loading page

Ablation Index-guided high-power ablation for superior vena cava isolation
  • +4
  • luqian cui,
  • shujuan dong,
  • Jingchao Li,
  • Haijia Yu,
  • Huihui Song,
  • yongmei han,
  • yingjie chu
luqian cui
Henan Provincial People's Hospital

Corresponding Author:[email protected]

Author Profile
shujuan dong
Henan Provincial People's Hospital
Author Profile
Jingchao Li
Henan Provincial People's Hospital
Author Profile
Haijia Yu
Henan Provincial People's Hospital
Author Profile
Huihui Song
Henan Provincial People's Hospital
Author Profile
yongmei han
Henan Provincial People's Hospital
Author Profile
yingjie chu
Henan Provincial People's Hospital
Author Profile

Abstract

Objectives: The ablation index (AI)-guided high-power ablation for pulmonary vein isolation (PVI) apears to be a novel strategy in treating atrial fibrillation (AF). This study aimed to evaluate the feasibility and safety of superior vena cava isolation (SVCI) by using AI-guided high-power ablation strategy among patients with AF after PVI. Methods: Data from 53 patients with AF were collected. Mapping and ablation of SVC was performed after PVI. The ablation power was set to 45 W and the ablation procedure was guided by AI. The SVC was divided into six segments in a cranial view. Applications and locations of radiofrenquency (RF) was recorded. The RF applications and AI value in different SVC walls were compared and analyzed. Results: SVCI was performed in 46 patients and electrical SVCIs were successfully achieved in all patients with a mean of 7.6 ± 2.9 RF applications. The mean time of SVCI procedure was 9.5±4.5 min. RF applications at anteroseptal wall was 38 (10.8%) points in 20 (43.5%) patients, posteroseptal wall was 74 (21.0%) points in 38 (82.6%) patients, posteral wall was 81 (22.9%%) points in 40 (87.0%%) patients, anteroseptal wall was 72 (20.4%) points in 37 (80.4%%) patients, anterolateral wall was 45 (12.7%) points in 27 (58.7%) patients, anteroseptal wall was 43 (12.2%) points in 23 (50.0%) patients. The mean AI value in septal, posterior and anterior walls was higher than that of lateral wall. There was no complication in any cases. Conclusion: AI-guided high-power ablation is feasible and safe strategy in performing SVCI. The RF applications and AI value in different SVC walls varied.