AI Article Synopsis
- There is limited data comparing irrigated catheters to non-irrigated catheters for ablating accessory pathways in adults; this study analyzes 69 cases from 2010 to 2017.
- The study involved mostly middle-aged male patients, with a majority of the accessory pathways located on the left side and a significant number being concealed.
- Results showed a higher success rate for irrigated catheters (94.4%) compared to non-irrigated ones (73.3%), indicating that irrigated catheters are more effective in ablation procedures.
Article Abstract
There is a paucity of data comparing irrigated to non-irrigated catheters in the ablation of accessory pathways (AP) in adult patients. Retrospective analysis of first-time AP ablations performed at our institution from May 2010 to June 2017. A total of 69 AP ablations were studied; irrigated catheters were used in 78.3% cases. Mean age was 40.9 ± 14.3 years and 56.7% were male. Among APs, 63.8% were left sided and 56.5% were concealed. The total procedure time was 232.0 ± 89.0 min, ablation time was 3.1 ± 5.1 min, and fluoroscopy time was 13.9 ± 15.4 min. The overall acute success rate of ablation was 62/69 (89%). Success rates trended higher with irrigated catheters in both groups and were significant for the population as a whole (94.4% vs. 73.3%, p = 0.04). Analyzing the entire cohort, success rates were significantly higher in ablations using irrigated catheters.
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| http://dx.doi.org/10.1007/s12265-019-09926-w | DOI Listing |
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