Four typical pulmonary venous pressure curves displaying the level of occlusion during atrial fibrillation ablation by cryoballoon

BACKGROUND: Cryoballoon ablation is safe and effective for pulmonary vein isolation in patients with symptomatic drug‐refractory paroxysmal atrial fibrillation. To monitor adhesion between the balloon and the pulmonary vein, an alternative technique to pulmonary venography is to analyze changes in t...

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Autores principales: Milhem, Antoine, Allix‐Béguec, Caroline, Laurençon, Virginie, Treguer, Frédéric, Cesari, Olivier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Rapid Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10692852/
https://www.ncbi.nlm.nih.gov/pubmed/38045456
http://dx.doi.org/10.1002/joa3.12926
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author Milhem, Antoine
Allix‐Béguec, Caroline
Laurençon, Virginie
Treguer, Frédéric
Cesari, Olivier
author_facet Milhem, Antoine
Allix‐Béguec, Caroline
Laurençon, Virginie
Treguer, Frédéric
Cesari, Olivier
author_sort Milhem, Antoine
collection PubMed
description BACKGROUND: Cryoballoon ablation is safe and effective for pulmonary vein isolation in patients with symptomatic drug‐refractory paroxysmal atrial fibrillation. To monitor adhesion between the balloon and the pulmonary vein, an alternative technique to pulmonary venography is to analyze changes in the pressure curve. METHODS: We have described the adhesion level characterized by four types of pressure waveforms. RESULTS: These correlated with the extent of contrast agent leakage (Cohen's kappa of 0.81 [IC 95%: 0.63–0.99]). CONCLUSION: Monitoring the venous pressure curve is easy to perform and has the advantage of being able to detect balloon movement during the first few seconds of treatment.
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spelling pubmed-106928522023-12-03 Four typical pulmonary venous pressure curves displaying the level of occlusion during atrial fibrillation ablation by cryoballoon Milhem, Antoine Allix‐Béguec, Caroline Laurençon, Virginie Treguer, Frédéric Cesari, Olivier J Arrhythm Rapid Communication BACKGROUND: Cryoballoon ablation is safe and effective for pulmonary vein isolation in patients with symptomatic drug‐refractory paroxysmal atrial fibrillation. To monitor adhesion between the balloon and the pulmonary vein, an alternative technique to pulmonary venography is to analyze changes in the pressure curve. METHODS: We have described the adhesion level characterized by four types of pressure waveforms. RESULTS: These correlated with the extent of contrast agent leakage (Cohen's kappa of 0.81 [IC 95%: 0.63–0.99]). CONCLUSION: Monitoring the venous pressure curve is easy to perform and has the advantage of being able to detect balloon movement during the first few seconds of treatment. John Wiley and Sons Inc. 2023-09-20 /pmc/articles/PMC10692852/ /pubmed/38045456 http://dx.doi.org/10.1002/joa3.12926 Text en © 2023 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of Japanese Heart Rhythm Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Rapid Communication
Milhem, Antoine
Allix‐Béguec, Caroline
Laurençon, Virginie
Treguer, Frédéric
Cesari, Olivier
Four typical pulmonary venous pressure curves displaying the level of occlusion during atrial fibrillation ablation by cryoballoon
title Four typical pulmonary venous pressure curves displaying the level of occlusion during atrial fibrillation ablation by cryoballoon
title_full Four typical pulmonary venous pressure curves displaying the level of occlusion during atrial fibrillation ablation by cryoballoon
title_fullStr Four typical pulmonary venous pressure curves displaying the level of occlusion during atrial fibrillation ablation by cryoballoon
title_full_unstemmed Four typical pulmonary venous pressure curves displaying the level of occlusion during atrial fibrillation ablation by cryoballoon
title_short Four typical pulmonary venous pressure curves displaying the level of occlusion during atrial fibrillation ablation by cryoballoon
title_sort four typical pulmonary venous pressure curves displaying the level of occlusion during atrial fibrillation ablation by cryoballoon
topic Rapid Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10692852/
https://www.ncbi.nlm.nih.gov/pubmed/38045456
http://dx.doi.org/10.1002/joa3.12926
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