Comparison between biparietal bipolar and uniparietal bipolar radio frequency ablation techniques in a simultaneous procedural setting

Francesco Matteucci*, Bart Maesen, Carlo De Asmundis, Elham Bidar, Gianmarco Parise, Jos G. Maessen, Mark La Meir, Sandro Gelsomino

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Web of Science)

Abstract

Purpose To make anin vitroevaluation of the lesion size and depth produced in two different sets of radio frequency energy bipolar delivery: simultaneous biparietal bipolar (SBB) and simultaneous uniparietal bipolar (SUB). Methods Two separate prototypes have been built for our purpose: one to be used in SBB mode and the other to be used SUB mode. Forty left atrium samples were taken from the hearts of freshly slaughtered pigs. They were ablated into a simulator ABLABOX, where blood flow, temperature, and contact force were controlled. After being sliced into a cryotome, the samples were digitalized by a flatbed scanner, and the images were analyzed by a computer morphometric software. Results Transmural lesions were achieved in 18/20 samples (90%) in SBB, while SUB showed transmurality in 9/20 samples (45%). Overall maximum diameter (D-MAX) resulted larger in SUB than in SBB (2.43 +/- 0.30 mm, 1.62 +/- 0.14 mm, respectively;p <0.05): Moreover, maximum epicardial and endocardial diameters (D(EPI)andD(ENDO), respectively) were wider in SUB group than SBB group (2.28 +/- 0.30 mm, 2.26 +/- 0.40 and 1.60 +/- 0.14 mm, 1.59 +/- 0.15 mm, respectively;p <0.05). We observed the same tendency in lesion depth: The total area and volume (A(TOT)andV(TOT)) were broader in SUB group than in SBB one (581.01 +/- 65.38 mm/mm(2), 58.10 +/- 6.53 mm/mm(3)and 521.97 +/- 73.05 mm/mm(2), 52.19 +/- 7.30 mm/mm(3). respectively;p <0.05). Conclusions In contrast with the smaller lesion sizes, the biparietal bipolar group showed a higher transmurality rate. These findings may suggest a better drive of the energy flow when compared with SUB lesions.

Original languageEnglish
Pages (from-to)567-575
Number of pages9
JournalJournal of Interventional Cardiac Electrophysiology
Volume61
Issue number3
Early online date24 Aug 2020
DOIs
Publication statusPublished - Sep 2021

Keywords

  • Biparietal bipolar ablation
  • Bipolar radio frequency energy
  • Bipolar prototype
  • In vitrobipolar ablation
  • ATRIAL-FIBRILLATION
  • RADIOFREQUENCY ABLATION
  • BEATING HEART
  • PULMONARY VEINS
  • PERFORMANCE
  • DEVICE
  • SAFETY

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