Overlake Medical Center First In Washington to Offer New FDA-Approved Therapy for Treatment of Atrial Fibrillation
April 30, 2014
Bellevue, Wash. – Overlake Medical Center has become the first hospital in Washington to use a new FDA-approved catheter that significantly improves the success rate of treatment of patients with atrial fibrillation, or Afib. Overlake is one of only 200 hospitals across the country that has this technology available for treating patients.
The ThermoCool® SmartTouch® Catheter, which features direct contact force technology, enables doctors to accurately control the amount of contact force applied to the heart wall during radiofrequency catheter ablation procedures.
While Overlake has been a pioneer in providing this treatment option for non-life-threatening arrhythmias since 2001, the game-changing nature of this new technology increases the precision with which the doctor can deliver this procedure via catheter on the wall of the heart.
“When you’re working inside the heart you don’t always have the tactile feedback you need,” said Derek Rodrigues, MD, FACC. “While we know that we’ve been very successful in treating patients with afib through this technology in the past, this new technology significantly increases the precision and our success rate, giving patients stronger peace of mind that their arrhythmia won’t recur.”
During this minimally-invasive catheter ablation procedure, Rodrigues and the team at the Overlake electrophysiology laboratory insert a therapeutic catheter through a small incision in the groin where it is then weaved up to the heart through a blood vessel. Once it reaches the left upper chamber of the heart (atrium), the catheter delivers radiofrequency energy to the heart wall to create lesions that block faulty electrical impulses that can cause heart rhythm disorders.
Providing doctors with the ability to apply stable contact force during catheter ablation has been shown to improve patient outcomes as poor tissue contact may result in incomplete lesion formation that could result in the need for additional treatment, and too much contact force may result in tissue injury, which may lead to complications.2-5
“Consistent and stable application of contact force against the heart wall has been demonstrated to have a significant impact on patient outcomes during catheter ablation,” said Rodrigues. “Without this technology, doctors have to estimate the amount of force being applied to the heart wall through other indirect measures that have been shown not to be as effective.”1
One-year results from a clinical trial that studied the safety and effectiveness of the device showed that patients experienced a 74 percent success rate after treatment with the ThermoCool® SmartTouch® Catheter. Importantly, data from the trial showed higher success rates the longer physicians stayed within a targeted contact force range, with one-year results demonstrating an 88 percent success rate when physicians stayed within a targeted range greater than or equal to 85 percent of the time.6
An estimated three million Americans suffer from Afib, a progressive disease that increases in severity and frequency if left untreated, and can lead to chronic fatigue, congestive heart failure and stroke.7 While most Afib patients today are treated with drugs, about half of patients are not able to control their abnormal heart rhythm with drugs or find they cannot tolerate the side effects. When medication proves to be unsuccessful, the American College of Cardiology and the American Heart Association suggest catheter ablation be considered as a safe and effective treatment option.8 Clinical studies show that success rates for Afib treatments such as catheter ablation decrease the longer the disease is left untreated so earlier intervention is recommended.
Overlake’s electrophysiology laboratory provides leading-edge evaluation and treatment of cardiac arrhythmias (irregular heartbeats). The lab, which is staffed by three electrophysiologists (cardiologists trained to diagnose and treat the electrical activities of the heart) and three EP technologists, has been doing catheter ablation procedures to treat atrial fibrillation since 2001. Overlake was one of the first hospitals in the Puget Sound region to offer ablation procedures for the treatment of Afib.
“This new catheter technology to treat atrial fibrillation is a continued demonstration of Overlake’s investment and commitment to delivering state-of-the-art heart care to patients on the Eastside and beyond,” Rodrigues said.
- Nakagawa H, Kautzner J, Natale A, et al. Locations of high contact force during left atrial mapping in atrial fibrillation patients: electrogram amplitude and impedance are poor predictors of electrode-tissue contact force for ablation of atrial fibrillation. Circ Arrhythm Electrophysiol 2013;6:746-53.
- Marijon E, Fazaa S, Narayanan K, Guy-Moyat B, Bouzeman A, Providencia R, et al (2013) Real-time contact force sensing for pulmonary vein isolation in the setting of paroxysmal atrial fibrillation: procedural and one-year results. Journal of Cardiovascular Electrophysiology (published online October 2013).
- Carmo P, Pulido Adrago P, Cavaco D, Bello Morgado F, Candeias R, Aldmeida S, et al. (2012) Determination of the contact force during ablation of atrial fibrillation: Inter-operator variability. Cardiostim (abstract # 136P_86).
- Kuniss M, Lehinhant S, Pajitnev D, Zaltsberg S, Greiss H, Berkowitsch A, et al (2013) Clinical success of conventional vs. contact force-controlled radiofrequency catheter ablation of atrial fibrillation: clinical outcome after 12 months. Heart Rhythm Society (abstract # AB35-04).
- Stabile G, Solimene F, Calo L, Anselmino M, Castro A, Pratola C, et al (2013) Impact of catheter-tissue contact force on pulmonary veins isolation acute procedural parameters. Heath Rhythm Society (abstract # PO03-130).
- Natale A (2013, May). Ablation of Symptomatic Paroxysmal Atrial Fibrillation Using Novel Contact Force Catheter: SMART-AF Trial. Data presented at the Heart Rhythm Society’s 34th Annual Scientific Sessions in Denver, CO.
- Naccarelli GV, Varker H, Lin J, Schulman KL. Increasing prevalence of atrial ﬁbrillation and ﬂutter in the United States. Am J Cardiol.2009;104:1534-1539.
- Calkins H, Kuck KH, Cappato R, et al. 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design. J Interv Card Electrophysiol. 2012 Mar;33(2):171-257. doi: 10.1007/s10840-012-9672-7.
ThermoCool® Navigation Catheters are approved for drug refractory recurrent symptomatic paroxysmal atrial fibrillation, when used with Carto® Systems (excluding NaviStar® RMT ThermoCool® Catheter).