{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:06:03Z","timestamp":1785539163786,"version":"3.56.0"},"reference-count":13,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T00:00:00Z","timestamp":1650067200000},"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":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Local impedance (LI) drop during radiofrequency (RF) application is monitored to assess the lesion formation. Recently, a novel ablation catheter has been introduced to clinical setting, which is capable of monitoring LI and catheter contact parameters including contact force (CF) and contact angle (CA). This study aimed to clarify the correlation between LI drop and catheter contact parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>This prospective study included 15 paroxysmal atrial fibrillation (AF) patients who underwent initial pulmonary vein isolation (PVI). First\u2010pass encircling point\u2010by\u2010point PV ablation was performed by using a 4.5\u2010mm irrigated ablation catheter, with monitoring LI, CF, and CA. RF energy was applied for 30 s at each site with 30 W. Stable ablation points were analyzed to examine the correlation between LI drop and catheter contact parameters. Among 903 ablation points, 499 stable ablation points (55.2%) were analyzed. CA showed good correlation with LI drop (\u03c1 = 0.418, <jats:italic>p<\/jats:italic> &lt; .001). Maximum CF, minimum CF, average CF, and initial CF all showed weak correlation with LI drop (\u03c1 = 0.201, <jats:italic>p<\/jats:italic> &lt; .001; \u03c1 = 0.224, <jats:italic>p<\/jats:italic> &lt; .001; \u03c1 = 0.258, <jats:italic>p<\/jats:italic> &lt; .001; and \u03c1 = 0.212, <jats:italic>p<\/jats:italic> &lt; .001, respectively). Multivariate analysis demonstrated that CA was an independent factor of LI drop among the catheter contact parameters (\u03b2 = 0.139, 95% CI = 0.111\u20130.167, <jats:italic>p<\/jats:italic> &lt; .001). The LI drop in the blocked segments was significantly higher than that in the electrical conduction gap segments (27.3 \u00b1 9.8 vs. 19.6 \u00b1 6.4 \u03a9, <jats:italic>p<\/jats:italic> &lt; .001)<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In clinical PVI use, both CF and CA were correlated with LI drop. More parallel CA could induce higher LI drop, which may lead to effective lesion formation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14500","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T13:53:54Z","timestamp":1648821234000},"page":"984-992","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The correlation between local impedance drop and catheter contact in clinical pulmonary vein isolation use"],"prefix":"10.1111","volume":"45","author":[{"given":"Koji","family":"Yasumoto","sequence":"first","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuyuki","family":"Egami","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shodai","family":"Kawanami","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Sugae","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Ukita","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akito","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Matsuhiro","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Tsuda","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naotaka","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4775-8914","authenticated-orcid":false,"given":"Yasuharu","family":"Matsunaga\u2010Lee","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masamichi","family":"Yano","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0309-7023","authenticated-orcid":false,"given":"Masami","family":"Nishino","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Tanouchi","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eux275"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.108.803650"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.13928"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13239-021-00529-8"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.117.005831"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euy273"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euab004"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.14678"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.14647"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2020.03.016"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2010.01750.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2017.08.016"},{"key":"e_1_2_8_14_1","first-page":"775","article-title":"Ablation index, a novel marker of ablation lesion quality: prediction of pulmonary vein reconnection at repeat electrophysiology study and regional differences in target values","volume":"19","author":"Das M","year":"2017","journal-title":"Europace."}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.14500","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.14500","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.14500","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T12:47:43Z","timestamp":1692708463000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.14500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,16]]},"references-count":13,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1111\/pace.14500"],"URL":"https:\/\/doi.org\/10.1111\/pace.14500","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,16]]},"assertion":[{"value":"2021-11-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}