Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter

Robbert Ramak; Felicia Lipartiti; Joerelle Mojica; Cinzia Monaco; Antonio Bisignani; Ivan Eltsov; Antonio Sorgente; Lucio Capulzini; Gaetano Paparella; Bernard Deruyter; Saverio Iacopino; Andreea Iulia Motoc; Maria Luiza Luchian; Thiago Guimaraes Osorio; Ingrid Overeinder; Gezim Bala; Alexandre Almorad; Erwin Ströker; Juan Sieira; Luc Jordaens; Pedro Brugada; Carlo de Asmundis; Gian-Battista Chierchia

doi:10.1007/s10840-022-01152-w

Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter

Robbert Ramak, Felicia Lipartiti, Joerelle Mojica, Cinzia Monaco, Antonio Bisignani, Ivan Eltsov, Antonio Sorgente, Lucio Capulzini, Gaetano Paparella, Bernard Deruyter, Saverio Iacopino, Andreea Iulia Motoc, Maria Luiza Luchian, Thiago Guimaraes Osorio, Ingrid Overeinder, Gezim Bala, Alexandre Almorad, Erwin Ströker, Juan Sieira, Luc JordaensPedro Brugada, Carlo de Asmundis, Gian-Battista Chierchia

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

PURPOSE: Radiofrequency (RF) catheter ablation is widely accepted as a first-line therapy for cavotricuspid isthmus (CTI)-dependent atrial flutter (AFL). The novel DiamondTemp (DT) catheter with temperature feedback during RF ablation has been released recently on the market. The purpose of this study was to evaluate the impact of DiamondTemp (DT) technology on ablation efficiency during AFL.

METHODS: In this single-center study, 30 consecutive patients with typical AFL indicated to ablation of CTI were included. The first 15 patients underwent CTI ablation using 8-mm tip catheter, and the following 15 patients underwent temperature-controlled RF ablation using DT catheter. The endpoints were number and mean total duration of RF applications, mean temperature reached in the setting of CTI, procedural times, and fluoroscopy times.

RESULTS: There were no significant differences between the two groups concerning baseline characteristics. Mean duration of the each application (71.5 s ± 30.6 vs 12.4 s ± 13.2, p value < 0.001), mean total duration of RF applications (517,73 s ± 377,96 vs 112,8 s ± 43,58; p value < 0.001), procedural times (51.6 min ± 24.2 vs 38.6 ± 8.2; p = 0.03), and fluoroscopy times (16.2 min ± 10.2 vs 8 min ± 4.24; p = 0.005) were longer in the 8-mm ablation catheter group. Mean temperature measurements (51.9 °C ± 3.59 vs 56.7 °C ± 3.34, p value < 0.003) were as well lower in the 8-mm ablation catheter group.

CONCLUSIONS: Catheter ablation of CTI-dependent AFL by means of DT resulted in a significant reduction of total and single application RF delivery time, procedure, and fluoroscopy times.

Original language	English
Pages (from-to)	751-757
Number of pages	7
Journal	Journal of Interventional Cardiac Electrophysiology : An International Journal of Arrhythmias and Pacing
Volume	64
Issue number	3
Early online date	2022
DOIs	https://doi.org/10.1007/s10840-022-01152-w
Publication status	Published - Sep 2022

Bibliographical note

Keywords

8-mm tip catheter
Cavotricuspid isthmus
DiamondTemp
Radio frequency ablation
Temperature control
Typical atrial flutter

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10.1007/s10840-022-01152-w

Cite this

Ramak, R., Lipartiti, F., Mojica, J., Monaco, C., Bisignani, A., Eltsov, I., Sorgente, A., Capulzini, L., Paparella, G., Deruyter, B., Iacopino, S., Motoc, A. I., Luchian, M. L., Osorio, T. G., Overeinder, I., Bala, G., Almorad, A., Ströker, E., Sieira, J., ... Chierchia, G-B. (2022). Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter. Journal of Interventional Cardiac Electrophysiology : An International Journal of Arrhythmias and Pacing, 64(3), 751-757. https://doi.org/10.1007/s10840-022-01152-w

Ramak, Robbert ; Lipartiti, Felicia ; Mojica, Joerelle ; Monaco, Cinzia ; Bisignani, Antonio ; Eltsov, Ivan ; Sorgente, Antonio ; Capulzini, Lucio ; Paparella, Gaetano ; Deruyter, Bernard ; Iacopino, Saverio ; Motoc, Andreea Iulia ; Luchian, Maria Luiza ; Osorio, Thiago Guimaraes ; Overeinder, Ingrid ; Bala, Gezim ; Almorad, Alexandre ; Ströker, Erwin ; Sieira, Juan ; Jordaens, Luc ; Brugada, Pedro ; de Asmundis, Carlo ; Chierchia, Gian-Battista. / Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter. In: Journal of Interventional Cardiac Electrophysiology : An International Journal of Arrhythmias and Pacing. 2022 ; Vol. 64, No. 3. pp. 751-757.

@article{5d5baa0c725f434e807f39cc4040fbc2,

title = "Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter",

abstract = "PURPOSE: Radiofrequency (RF) catheter ablation is widely accepted as a first-line therapy for cavotricuspid isthmus (CTI)-dependent atrial flutter (AFL). The novel DiamondTemp (DT) catheter with temperature feedback during RF ablation has been released recently on the market. The purpose of this study was to evaluate the impact of DiamondTemp (DT) technology on ablation efficiency during AFL.METHODS: In this single-center study, 30 consecutive patients with typical AFL indicated to ablation of CTI were included. The first 15 patients underwent CTI ablation using 8-mm tip catheter, and the following 15 patients underwent temperature-controlled RF ablation using DT catheter. The endpoints were number and mean total duration of RF applications, mean temperature reached in the setting of CTI, procedural times, and fluoroscopy times.RESULTS: There were no significant differences between the two groups concerning baseline characteristics. Mean duration of the each application (71.5 s ± 30.6 vs 12.4 s ± 13.2, p value < 0.001), mean total duration of RF applications (517,73 s ± 377,96 vs 112,8 s ± 43,58; p value < 0.001), procedural times (51.6 min ± 24.2 vs 38.6 ± 8.2; p = 0.03), and fluoroscopy times (16.2 min ± 10.2 vs 8 min ± 4.24; p = 0.005) were longer in the 8-mm ablation catheter group. Mean temperature measurements (51.9 °C ± 3.59 vs 56.7 °C ± 3.34, p value < 0.003) were as well lower in the 8-mm ablation catheter group.CONCLUSIONS: Catheter ablation of CTI-dependent AFL by means of DT resulted in a significant reduction of total and single application RF delivery time, procedure, and fluoroscopy times.",

keywords = "8-mm tip catheter, Cavotricuspid isthmus, DiamondTemp, Radio frequency ablation, Temperature control, Typical atrial flutter",

author = "Robbert Ramak and Felicia Lipartiti and Joerelle Mojica and Cinzia Monaco and Antonio Bisignani and Ivan Eltsov and Antonio Sorgente and Lucio Capulzini and Gaetano Paparella and Bernard Deruyter and Saverio Iacopino and Motoc, {Andreea Iulia} and Luchian, {Maria Luiza} and Osorio, {Thiago Guimaraes} and Ingrid Overeinder and Gezim Bala and Alexandre Almorad and Erwin Str{\"o}ker and Juan Sieira and Luc Jordaens and Pedro Brugada and {de Asmundis}, Carlo and Gian-Battista Chierchia",

note = "{\textcopyright} 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2022",

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doi = "10.1007/s10840-022-01152-w",

language = "English",

volume = "64",

pages = "751--757",

journal = "Journal of Interventional Cardiac Electrophysiology",

issn = "1383-875X",

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Ramak, R, Lipartiti, F, Mojica, J, Monaco, C, Bisignani, A, Eltsov, I , Sorgente, A, Capulzini, L, Paparella, G, Deruyter, B, Iacopino, S, Motoc, AI, Luchian, ML, Osorio, TG , Overeinder, I , Bala, G , Almorad, A , Ströker, E , Sieira, J , Jordaens, L , Brugada, P , de Asmundis, C & Chierchia, G-B 2022, 'Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter', Journal of Interventional Cardiac Electrophysiology : An International Journal of Arrhythmias and Pacing, vol. 64, no. 3, pp. 751-757. https://doi.org/10.1007/s10840-022-01152-w

Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter. / Ramak, Robbert; Lipartiti, Felicia; Mojica, Joerelle; Monaco, Cinzia; Bisignani, Antonio; Eltsov, Ivan ; Sorgente, Antonio; Capulzini, Lucio; Paparella, Gaetano; Deruyter, Bernard; Iacopino, Saverio; Motoc, Andreea Iulia; Luchian, Maria Luiza; Osorio, Thiago Guimaraes ; Overeinder, Ingrid ; Bala, Gezim ; Almorad, Alexandre ; Ströker, Erwin ; Sieira, Juan ; Jordaens, Luc ; Brugada, Pedro ; de Asmundis, Carlo ; Chierchia, Gian-Battista.

In: Journal of Interventional Cardiac Electrophysiology : An International Journal of Arrhythmias and Pacing, Vol. 64, No. 3, 09.2022, p. 751-757.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter

AU - Ramak, Robbert

AU - Lipartiti, Felicia

AU - Mojica, Joerelle

AU - Monaco, Cinzia

AU - Bisignani, Antonio

AU - Eltsov, Ivan

AU - Sorgente, Antonio

AU - Capulzini, Lucio

AU - Paparella, Gaetano

AU - Deruyter, Bernard

AU - Iacopino, Saverio

AU - Motoc, Andreea Iulia

AU - Luchian, Maria Luiza

AU - Osorio, Thiago Guimaraes

AU - Overeinder, Ingrid

AU - Bala, Gezim

AU - Almorad, Alexandre

AU - Ströker, Erwin

AU - Sieira, Juan

AU - Jordaens, Luc

AU - Brugada, Pedro

AU - de Asmundis, Carlo

AU - Chierchia, Gian-Battista

PY - 2022/9

Y1 - 2022/9

N2 - PURPOSE: Radiofrequency (RF) catheter ablation is widely accepted as a first-line therapy for cavotricuspid isthmus (CTI)-dependent atrial flutter (AFL). The novel DiamondTemp (DT) catheter with temperature feedback during RF ablation has been released recently on the market. The purpose of this study was to evaluate the impact of DiamondTemp (DT) technology on ablation efficiency during AFL.METHODS: In this single-center study, 30 consecutive patients with typical AFL indicated to ablation of CTI were included. The first 15 patients underwent CTI ablation using 8-mm tip catheter, and the following 15 patients underwent temperature-controlled RF ablation using DT catheter. The endpoints were number and mean total duration of RF applications, mean temperature reached in the setting of CTI, procedural times, and fluoroscopy times.RESULTS: There were no significant differences between the two groups concerning baseline characteristics. Mean duration of the each application (71.5 s ± 30.6 vs 12.4 s ± 13.2, p value < 0.001), mean total duration of RF applications (517,73 s ± 377,96 vs 112,8 s ± 43,58; p value < 0.001), procedural times (51.6 min ± 24.2 vs 38.6 ± 8.2; p = 0.03), and fluoroscopy times (16.2 min ± 10.2 vs 8 min ± 4.24; p = 0.005) were longer in the 8-mm ablation catheter group. Mean temperature measurements (51.9 °C ± 3.59 vs 56.7 °C ± 3.34, p value < 0.003) were as well lower in the 8-mm ablation catheter group.CONCLUSIONS: Catheter ablation of CTI-dependent AFL by means of DT resulted in a significant reduction of total and single application RF delivery time, procedure, and fluoroscopy times.

AB - PURPOSE: Radiofrequency (RF) catheter ablation is widely accepted as a first-line therapy for cavotricuspid isthmus (CTI)-dependent atrial flutter (AFL). The novel DiamondTemp (DT) catheter with temperature feedback during RF ablation has been released recently on the market. The purpose of this study was to evaluate the impact of DiamondTemp (DT) technology on ablation efficiency during AFL.METHODS: In this single-center study, 30 consecutive patients with typical AFL indicated to ablation of CTI were included. The first 15 patients underwent CTI ablation using 8-mm tip catheter, and the following 15 patients underwent temperature-controlled RF ablation using DT catheter. The endpoints were number and mean total duration of RF applications, mean temperature reached in the setting of CTI, procedural times, and fluoroscopy times.RESULTS: There were no significant differences between the two groups concerning baseline characteristics. Mean duration of the each application (71.5 s ± 30.6 vs 12.4 s ± 13.2, p value < 0.001), mean total duration of RF applications (517,73 s ± 377,96 vs 112,8 s ± 43,58; p value < 0.001), procedural times (51.6 min ± 24.2 vs 38.6 ± 8.2; p = 0.03), and fluoroscopy times (16.2 min ± 10.2 vs 8 min ± 4.24; p = 0.005) were longer in the 8-mm ablation catheter group. Mean temperature measurements (51.9 °C ± 3.59 vs 56.7 °C ± 3.34, p value < 0.003) were as well lower in the 8-mm ablation catheter group.CONCLUSIONS: Catheter ablation of CTI-dependent AFL by means of DT resulted in a significant reduction of total and single application RF delivery time, procedure, and fluoroscopy times.

KW - 8-mm tip catheter

KW - Cavotricuspid isthmus

KW - DiamondTemp

KW - Radio frequency ablation

KW - Temperature control

KW - Typical atrial flutter

UR - http://www.scopus.com/inward/record.url?scp=85125590687&partnerID=8YFLogxK

U2 - 10.1007/s10840-022-01152-w

DO - 10.1007/s10840-022-01152-w

M3 - Article

C2 - 35239069

VL - 64

SP - 751

EP - 757

JO - Journal of Interventional Cardiac Electrophysiology

JF - Journal of Interventional Cardiac Electrophysiology

SN - 1383-875X

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Ramak R, Lipartiti F, Mojica J, Monaco C, Bisignani A, Eltsov I et al. Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter. Journal of Interventional Cardiac Electrophysiology : An International Journal of Arrhythmias and Pacing. 2022 Sep;64(3):751-757. https://doi.org/10.1007/s10840-022-01152-w

Comparison between the novel diamond temp and the classical 8-mm tip ablation catheters in the setting of typical atrial flutter

Abstract

Bibliographical note

Keywords

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