Balloon warming time is the strongest predictor of late pulmonary vein electrical reconnection following cryoballoon ablation for atrial fibrillation

Heart Rhythm

Volumn 10, Issue 9, 2013, Pages 1311-1317

  Ghosh, Justin ^a   Martin, Andrew ^b   Keech, Anthony C ^b   Chan, Kim H ^a   Gomes, Sean ^a   Singarayar, Suresh ^a   McGuire, Mark A ^a  

^a ROYAL PRINCE ALFRED HOSPITAL   (Australia)

^b UNIVERSITY OF SYDNEY   (Australia)

Author keywords

Ablation; Atrial fibrillation; Balloon warming time; Cryoballoon; Reconnection; Recurrence

Indexed keywords

ADULT; ARTICLE; BALLOON CATHETER; BALLOON FREEZING TIME; BALLOON WARMING TIME; CATHETER ABLATION; CRYOABLATION; CRYOBALLOON ABLATION; FEMALE; HEART ATRIUM FIBRILLATION; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PULMONARY VEIN ISOLATION; TEMPERATURE; TIME;

ABLATION; AF; AREA UNDER THE CURVE; ATRIAL FIBRILLATION; AUC; BALLOON WARMING TIME; CI; CONFIDENCE INTERVAL; CRYOBALLOON; IBD; IMMEDIATE BALLOON DEFLATION; LEFT INFERIOR PULMONARY VEIN; LEFT SUPERIOR PULMONARY VEIN; LIPV; LSPV; ODDS RATIO; OR; PULMONARY VEIN; PULMONARY VEIN ISOLATION; PV; PVI; RECEIVER OPERATING CHARACTERISTIC; RECONNECTION; RECURRENCE; RIGHT INFERIOR PULMONARY VEIN; RIGHT SUPERIOR PULMONARY VEIN; RIPV; ROC; RSPV;

AGED; ATRIAL FIBRILLATION; BALLOON OCCLUSION; CATHETER ABLATION; CRYOSURGERY; EQUIPMENT DESIGN; FEMALE; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PULMONARY VEINS; RECURRENCE; RETREATMENT; ROC CURVE; TEMPERATURE;

EID: 84883226667     PISSN: 15475271     EISSN: 15563871     Source Type: Journal    
DOI: 10.1016/j.hrthm.2013.06.014     Document Type: Article

References (20)

1. H. Calkins, K.H. Kuck, and R. Cappato 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation Heart Rhythm 9 2012 632 696 (e21)
2. Y. Van Belle, P. Janse, and M.J. Rivero-Ayerza Pulmonary vein isolation using an occluding cryoballoon for circumferential ablation: feasibility, complications, and short-term outcome Eur Heart J 28 2007 2231 2237
3. T. Neumann, M. Wójcik, and A. Berkowitsch Cryoballoon ablation of paroxysmal atrial fibrillation: 5-year outcome after single procedure and predictors of success Europace 15 2013 1143 1149
4. N. Jackson, M. Barlow, J. Leitch, and J. Attia Treating atrial fibrillation: pulmonary vein isolation with the cryoballoon technique Heart Lung Circ 21 2012 427 432
5. A. Furnkranz, I. Koster, and K.R.J. Chun Cryoballoon temperature predicts acute pulmonary vein isolation Heart Rhythm 8 2011 821 825
6. U. Dorwarth, M. Schmidt, M. Wankerl, J. Krieg, F. Straube, and E. Hoffmann Pulmonary vein electrophysiology during cryoballoon ablation as a predictor for procedural success J Interv Card Electrophysiol 32 2011 205 211
7. C. Siklody, J. Minners, and M. Allgeier Cryoballoon pulmonary vein isolation guided by transesophageal echocardiography: novel aspects on an emerging ablation technique J Cardiovasc Electrophysiol 20 2009 1197 1202
8. S. Knecht, M. Kühne, and D. Altmann Anatomical predictors for acute and mid-term success of cryoballoon ablation of atrial fibrillation using the 28 mm balloon J Cardiovasc Electrophysiol 24 2012 132 138
9. G. Nolker, J. Heintze, and K.-J. Gutleben Cryoballoon pulmonary vein isolation supported by intracardiac echocardiography: integration of a nonfluoroscopic imaging technique in atrial fibrillation ablation J Cardiovasc Electrophysiol 21 2010 1325 1330
10. A.V. Sarabanda, T.J. Bunch, and S.B. Johnson Efficacy and safety of circumferential pulmonary vein isolation using a novel cryothermal balloon ablation system J Am Coll Cardiol 46 2005 1902 1912
11. A. Verma, F. Kilicaslan, and E. Pisano Response of atrial fibrillation to pulmonary vein antrum isolation is directly related to resumption and delay of pulmonary vein conduction Circulation 112 2005 627 635
12. H. Ahmed, P. Neuzil, and J. Skoda The permanency of pulmonary vein isolation using a cryoballoon ablation catheter J Cardiovasc Electrophysiol 21 2010 731 737
13. J. Ghosh, A. Sepahpour, K.H. Chan, S. Singarayar, and M.A. McGuire Immediate balloon deflation for prevention of persistent phrenic nerve palsy during pulmonary vein isolation by cryoballoon ablation Heart Rhythm 10 2013 646 652
14. T. Neumann, J. Vogt, and B. Schumacher Circumferential pulmonary vein isolation with the cryoballoon technique results from a prospective 3-center study J Am Coll Cardiol 52 2008 273 278
15. E.P. Gerstenfeld, S. Dixit, and D.J. Callans Utility of exit block for identifying electrical isolation of the pulmonary veins J Cardiovasc Electrophysiol 13 2002 971 979
16. A. Takahashi, Y. Iesaka, and Y. Takahashi Electrical connections between pulmonary veins: implication for ostial ablation of pulmonary veins in patients with paroxysmal atrial fibrillation Circulation 105 2002 2998 3003
17. J.A. Hanley, A. Negassa, M.D.D. Edwardes, and J.E. Forrester Statistical analysis of correlated data using generalized estimating equations: an orientation Am J Epidemiol 157 2003 364 375
18. P. Mazur Freezing of living cells: mechanisms and implications Am J Physiol 247 2003 C125 C142
19. A. Furnkranz, K.R.J. Chun, and D. Nuyens Characterization of conduction recovery after pulmonary vein isolation using the "single big cryoballoon" technique Heart Rhythm 7 2010 184 190
20. J.G. Andrade, M. Dubuc, and P.G. Guerra Pulmonary vein isolation using a second generation cryoballoon catheter: a randomized comparison of ablation duration and method of deflation J Cardiovasc Electrophysiol 24 2013 692 698