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©,...

Descripción completa

Detalles Bibliográficos
Autores principales: Andrade, Jason G, Dubuc, Marc, Guerra, Peter G, Macle, Laurent, Rivard, Lena, Roy, Denis, Talajic, Mario, Thibault, Bernard, Khairy, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Heart Rhythm Society 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337368/
https://www.ncbi.nlm.nih.gov/pubmed/22557842
_version_ 1782231063164092416
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
work_keys_str_mv AT andradejasong cryoballoonablationforatrialfibrillation
AT dubucmarc cryoballoonablationforatrialfibrillation
AT guerrapeterg cryoballoonablationforatrialfibrillation
AT maclelaurent cryoballoonablationforatrialfibrillation
AT rivardlena cryoballoonablationforatrialfibrillation
AT roydenis cryoballoonablationforatrialfibrillation
AT talajicmario cryoballoonablationforatrialfibrillation
AT thibaultbernard cryoballoonablationforatrialfibrillation
AT khairypaul cryoballoonablationforatrialfibrillation