger with glucose irrigation than saline irrigation. In conclusion, at a fixed AI value, impedance and irrigation solution have impact on the ablation lesions, which could affect the accuracy of AI formula to estimate ablation lesion size.
Graphical abstract</description><identifier>ISSN: 1937-5387</identifier><identifier>EISSN: 1937-5395</identifier><identifier>DOI: 10.1007/s12265-020-10037-0</identifier><identifier>PMID: 32488597</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Animals ; Biomedical Engineering and Bioengineering ; Biomedicine ; Cardiology ; Catheter Ablation ; Electric Impedance ; Glucose - chemistry ; Heart Ventricles - pathology ; Heart Ventricles - surgery ; Human Genetics ; Medicine ; Medicine & Public Health ; Original Article ; Saline Solution - chemistry ; Sus scrofa ; Temperature ; Therapeutic Irrigation</subject><ispartof>Journal of cardiovascular translational research, 2020-12, Vol.13 (6), p.965-969</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-ce63af585ed274ffcfa0d7f8c86ae8264a1687b8a381f23d6e0af71a60240aa73</citedby><cites>FETCH-LOGICAL-c347t-ce63af585ed274ffcfa0d7f8c86ae8264a1687b8a381f23d6e0af71a60240aa73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32488597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Shu-Tao</creatorcontrib><creatorcontrib>Dong, Jian-Zeng</creatorcontrib><creatorcontrib>Du, Xin</creatorcontrib><creatorcontrib>Wu, Jia-Hui</creatorcontrib><creatorcontrib>Yu, Rong-Hui</creatorcontrib><creatorcontrib>Long, De-Yong</creatorcontrib><creatorcontrib>Ning, Man</creatorcontrib><creatorcontrib>Sang, Cai-Hua</creatorcontrib><creatorcontrib>Jiang, Chen-Xi</creatorcontrib><creatorcontrib>Bai, Rong</creatorcontrib><creatorcontrib>Wen, Song-Nan</creatorcontrib><creatorcontrib>Liu, Nian</creatorcontrib><creatorcontrib>Li, Song-Nan</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Guo, Xue-Yuan</creatorcontrib><creatorcontrib>Zhao, Xin</creatorcontrib><creatorcontrib>Chen, Xuan</creatorcontrib><creatorcontrib>Cui, Yi-Kai</creatorcontrib><creatorcontrib>Tang, Ri-Bo</creatorcontrib><creatorcontrib>Ma, Chang-Sheng</creatorcontrib><title>Relationship Between Ablation Lesion Size Estimated by Ablation Index and Different Ablation Settings—an Ex Vivo Porcine Heart Study</title><title>Journal of cardiovascular translational research</title><addtitle>J. of Cardiovasc. Trans. Res</addtitle><addtitle>J Cardiovasc Transl Res</addtitle><description>This study aimed to verify the reliability of ablation index (AI) for ablation lesion estimating with different settings for radiofrequency (RF) parameters: power, impedance, contact angles, irrigation rate, temperature of irrigation saline, and irrigation solution. RF ablations (
N
= 66) were performed on ex vivo porcine left ventricle submerged in 37 °C saline. The aforementioned ablation parameters were changed to measure whether the size of the ablation lesion was consistent at a fixed AI value of 500. The maximum lesion diameter (
r
= − 0.631,
P
= 0.028), depth (
r
= − 0.896,
P
< 0.001), and volume (
r
= − 0.745,
P
< 0.005) were significantly reduced with an increase of the impedance. The lesion depth (
P
< 0.05) and the lesion volume (
P
< 0.05) were significantly larger with glucose irrigation than saline irrigation. In conclusion, at a fixed AI value, impedance and irrigation solution have impact on the ablation lesions, which could affect the accuracy of AI formula to estimate ablation lesion size.
Graphical abstract</description><subject>Animals</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Biomedicine</subject><subject>Cardiology</subject><subject>Catheter Ablation</subject><subject>Electric Impedance</subject><subject>Glucose - chemistry</subject><subject>Heart Ventricles - pathology</subject><subject>Heart Ventricles - surgery</subject><subject>Human Genetics</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Saline Solution - chemistry</subject><subject>Sus scrofa</subject><subject>Temperature</subject><subject>Therapeutic Irrigation</subject><issn>1937-5387</issn><issn>1937-5395</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kM1OGzEQxy3UilDgBThUPvayrT92194jH6GJFKkVob1azu44Ndp4g-0FwqknnoAn7JPUdFNy4zRjz2_-0vwQOqHkMyVEfAmUsbLICCNZenORkT10QKvUFLwq3r32UozQhxBuCCkZEWIfjTjLpSwqcYCerqDV0XYu_LJrfAbxHsDh08XwiWcQXsrcPgIeh2hXOkKDF5sdMXUNPGDtGnxhjQEPLu6Gc4jRumX48_tZOzx-wD_tXYe_d762DvAEtI94Hvtmc4TeG90GON7WQ_Tjcnx9Pslm375Oz09nWc1zEbMaSq5NIQtomMiNqY0mjTCylqUGycpc01KKhdRcUsN4UwLRRlBdEpYTrQU_RJ-G3LXvbnsIUa1sqKFttYOuDyphFa1yIllC2YDWvgvBg1Frn-73G0WJevGvBv8q-Vf__CuSlj5u8_vFCprXlf_CE8AHIKSRW4JXN13vXbr5rdi_xImTNg</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Huang, Shu-Tao</creator><creator>Dong, Jian-Zeng</creator><creator>Du, Xin</creator><creator>Wu, Jia-Hui</creator><creator>Yu, Rong-Hui</creator><creator>Long, De-Yong</creator><creator>Ning, Man</creator><creator>Sang, Cai-Hua</creator><creator>Jiang, Chen-Xi</creator><creator>Bai, Rong</creator><creator>Wen, Song-Nan</creator><creator>Liu, Nian</creator><creator>Li, Song-Nan</creator><creator>Wang, Wei</creator><creator>Guo, Xue-Yuan</creator><creator>Zhao, Xin</creator><creator>Chen, Xuan</creator><creator>Cui, Yi-Kai</creator><creator>Tang, Ri-Bo</creator><creator>Ma, Chang-Sheng</creator><general>Springer US</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20201201</creationdate><title>Relationship Between Ablation Lesion Size Estimated by Ablation Index and Different Ablation Settings—an Ex Vivo Porcine Heart Study</title><author>Huang, Shu-Tao ; Dong, Jian-Zeng ; Du, Xin ; Wu, Jia-Hui ; Yu, Rong-Hui ; Long, De-Yong ; Ning, Man ; Sang, Cai-Hua ; Jiang, Chen-Xi ; Bai, Rong ; Wen, Song-Nan ; Liu, Nian ; Li, Song-Nan ; Wang, Wei ; Guo, Xue-Yuan ; Zhao, Xin ; Chen, Xuan ; Cui, Yi-Kai ; Tang, Ri-Bo ; Ma, Chang-Sheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-ce63af585ed274ffcfa0d7f8c86ae8264a1687b8a381f23d6e0af71a60240aa73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Animals</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Biomedicine</topic><topic>Cardiology</topic><topic>Catheter Ablation</topic><topic>Electric Impedance</topic><topic>Glucose - chemistry</topic><topic>Heart Ventricles - pathology</topic><topic>Heart Ventricles - surgery</topic><topic>Human Genetics</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Saline Solution - chemistry</topic><topic>Sus scrofa</topic><topic>Temperature</topic><topic>Therapeutic Irrigation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Shu-Tao</creatorcontrib><creatorcontrib>Dong, Jian-Zeng</creatorcontrib><creatorcontrib>Du, Xin</creatorcontrib><creatorcontrib>Wu, Jia-Hui</creatorcontrib><creatorcontrib>Yu, Rong-Hui</creatorcontrib><creatorcontrib>Long, De-Yong</creatorcontrib><creatorcontrib>Ning, Man</creatorcontrib><creatorcontrib>Sang, Cai-Hua</creatorcontrib><creatorcontrib>Jiang, Chen-Xi</creatorcontrib><creatorcontrib>Bai, Rong</creatorcontrib><creatorcontrib>Wen, Song-Nan</creatorcontrib><creatorcontrib>Liu, Nian</creatorcontrib><creatorcontrib>Li, Song-Nan</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Guo, Xue-Yuan</creatorcontrib><creatorcontrib>Zhao, Xin</creatorcontrib><creatorcontrib>Chen, Xuan</creatorcontrib><creatorcontrib>Cui, Yi-Kai</creatorcontrib><creatorcontrib>Tang, Ri-Bo</creatorcontrib><creatorcontrib>Ma, Chang-Sheng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiovascular translational research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Shu-Tao</au><au>Dong, Jian-Zeng</au><au>Du, Xin</au><au>Wu, Jia-Hui</au><au>Yu, Rong-Hui</au><au>Long, De-Yong</au><au>Ning, Man</au><au>Sang, Cai-Hua</au><au>Jiang, Chen-Xi</au><au>Bai, Rong</au><au>Wen, Song-Nan</au><au>Liu, Nian</au><au>Li, Song-Nan</au><au>Wang, Wei</au><au>Guo, Xue-Yuan</au><au>Zhao, Xin</au><au>Chen, Xuan</au><au>Cui, Yi-Kai</au><au>Tang, Ri-Bo</au><au>Ma, Chang-Sheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship Between Ablation Lesion Size Estimated by Ablation Index and Different Ablation Settings—an Ex Vivo Porcine Heart Study</atitle><jtitle>Journal of cardiovascular translational research</jtitle><stitle>J. of Cardiovasc. Trans. Res</stitle><addtitle>J Cardiovasc Transl Res</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>13</volume><issue>6</issue><spage>965</spage><epage>969</epage><pages>965-969</pages><issn>1937-5387</issn><eissn>1937-5395</eissn><abstract>This study aimed to verify the reliability of ablation index (AI) for ablation lesion estimating with different settings for radiofrequency (RF) parameters: power, impedance, contact angles, irrigation rate, temperature of irrigation saline, and irrigation solution. RF ablations (
N
= 66) were performed on ex vivo porcine left ventricle submerged in 37 °C saline. The aforementioned ablation parameters were changed to measure whether the size of the ablation lesion was consistent at a fixed AI value of 500. The maximum lesion diameter (
r
= − 0.631,
P
= 0.028), depth (
r
= − 0.896,
P
< 0.001), and volume (
r
= − 0.745,
P
< 0.005) were significantly reduced with an increase of the impedance. The lesion depth (
P
< 0.05) and the lesion volume (
P
< 0.05) were significantly larger with glucose irrigation than saline irrigation. In conclusion, at a fixed AI value, impedance and irrigation solution have impact on the ablation lesions, which could affect the accuracy of AI formula to estimate ablation lesion size.
Graphical abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32488597</pmid><doi>10.1007/s12265-020-10037-0</doi><tpages>5</tpages></addata></record> |
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source | Springer Nature |
subjects | Animals Biomedical Engineering and Bioengineering Biomedicine Cardiology Catheter Ablation Electric Impedance Glucose - chemistry Heart Ventricles - pathology Heart Ventricles - surgery Human Genetics Medicine Medicine & Public Health Original Article Saline Solution - chemistry Sus scrofa Temperature Therapeutic Irrigation |
title | Relationship Between Ablation Lesion Size Estimated by Ablation Index and Different Ablation Settings—an Ex Vivo Porcine Heart Study |
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