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Irrigated vs. Non-irrigated Catheters in the Ablation of Accessory Pathways

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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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Authors and Affiliations

  1. Rutgers-Robert Wood Johnson Medical School, One Robert Wood Johnson Place, New Brunswick, NJ, 08901, USA

    Gregory P. Siroky, Meruka Hazari, William J. Kostis & James Coromilas

  2. Robert Wood Johnson University Hospital, One Robert Wood Johnson Place, New Brunswick, NJ, 08901, USA

    Zyad Younan, Archana Patel, Joshua Balog, Andrew Rudnick & John Kassotis

  3. Division of Cardiology, Columbia University Vagelos College of Physicians and Surgeons, 630 W. 168th Street, New York, NY, 10032, USA

    Deepak Saluja

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  1. Gregory P. Siroky
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Contributions

Gregory P. Siroky MD—data collection, data analysis/interpretation, statistics, drafting article, critical article review and revision, article approval, article submission.

Meruka Hazari MD—concept/design, data collection, data analysis/interpretation, statistics, drafting article, critical article review and revision, article approval.

Zyad Younan MD—data contribution, review of article, and article approval.

Archana Patel MD—data contribution, review of article, and article approval.

Joshua Balog MD—data contribution, review of article, and article approval.

Andrew Rudnick MD—data contribution, review of article, and article approval.

John Kassotis, MD—review article, data analysis, and article approval.

William J. Kostis MD, PhD—data contribution, critical article review and revision and article approval.

James Coromilas MD—concept/design, critical article review and revision, and article approval.

Deepak Saluja MD—concept/design, data contribution and collection, data analysis/interpretation, statistics, drafting article, critical article review and revision, article approval, article submission.

Corresponding author

Correspondence to Deepak Saluja.

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Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

As this was a retrospective study analyzing patient data, informed consent was not obtained.

Ethical Approval: This article does not contain any studies with animals performed by any of the authors.

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Associate Editor Navin Kumar Kapur oversaw the review of this article

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Siroky, G.P., Hazari, M., Younan, Z. et al. Irrigated vs. Non-irrigated Catheters in the Ablation of Accessory Pathways. J. of Cardiovasc. Trans. Res. 13, 612–617 (2020). https://doi.org/10.1007/s12265-019-09926-w

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  • DOI: https://doi.org/10.1007/s12265-019-09926-w

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