Impact of high-power short-duration atrial fibrillation ablation technique on the incidence of silent cerebral embolism: a prospective randomized controlled study

• Published in: BMC medicine Vol. 21; no. 1; pp. 461 - 17
• Main Authors: Chen, Wei-Jie, Gan, Chun-Xia, Cai, Yang-Wei, Liu, Yang-Yang, Xiao, Pei-Lin, Zou, Li-Li, Xiong, Qing-Song, Qin, Fang, Tao, Xie-Xin, Li, Ran, Du, Hua-An, Liu, Zeng-Zhang, Yin, Yue-Hui, Ling, Zhi-Yu
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 23.11.2023; BioMed Central; BMC
• Subjects: Ablation; Ablation Techniques - adverse effects; Analysis; Anticoagulants; Atrial fibrillation; Atrial Fibrillation - complications; Atrial Fibrillation - epidemiology; Atrial Fibrillation - surgery; Blood clots; Cardiac arrhythmia; Care and treatment; Catheter ablation; Catheter Ablation - adverse effects; Catheter Ablation - methods; Catheters; Cognitive ability; Consent; Contraindications; Diagnosis; Diameters; Electrodes; Embolism; Embolisms; Energy; Female; Fibrillation; High-power short-duration; High-resolution diffusion-weighted magnetic resonance imaging; Humans; Incidence; Intracranial Embolism - diagnostic imaging; Intracranial Embolism - epidemiology; Intracranial Embolism - prevention & control; Lesions; Magnetic resonance imaging; Male; Medical instruments; Middle Aged; Prevention; Prospective Studies; Radio frequency; Recurrence; Regression analysis; Risk factors; Silent cerebral embolism; Strategy; Thrombosis; Treatment Outcome; Veins & arteries; China; High-resolution diffusion-weighted magnetic resonance imaging; High-power short-duration; Atrial fibrillation; Catheter ablation; Silent cerebral embolism

High-power short-duration (HPSD) ablation strategy has emerged as a popular approach for treating atrial fibrillation (AF), with shorter ablation time. The utilized Smart Touch Surround Flow (STSF) catheter, with 56 holes around the electrode, lowers electrode-tissue temperature and thrombus risk. T...