Safety of catheter ablation of atrial fibrillation using fiber optic–based contact force sensing

Moussa Mansour, Dhanunjaya Lakkireddy, Douglas Packer, John D. Day, Srijoy Mahapatra, Kyle Brunner, Vivek Reddy, Andrea Natale

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Background While the body of evidence showing the benefit of contact force (CF)–sensing catheters in improving atrial fibrillation ablation success rate is growing, real-world safety data of this technology are limited. Objective The aim of this study was to report the complication rate in patients undergoing ablation using a specific CF-sensing catheter (TactiCath Quartz CF ablation catheter, Abbott, St. Paul, MN) in a large worldwide database. Methods User-reported adverse event data from January 1, 2014 to December 31, 2015 were reviewed for the ablation catheter. These adverse events included cardiac perforation, cerebrovascular accident, atrioesophageal (AE) fistula, steam pop, and death. Rates of these adverse events, including geographic and temporal relationships, were calculated. Results Adverse events were reported in 178 of 41,709 patients (adverse event rate 0.427%). Adverse events included 117 cardiac perforations (0.281%), 5 cerebrovascular accidents (0.012%), 10 AE fistulas (0.024%), 53 audible steam pops (0.127%), and 13 deaths (0.031%). The total event rate in European countries was 0.53% vs 0.38% in the United States (P =.0082). The AE fistula event rate peaked in late 2014 and early 2015 at 0.06% and decreased over time to a steady-state 0.01%, corresponding to the initial US release, subsequent increased use, and training on the manufacturer recommended settings. Conclusion Complication rates while using the TactiCath CF ablation catheter appear to decrease with training and experience. The major complication rate associated with this technology is low in the context of similar reports of conventional radiofrequency catheters.

Original languageEnglish (US)
Pages (from-to)1631-1636
Number of pages6
JournalHeart rhythm
Issue number11
StatePublished - Nov 2017


  • Atrial fibrillation
  • Atrioesophageal fistula
  • Catheter ablation
  • Complications
  • Contact force

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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