A new cryoenergy for ventricular tachycardia ablation: a proof-of-concept study.
Identifieur interne : 001300 ( PubMed/Checkpoint ); précédent : 001299; suivant : 001301A new cryoenergy for ventricular tachycardia ablation: a proof-of-concept study.
Auteurs : Benjamin Berte [France] ; Frédéric Sacher [France] ; Jean-Yves Wielandts [France] ; Saagar Mahida [France] ; Xavier Pillois [France] ; Rukshen Weerasooriya [Australie] ; Olivier Bernus [France] ; Pierre Jaïs [France]Source :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [ 1532-2092 ] ; 2017.
Abstract
Lack of transmural lesion formation during radiofrequency (RF) ablation for ventricular tachycardia (VT) is an important determinant of arrhythmia recurrence. The aim of this proof-of-concept study was to evaluate safety and efficacy of a new and more powerful cryoablation system for ventricular ablation.
DOI: 10.1093/europace/euw217
PubMed: 27907904
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Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux-Pessac</settlement></placeName></affiliation></author><author><name sortKey="Sacher, Frederic" sort="Sacher, Frederic" uniqKey="Sacher F" first="Frédéric" last="Sacher">Frédéric Sacher</name><affiliation wicri:level="3"><nlm:affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux-Pessac</settlement></placeName></affiliation></author><author><name sortKey="Wielandts, Jean Yves" sort="Wielandts, Jean Yves" uniqKey="Wielandts J" first="Jean-Yves" last="Wielandts">Jean-Yves Wielandts</name><affiliation wicri:level="3"><nlm:affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux-Pessac</settlement></placeName></affiliation></author><author><name sortKey="Mahida, Saagar" sort="Mahida, Saagar" uniqKey="Mahida S" first="Saagar" last="Mahida">Saagar Mahida</name><affiliation wicri:level="3"><nlm:affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux-Pessac</settlement></placeName></affiliation></author><author><name sortKey="Pillois, Xavier" sort="Pillois, Xavier" uniqKey="Pillois X" first="Xavier" last="Pillois">Xavier Pillois</name><affiliation wicri:level="3"><nlm:affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux-Pessac</settlement></placeName></affiliation></author><author><name sortKey="Weerasooriya, Rukshen" sort="Weerasooriya, Rukshen" uniqKey="Weerasooriya R" first="Rukshen" last="Weerasooriya">Rukshen Weerasooriya</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Royal Perth Hospital, Perth, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Cardiology, Royal Perth Hospital, Perth</wicri:regionArea><wicri:noRegion>Perth</wicri:noRegion></affiliation></author><author><name sortKey="Bernus, Olivier" sort="Bernus, Olivier" uniqKey="Bernus O" first="Olivier" last="Bernus">Olivier Bernus</name><affiliation wicri:level="3"><nlm:affiliation>LIRYC Institute, IHU LIRYC ANR-10-IAHU-04, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>LIRYC Institute, IHU LIRYC ANR-10-IAHU-04, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Jais, Pierre" sort="Jais, Pierre" uniqKey="Jais P" first="Pierre" last="Jaïs">Pierre Jaïs</name><affiliation wicri:level="1"><nlm:affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac</wicri:regionArea><wicri:noRegion>33604 Bordeaux-Pessac</wicri:noRegion><wicri:noRegion>33604 Bordeaux-Pessac</wicri:noRegion></affiliation></author></analytic><series><title level="j">Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</title><idno type="eISSN">1532-2092</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lack of transmural lesion formation during radiofrequency (RF) ablation for ventricular tachycardia (VT) is an important determinant of arrhythmia recurrence. The aim of this proof-of-concept study was to evaluate safety and efficacy of a new and more powerful cryoablation system for ventricular ablation.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27907904</PMID><DateCreated><Year>2016</Year><Month>12</Month><Day>01</Day></DateCreated><DateRevised><Year>2017</Year><Month>09</Month><Day>06</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1532-2092</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>8</Issue><PubDate><Year>2017</Year><Month>Aug</Month><Day>01</Day></PubDate></JournalIssue><Title>Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</Title><ISOAbbreviation>Europace</ISOAbbreviation></Journal><ArticleTitle>A new cryoenergy for ventricular tachycardia ablation: a proof-of-concept study.</ArticleTitle><Pagination><MedlinePgn>1401-1407</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/europace/euw217</ELocationID><Abstract><AbstractText Label="Introduction" NlmCategory="UNASSIGNED">Lack of transmural lesion formation during radiofrequency (RF) ablation for ventricular tachycardia (VT) is an important determinant of arrhythmia recurrence. The aim of this proof-of-concept study was to evaluate safety and efficacy of a new and more powerful cryoablation system for ventricular ablation.</AbstractText><AbstractText Label="Methods and results" NlmCategory="UNASSIGNED">Five healthy female sheep (59 ± 6 kg) underwent a surgical sternotomy for epicardial and endocardial access [endocardial access via right atrial appendage and left ventricular (LV) apex]. A cryoablation system with liquid nitrogen (IceCure) was used to create 3 min freezes at the right ventricle (RV). Left ventricular cryoablation was performed with either a 6 min or 2 × 4 min freezes. To assess safety, ablation was also performed on the mid left anterior descending artery and the proximal coronary sinus. A total of 45 lesions were created (RV epicardial, n = 12; LV epicardial, n = 18; RV endocardial, n = 7; LV endocardial, n = 8; LAD, n = 4; and CS, n = 4). The mean lesion volume was 5055 ± 92 mm3 (length: 32 ± 4.6 mm, width: 16.0 ± 6.4 mm, and depth: 11.2 ± 4.4 mm). Lesions were transmural in 28/45 (62%) and >10 mm in depth in 35/45 (78%). Of the endocardial lesions, 12/15 were transmural (80%). There was no benefit of the bonus freeze in LV lesions (6 vs. 2 × 4 min: 6790 ± 44 vs. 5595 ± 63 mm3; P = 0.44). All ablated vascular structures appeared macroscopically normal without acute stenosis. One animal died due to incessant Ventricular fibrillation (VF).</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">Our results indicate that a more powerful cryoablation system is able to create large, transmural ventricular lesions from both the endocardium and the epicardium. The technology may hold potential for both surgical and catheter-based VT ablation in humans.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Berte</LastName><ForeName>Benjamin</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>LIRYC Institute, IHU LIRYC ANR-10-IAHU-04, Bordeaux, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Cardiology, Clinic Im Park, Zurich, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sacher</LastName><ForeName>Frédéric</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>LIRYC Institute, IHU LIRYC ANR-10-IAHU-04, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wielandts</LastName><ForeName>Jean-Yves</ForeName><Initials>JY</Initials><AffiliationInfo><Affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>LIRYC Institute, IHU LIRYC ANR-10-IAHU-04, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mahida</LastName><ForeName>Saagar</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>LIRYC Institute, IHU LIRYC ANR-10-IAHU-04, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pillois</LastName><ForeName>Xavier</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>LIRYC Institute, IHU LIRYC ANR-10-IAHU-04, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weerasooriya</LastName><ForeName>Rukshen</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Royal Perth Hospital, Perth, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bernus</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>LIRYC Institute, IHU LIRYC ANR-10-IAHU-04, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jaïs</LastName><ForeName>Pierre</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Departments of Cardiology and Radiology, Hôpital Haut-l'évêque, CHU Bordeaux, 33604 Bordeaux-Pessac, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>LIRYC Institute, IHU LIRYC ANR-10-IAHU-04, Bordeaux, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Europace</MedlineTA><NlmUniqueID>100883649</NlmUniqueID><ISSNLinking>1099-5129</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Ablation</Keyword><Keyword MajorTopicYN="N">Animal study</Keyword><Keyword MajorTopicYN="N">Cryo energy</Keyword><Keyword MajorTopicYN="N">Ventricular tachycardia</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>02</Month><Day>13</Day></PubMedPubDate><PubMedPubDate 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name="Nouvelle-Aquitaine"><name sortKey="Berte, Benjamin" sort="Berte, Benjamin" uniqKey="Berte B" first="Benjamin" last="Berte">Benjamin Berte</name></region><name sortKey="Bernus, Olivier" sort="Bernus, Olivier" uniqKey="Bernus O" first="Olivier" last="Bernus">Olivier Bernus</name><name sortKey="Jais, Pierre" sort="Jais, Pierre" uniqKey="Jais P" first="Pierre" last="Jaïs">Pierre Jaïs</name><name sortKey="Mahida, Saagar" sort="Mahida, Saagar" uniqKey="Mahida S" first="Saagar" last="Mahida">Saagar Mahida</name><name sortKey="Pillois, Xavier" sort="Pillois, Xavier" uniqKey="Pillois X" first="Xavier" last="Pillois">Xavier Pillois</name><name sortKey="Sacher, Frederic" sort="Sacher, Frederic" uniqKey="Sacher F" first="Frédéric" last="Sacher">Frédéric Sacher</name><name sortKey="Wielandts, Jean Yves" sort="Wielandts, Jean Yves" uniqKey="Wielandts J" first="Jean-Yves" last="Wielandts">Jean-Yves Wielandts</name></country><country name="Australie"><noRegion><name sortKey="Weerasooriya, Rukshen" sort="Weerasooriya, Rukshen" uniqKey="Weerasooriya R" first="Rukshen" last="Weerasooriya">Rukshen Weerasooriya</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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