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Sensor Enabled Catheter Ablation Study (SECAS)

Background EnSite Precision technology (Abbott, Chicago, Illinois) is a novel mapping and navigation system facilitating the visualization and manipulation of intracardiac catheters during arrhythmia ablation procedures. When using Sensor Enabled (SE) catheters (Abbott, Chicago, Illinois), the mappi...

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Autores principales: Rabah, Hussein, Youness, Mahmoud, Rabah, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8671080/
https://www.ncbi.nlm.nih.gov/pubmed/34926037
http://dx.doi.org/10.7759/cureus.19550
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author Rabah, Hussein
Youness, Mahmoud
Rabah, Ali
author_facet Rabah, Hussein
Youness, Mahmoud
Rabah, Ali
author_sort Rabah, Hussein
collection PubMed
description Background EnSite Precision technology (Abbott, Chicago, Illinois) is a novel mapping and navigation system facilitating the visualization and manipulation of intracardiac catheters during arrhythmia ablation procedures. When using Sensor Enabled (SE) catheters (Abbott, Chicago, Illinois), the mapping system uses both electrical impedance and magnetic data to facilitate more accurate mapping and navigation. Whether this translates into better clinical outcomes is unknown. Methods This retrospective study will examine whether SE catheters improve the success rate or decrease the risks compared to Biosense Thermocool catheters (Biosense Webster Inc., Irvine, California) not employing sensor-enabled technology utilizing NavX EnSite Precision algorithms. Charts of 146 patients who underwent radiofrequency ablations for supraventricular and ventricular arrhythmias between 2016 and 2019 in the Beirut Cardiac Institute were reviewed and analyzed. It was concluded that SE catheters have the same success rate as electrical impedance catheters. Results A total of 70% of the ablations carried using the impedance-based catheter were successful compared to 74% using the SE catheter. However, the difference was statistically non-significant (p-value: 0.7). As for complications, the ventricular fibrillation rate was increased in the SE catheter group. Three procedures were complicated by pericardial effusion, three patients had reversible heart block, and one death was recorded, all reported while using the standard catheter (p-value: 0.01). Conclusion SE catheters have the same success rates compared to standard catheters using the EnSite Precision mapping system.
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spelling pubmed-86710802021-12-16 Sensor Enabled Catheter Ablation Study (SECAS) Rabah, Hussein Youness, Mahmoud Rabah, Ali Cureus Cardiology Background EnSite Precision technology (Abbott, Chicago, Illinois) is a novel mapping and navigation system facilitating the visualization and manipulation of intracardiac catheters during arrhythmia ablation procedures. When using Sensor Enabled (SE) catheters (Abbott, Chicago, Illinois), the mapping system uses both electrical impedance and magnetic data to facilitate more accurate mapping and navigation. Whether this translates into better clinical outcomes is unknown. Methods This retrospective study will examine whether SE catheters improve the success rate or decrease the risks compared to Biosense Thermocool catheters (Biosense Webster Inc., Irvine, California) not employing sensor-enabled technology utilizing NavX EnSite Precision algorithms. Charts of 146 patients who underwent radiofrequency ablations for supraventricular and ventricular arrhythmias between 2016 and 2019 in the Beirut Cardiac Institute were reviewed and analyzed. It was concluded that SE catheters have the same success rate as electrical impedance catheters. Results A total of 70% of the ablations carried using the impedance-based catheter were successful compared to 74% using the SE catheter. However, the difference was statistically non-significant (p-value: 0.7). As for complications, the ventricular fibrillation rate was increased in the SE catheter group. Three procedures were complicated by pericardial effusion, three patients had reversible heart block, and one death was recorded, all reported while using the standard catheter (p-value: 0.01). Conclusion SE catheters have the same success rates compared to standard catheters using the EnSite Precision mapping system. Cureus 2021-11-13 /pmc/articles/PMC8671080/ /pubmed/34926037 http://dx.doi.org/10.7759/cureus.19550 Text en Copyright © 2021, Rabah et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Rabah, Hussein
Youness, Mahmoud
Rabah, Ali
Sensor Enabled Catheter Ablation Study (SECAS)
title Sensor Enabled Catheter Ablation Study (SECAS)
title_full Sensor Enabled Catheter Ablation Study (SECAS)
title_fullStr Sensor Enabled Catheter Ablation Study (SECAS)
title_full_unstemmed Sensor Enabled Catheter Ablation Study (SECAS)
title_short Sensor Enabled Catheter Ablation Study (SECAS)
title_sort sensor enabled catheter ablation study (secas)
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8671080/
https://www.ncbi.nlm.nih.gov/pubmed/34926037
http://dx.doi.org/10.7759/cureus.19550
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