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Achieve advance mapping catheters

Manufactured by Medtronic

The Achieve Advance™ Mapping Catheters are medical devices designed for use in cardiac electrophysiology procedures. They are used to map the electrical activity of the heart.

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2 protocols using achieve advance mapping catheters

1

Cryoballoon Pulmonary Vein Isolation

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All CB procedures in this study were performed using the FlexCath Advance and the Arctic Front Advance Pro™, Medtronic, Dublin, Ireland. The CB was placed in each PV antrum under fluoroscopy guidance. Optimal PV occlusion by CB was evaluated via contrast medium application. To obtain PV signals and to assess electrical isolation, a decapolar circumferential mapping catheter (Achieve™ and Achieve Advance™ Mapping Catheters, Medtronic) was used. The freeze duration was determined by either the observed time to isolation (TTI; in case of visible PV signals) or achieved nadir temperature during the applied freeze [16 (link), 17 (link)]. During CB-PVI of the right PVs, continuous phrenic nerve pacing was performed to avoid phrenic nerve palsy. The endpoint for CB procedures was proof of entrance block using the Achieve mapping catheter.
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2

Cryoballoon Pulmonary Vein Isolation

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For cryoballoon PVI, a 28-mm cryoballoon (Arctic Front Advance Pro™, Medtronic, Dublin, Ireland or POLARx™, Boston Scientific, Marlborough, MA, USA) was applied. The workflow of a cryoballoon PVI has been previously described in detail [4] . Briefly, the balloon was inserted through a steerable sheath (15Fr FlexCathAdvance™, Medtronic or 15.9Fr POLARSHEATH™, Boston Scientific). The cryoballoon was placed in each PV antrum under fluoroscopy guidance, and PV occlusion was verified via contrast agent application. PV potentials were recorded using a 20-mm circular inner lumen mapping catheter with 8 electrodes (Achieve™ and Achieve Advance™ Mapping Catheters, Medtronic or POLARMAP™, Boston Scientific). The duration of cryoablation was determined by either the observed time-to-isolation (TTI; in case of visible PV signals) or achieved nadir temperature [11] .
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