Table 3

Ablation success rates and reasons for ablation failure

Pt–Ir tip (n = 219)Gold-tip (n = 229)P
Ablation success with the first catheter, n (%)
 Total195 (89.0%)216 (94.3%)0.042
 Block within 25 mina192 (87.7%)210 (91.7%)0.16
 Block within 20 mina176 (80.4%)201 (87.8%)0.03
 Block within 15 mina156 (71.2%)180 (78.6%)0.07
 Block within 10 mina118 (53.9%)134 (58.5%)0.32
 Block within 5 mina35 (16.0%)57 (24.9%)0.02
Reasons for ablation failure, n (%)
 No effect on rhythm11 (5.0%)9 (3.9%)0.58
 Unusable catheter due to excessive char, coagulum or thrombus formation10 (4.6%)1 (0.4%)0.005
 PQ prolongation, risk of AV block01 (0.4%)1.00
 Bad curve steering2 (0.9%)1 (0.4%)0.62
 Repeated catheter dislocation1 (0.5%)1 (0.4%)1.00
 Mean RF duration until failure ± SD, minb19.3 ± 9.521.6 ± 10.20.50
  Median (IQR)21.3 (11.8, 27.7)26.1 (12.0, 29.3)
Outcome after ablation failure, n (%)
 Success with another catheter76
 No success with another catheter40
 Further procedure not documented137
Pt–Ir tip (n = 219)Gold-tip (n = 229)P
Ablation success with the first catheter, n (%)
 Total195 (89.0%)216 (94.3%)0.042
 Block within 25 mina192 (87.7%)210 (91.7%)0.16
 Block within 20 mina176 (80.4%)201 (87.8%)0.03
 Block within 15 mina156 (71.2%)180 (78.6%)0.07
 Block within 10 mina118 (53.9%)134 (58.5%)0.32
 Block within 5 mina35 (16.0%)57 (24.9%)0.02
Reasons for ablation failure, n (%)
 No effect on rhythm11 (5.0%)9 (3.9%)0.58
 Unusable catheter due to excessive char, coagulum or thrombus formation10 (4.6%)1 (0.4%)0.005
 PQ prolongation, risk of AV block01 (0.4%)1.00
 Bad curve steering2 (0.9%)1 (0.4%)0.62
 Repeated catheter dislocation1 (0.5%)1 (0.4%)1.00
 Mean RF duration until failure ± SD, minb19.3 ± 9.521.6 ± 10.20.50
  Median (IQR)21.3 (11.8, 27.7)26.1 (12.0, 29.3)
Outcome after ablation failure, n (%)
 Success with another catheter76
 No success with another catheter40
 Further procedure not documented137

aDuration of RF energy application to bidirectional cavotricuspid isthmus block, including safety applications.

bDuration of RF energy application until admitting ablation failure with the test catheter.

AV, atrioventricular; IQR, interquartile range; Pt–Ir, platinum–iridium; RF, radiofrequency ablation.

Table 3

Ablation success rates and reasons for ablation failure

Pt–Ir tip (n = 219)Gold-tip (n = 229)P
Ablation success with the first catheter, n (%)
 Total195 (89.0%)216 (94.3%)0.042
 Block within 25 mina192 (87.7%)210 (91.7%)0.16
 Block within 20 mina176 (80.4%)201 (87.8%)0.03
 Block within 15 mina156 (71.2%)180 (78.6%)0.07
 Block within 10 mina118 (53.9%)134 (58.5%)0.32
 Block within 5 mina35 (16.0%)57 (24.9%)0.02
Reasons for ablation failure, n (%)
 No effect on rhythm11 (5.0%)9 (3.9%)0.58
 Unusable catheter due to excessive char, coagulum or thrombus formation10 (4.6%)1 (0.4%)0.005
 PQ prolongation, risk of AV block01 (0.4%)1.00
 Bad curve steering2 (0.9%)1 (0.4%)0.62
 Repeated catheter dislocation1 (0.5%)1 (0.4%)1.00
 Mean RF duration until failure ± SD, minb19.3 ± 9.521.6 ± 10.20.50
  Median (IQR)21.3 (11.8, 27.7)26.1 (12.0, 29.3)
Outcome after ablation failure, n (%)
 Success with another catheter76
 No success with another catheter40
 Further procedure not documented137
Pt–Ir tip (n = 219)Gold-tip (n = 229)P
Ablation success with the first catheter, n (%)
 Total195 (89.0%)216 (94.3%)0.042
 Block within 25 mina192 (87.7%)210 (91.7%)0.16
 Block within 20 mina176 (80.4%)201 (87.8%)0.03
 Block within 15 mina156 (71.2%)180 (78.6%)0.07
 Block within 10 mina118 (53.9%)134 (58.5%)0.32
 Block within 5 mina35 (16.0%)57 (24.9%)0.02
Reasons for ablation failure, n (%)
 No effect on rhythm11 (5.0%)9 (3.9%)0.58
 Unusable catheter due to excessive char, coagulum or thrombus formation10 (4.6%)1 (0.4%)0.005
 PQ prolongation, risk of AV block01 (0.4%)1.00
 Bad curve steering2 (0.9%)1 (0.4%)0.62
 Repeated catheter dislocation1 (0.5%)1 (0.4%)1.00
 Mean RF duration until failure ± SD, minb19.3 ± 9.521.6 ± 10.20.50
  Median (IQR)21.3 (11.8, 27.7)26.1 (12.0, 29.3)
Outcome after ablation failure, n (%)
 Success with another catheter76
 No success with another catheter40
 Further procedure not documented137

aDuration of RF energy application to bidirectional cavotricuspid isthmus block, including safety applications.

bDuration of RF energy application until admitting ablation failure with the test catheter.

AV, atrioventricular; IQR, interquartile range; Pt–Ir, platinum–iridium; RF, radiofrequency ablation.

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