{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:26:29Z","timestamp":1740137189171,"version":"3.37.3"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T00:00:00Z","timestamp":1681084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Hemodynamic decompensation during catheter ablation occurs due to prolonged procedure time and irrigant delivery directly into the cardiac chambers. Real\u2010time hemodynamic monitoring of patients undergoing catheter ablation procedures may identify patients at risk of decompensation; we set out to assess the feasibility of a novel, real\u2010time, intracardiac pressure monitoring system using a standard irrigated ablation catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied 13 consecutive who underwent pressure measurement of the left atrium (LA) and left ventricle (LV) via transeptal access with a Swan Ganz (SG) catheter followed by two commercially available irrigated ablation catheters. Pressure waveform data was extracted to compare LA peak pressure, LV peak systolic pressure, LV end\u2010diastolic pressure, and waveform analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Comparison between the SG and ablation catheters (AblA; AblB) demonstrated that LV systolic pressure (0.61\u201316.8\u2009mmHg; 1.32\u201318.2\u2009mmHg), and LV end\u2010diastolic pressure (\u22123.4 to 2.8\u2009mmHg; \u22123.0 to 3.35\u2009mmHg) were well correlated and had accepted repeatability. Ablation waveforms demonstrated an 89.9\u2009\u00b1\u20096.4% correlation compared to SG waveforms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pressure measurements derived from an irrigated ablation catheter are accurate and reliable when compared to an SG catheter. Further studies are needed to determine how real\u2010time pressure monitoring can improve outcomes during ablation procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.15902","type":"journal-article","created":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T13:37:05Z","timestamp":1681133825000},"page":"1111-1118","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Novel use of an irrigated ablation catheter to monitor real\u2010time hemodynamics during ablation"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8021-6631","authenticated-orcid":false,"given":"Neal K.","family":"Bhatia","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahriar","family":"Iravanian","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Namita","family":"Ravi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Yale University School of Medicine New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6389-0643","authenticated-orcid":false,"given":"Soroosh","family":"Kiani","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0708-9330","authenticated-orcid":false,"given":"Michael S.","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy B.","family":"Westerman","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faisal M.","family":"Merchant","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4978-7177","authenticated-orcid":false,"given":"Mikhael F.","family":"El\u2010Chami","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azizul","family":"Hoque","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand D.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Emory University School of Medicine Atlanta Georgia 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