{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T19:54:34Z","timestamp":1775764474799,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T00:00:00Z","timestamp":1678924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007497","name":"Biosense Webster","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>A 56\u2010hole porous tip radiofrequency catheter was developed to provide more uniform cooling with less fluid delivery than a prior 6\u2010hole irrigated design. This study aimed to evaluate the impact of contact force (CF) ablation with the porous tip on complications (congestive heart failure [CHF] and non\u2010CHF related), healthcare resource utilization, and procedural efficiency in patients undergoing de novo paroxysmal atrial fibrillation (PAF) ablations in a real\u2010world setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive de novo PAF ablations were performed between February 2014 and March 2019 by six operators at a single US academic center. The 6\u2010hole design was used through December 2016 with the 56\u2010hole porous tip adopted in October 2016. The outcomes of interest included symptomatic CHF presentation and CHF\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 174 patients who were included, mean age was 61.1\u00a0\u00b1\u200910.8\u2009years, 67.8% were male, and 25.3% had a history of CHF. Ablation with the porous tip catheter significantly decreased fluid delivery (1177 vs. 1912\u2009mL with the 6\u2010hole design; <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.0001). CHF\u2010related complications within 7\u2009days, particularly fluid overload, were substantially reduced with the porous tip (15.2% vs. 5.3% of patients; <jats:italic>p\u2009=<\/jats:italic>\u00a0.0281) and the proportion of patients with symptomatic CHF presentation within 30\u2009days postablation was significantly lower (14.7% vs. 32.5%; <jats:italic>p\u2009=<\/jats:italic>\u00a0.0058).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The 56\u2010hole porous tip led to significantly reduced CHF\u2010related complications and healthcare utilization in PAF patients undergoing CF catheter ablation when compared to the prior 6\u2010hole design. This reduction likely results from the significant decrease in fluid delivery during the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.12830","type":"journal-article","created":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T09:19:50Z","timestamp":1678958390000},"page":"352-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Porous tip radiofrequency ablation catheter reduced heart failure\u2010related complications and healthcare resource utilization in paroxysmal atrial fibrillation patients"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2254-5664","authenticated-orcid":false,"given":"Alexandru","family":"Costea","sequence":"first","affiliation":[{"name":"Internal Medicine Department University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bereket","family":"Haile","sequence":"additional","affiliation":[{"name":"College of Medicine University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Barone","sequence":"additional","affiliation":[{"name":"Heritage College of Osteopathic Medicine Ohio University  Athens Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maddie","family":"Schenthal","sequence":"additional","affiliation":[{"name":"Department of Biology Bellarmine University  Louisville Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathrine","family":"Romanowicz","sequence":"additional","affiliation":[{"name":"Internal Medicine Department University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srinivas","family":"Rajsheker","sequence":"additional","affiliation":[{"name":"Internal Medicine Department University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee Ming","family":"Boo","sequence":"additional","affiliation":[{"name":"Clinical Science and External Research, Biosense Webster, Inc.  Irvine California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3410-2999","authenticated-orcid":false,"given":"Tina D.","family":"Hunter","sequence":"additional","affiliation":[{"name":"Real World Evidence, CTI Clinical Trial &amp; Consulting  Covington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S180125"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1707855"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.120.050991"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2001.01261.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1995.tb00386.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eux264"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-09-0703"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12221"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.04.072"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.23297"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-018-1270-y"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-019-00591-2"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euw177"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.13710"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-020-00914-8"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2019.04.009"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S45873"}],"container-title":["Journal of Arrhythmia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.12830","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/joa3.12830","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.12830","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T07:41:05Z","timestamp":1692517265000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/joa3.12830"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,16]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/joa3.12830"],"URL":"https:\/\/doi.org\/10.1002\/joa3.12830","archive":["Portico"],"relation":{},"ISSN":["1880-4276","1883-2148"],"issn-type":[{"value":"1880-4276","type":"print"},{"value":"1883-2148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,16]]},"assertion":[{"value":"2022-08-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}