Cryoballoon Ablation for Atrial Fibrillation
Focal point-by-point radiofrequency catheter ablation has shown considerable success in the treatment of paroxysmal atrial fibrillation. However, it is not without limitations. Recent clinical and preclinical studies have demonstrated that cryothermal ablation using a balloon catheter (Artic Front©,...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Heart Rhythm Society
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337368/ https://www.ncbi.nlm.nih.gov/pubmed/22557842 |
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author | Andrade, Jason G Dubuc, Marc Guerra, Peter G Macle, Laurent Rivard, Lena Roy, Denis Talajic, Mario Thibault, Bernard Khairy, Paul |
author_facet | Andrade, Jason G Dubuc, Marc Guerra, Peter G Macle, Laurent Rivard, Lena Roy, Denis Talajic, Mario Thibault, Bernard Khairy, Paul |
author_sort | Andrade, Jason G |
collection | PubMed |
description | Focal point-by-point radiofrequency catheter ablation has shown considerable success in the treatment of paroxysmal atrial fibrillation. However, it is not without limitations. Recent clinical and preclinical studies have demonstrated that cryothermal ablation using a balloon catheter (Artic Front©, Medtronic CryoCath LP) provides an effective alternative strategy to treating atrial fibrillation. The objective of this article is to review efficacy and safety data surrounding cryoballoon ablation for paroxysmal and persistent atrial fibrillation. In addition, a practical step-by-step approach to cryoballoon ablation is presented, while highlighting relevant literature regarding: 1) the rationale for adjunctive imaging, 2) selection of an appropriate cryoballoon size, 3) predictors of efficacy, 4) advanced trouble-shooting techniques, and 5) strategies to reduce procedural complications, such as phrenic nerve palsy. |
format | Online Article Text |
id | pubmed-3337368 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Indian Heart Rhythm Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-33373682012-05-04 Cryoballoon Ablation for Atrial Fibrillation Andrade, Jason G Dubuc, Marc Guerra, Peter G Macle, Laurent Rivard, Lena Roy, Denis Talajic, Mario Thibault, Bernard Khairy, Paul Indian Pacing Electrophysiol J Review Article Focal point-by-point radiofrequency catheter ablation has shown considerable success in the treatment of paroxysmal atrial fibrillation. However, it is not without limitations. Recent clinical and preclinical studies have demonstrated that cryothermal ablation using a balloon catheter (Artic Front©, Medtronic CryoCath LP) provides an effective alternative strategy to treating atrial fibrillation. The objective of this article is to review efficacy and safety data surrounding cryoballoon ablation for paroxysmal and persistent atrial fibrillation. In addition, a practical step-by-step approach to cryoballoon ablation is presented, while highlighting relevant literature regarding: 1) the rationale for adjunctive imaging, 2) selection of an appropriate cryoballoon size, 3) predictors of efficacy, 4) advanced trouble-shooting techniques, and 5) strategies to reduce procedural complications, such as phrenic nerve palsy. Indian Heart Rhythm Society 2012-04-30 /pmc/articles/PMC3337368/ /pubmed/22557842 Text en Copyright: © 2012 Andrade et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Andrade, Jason G Dubuc, Marc Guerra, Peter G Macle, Laurent Rivard, Lena Roy, Denis Talajic, Mario Thibault, Bernard Khairy, Paul Cryoballoon Ablation for Atrial Fibrillation |
title | Cryoballoon Ablation for Atrial Fibrillation |
title_full | Cryoballoon Ablation for Atrial Fibrillation |
title_fullStr | Cryoballoon Ablation for Atrial Fibrillation |
title_full_unstemmed | Cryoballoon Ablation for Atrial Fibrillation |
title_short | Cryoballoon Ablation for Atrial Fibrillation |
title_sort | cryoballoon ablation for atrial fibrillation |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337368/ https://www.ncbi.nlm.nih.gov/pubmed/22557842 |
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