{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T01:06:56Z","timestamp":1774055216002,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T00:00:00Z","timestamp":1490572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007497","name":"Biosense Webster","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007497","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004374","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006279","name":"St. Jude Medical","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006279","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008497","name":"Boston Scientific Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>Contact Force Sensing for Persistent AF Ablation<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Arrhythmia recurrences remain common after ablation of persistent atrial fibrillation (PersAF). Contact force (CF)\u2010sensing catheters have been introduced for objective assessment of contact during radiofrequency application and have been suggested to improve outcomes in ablation of paroxysmal AF, but little is known about their role in PersAF ablation. We aimed to compare the procedural profiles and outcomes of (PersAF) ablation with or without using CF\u2010sensing catheters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All consecutive patients undergoing first time ablation for PersAF between April 2014 and January 2015 at the Cleveland Clinic were included. Substrate modification was performed in addition to isolation of the pulmonary veins. Success rates were determined off antiarrhythmics over 1 year of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 174 patients (77 CF and 97 non\u2010CF). Ablation with CF\u2010sensing catheters resulted in shorter procedures (median 204 vs. 216 minutes, P = 0.04) and shorter fluoroscopy time (36 vs. 48 minutes, P = 0.0005), without statistical difference in radiation dose (225 vs. 270 milligrays, P = 0.1). Arrhythmia recurrences were less likely to be observed in the CF\u2010sensing group (27.6% vs. 46.4%, P = 0.01, log\u2010rank P = 0.004). In multivariable Cox analyses, the use of CF\u2010sensing catheters was associated with a lower risk of arrhythmia recurrence (hazard ratio 0.49, 95% confidence interval 0.27\u20130.85, P = 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared to non\u2010CF sensing, the use of CF\u2010sensing catheters for PersAF ablation is associated with shorter procedures, shorter fluoroscopy time, and reduction in arrhythmia recurrences.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13179","type":"journal-article","created":{"date-parts":[[2017,2,10]],"date-time":"2017-02-10T09:32:43Z","timestamp":1486719163000},"page":"483-488","source":"Crossref","is-referenced-by-count":25,"title":["Persistent Atrial Fibrillation Ablation With or Without Contact Force Sensing"],"prefix":"10.1111","volume":"28","author":[{"given":"AYMAN A.","family":"HUSSEIN","sequence":"first","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AMR F.","family":"BARAKAT","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"WALID I.","family":"SALIBA","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KHALDOUN G.","family":"TARAKJI","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MOHAMED","family":"BASSIOUNY","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BRYAN","family":"BARANOWSKI","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PATRICK","family":"TCHOU","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MANDEEP","family":"BHARGAVA","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"THOMAS","family":"DRESING","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"THOMAS","family":"CALLAHAN","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DANIEL","family":"CANTILLON","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MOHAMED","family":"KANJ","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BRUCE D.","family":"LINDSAY","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OUSSAMA M.","family":"WAZNI","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Section of Cardiac Pacing and Electrophysiology  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.12.016"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2010.01.017"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.12.073"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2008.09.016"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.04.060"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.114.001943"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2010.01750.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2009.01693.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.08.021"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.04.072"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2014.07.033"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.a2013.0153"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12606"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2014.03.019"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12303"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2012.03503.x"},{"key":"e_1_2_6_18_1","first-page":"193","article-title":"Which is the best catheter to perform atrial fibrillation ablation? A comparison between standard ThermoCool, SmartTouch, and Surround Flow catheters","volume":"39","author":"Sciarra L","year":"2014","journal-title":"J Interv Card Electrophysiol"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.12549"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.12501"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-013-0625-7"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002476"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.06.026"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2016.05.011"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2006.02.1033"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2009.07.007"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.113.000320"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMct1109977"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.111.962100"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.115.003669"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjce.13179","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.13179","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T08:53:46Z","timestamp":1695804826000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.13179"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,27]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1111\/jce.13179"],"URL":"https:\/\/doi.org\/10.1111\/jce.13179","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,27]]}}}