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Ablation index, a novel marker of ablation lesion quality: prediction of pulmonary vein reconnection at repeat electrophysiology study and regional differences in target values
Author(s) -
Moloy Das,
Jonathan J. Loveday,
Gareth Wynn,
Sean Gomes,
Yawer Saeed,
Laura Bonnett,
Johan Waktare,
Derick Todd,
Mark Hall,
Richard Snowdon,
Simon Modi,
Dhiraj Gupta
Publication year - 2016
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/euw105
Subject(s) - pulmonary vein , ablation , atrial fibrillation , cardiology , lesion , medicine , electrophysiology study , catheter ablation , surgery
Force-Time Integral (FTI) is commonly used as a marker of ablation lesion quality during pulmonary vein isolation (PVI), but does not incorporate power. Ablation Index (AI) is a novel lesion quality marker that utilizes contact force, time, and power in a weighted formula. Furthermore, only a single FTI target value has been suggested despite regional variation in left atrial wall thickness. We aimed to study AI's and FTI's relationships with PV reconnection at repeat electrophysiology study, and regional threshold values that predicted no reconnection.

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