Impact of Freezing Time and Balloon Size on the Thermodynamics and Isolation Efficacy during Pulmonary Vein Isolation Using the Second Generation Cryoballoon

Circulation: Arrhythmia and Electrophysiology

Volumn 8, Issue 4, 2015, Pages 836-845

  Takami, Mitsuru ^a   Lehmann, H Immo ^a   Misiri, Juna ^a   Parker, Kay D ^a   Sarmiento, Ray I ^a   Johnson, Susan B ^a   Packer, Douglas L ^a  

^a MAYO CLINIC   (United States)

Author keywords

atrial fibrillation; cryoballoon; esophagus; freezing; pulmonary vein; thermodynamics

Indexed keywords

ANIMAL EXPERIMENT; ARTICLE; BALLOON CATHETER; CONTROLLED STUDY; CRYOABLATION; CRYOBALLOON; ESOPHAGUS; ESOPHAGUS ULCER; FOLLOW UP; FREEZING; HEART LEFT ATRIUM; HISTOLOGY; INTRACARDIAC ECHOCARDIOGRAPHY; INTRACARDIAC ECHOGRAPHY DEVICE; LUNG BLOOD FLOW; MAPPING CATHETER; NONHUMAN; PHRENIC NERVE; PRIORITY JOURNAL; PULMONARY VEIN ISOLATION; PULMONARY VEIN OBSTRUCTION; THERMODYNAMICS; ANIMAL; ATRIAL FIBRILLATION; BODY TEMPERATURE; CATHETER; CRYOSURGERY; DEVICES; DOG; EQUIPMENT DESIGN; HEART ATRIUM; HEART MUSCLE CONDUCTION SYSTEM; PATHOPHYSIOLOGY; PHYSIOLOGY; PULMONARY VEIN; TIME; TREATMENT OUTCOME;

ANIMALS; ATRIAL FIBRILLATION; BODY TEMPERATURE; CATHETERS; CRYOSURGERY; DOGS; EQUIPMENT DESIGN; FREEZING; HEART ATRIA; HEART CONDUCTION SYSTEM; PULMONARY VEINS; TIME FACTORS; TREATMENT OUTCOME;

EID: 84939803448     PISSN: 19413149     EISSN: 19413084     Source Type: Journal    
DOI: 10.1161/CIRCEP.115.002725     Document Type: Article

References (14)

1. Straube F, Dorwarth U, Schmidt M, Wankerl M, Ebersberger U, Hoffmann E. Comparison of the first and second cryoballoon: high-volume singlecenter safety and efficacy analysis. Circ Arrhythm Electrophysiol. 2014; 7: 293-299. doi: 10. 1161/CIRCEP. 113. 000899.
2. Martins RP, Hamon D, Césari O, Behaghel A, Behar N, Sellal JM, Daubert JC, Mabo P, Pavin D. Safety and efficacy of a second-generation cryoballoon in the ablation of paroxysmal atrial fibrillation. Heart Rhythm. 2014; 11: 386-393. doi: 10. 1016/j. hrthm. 2014. 01. 002.
3. Andrade JG, Dubuc M, Guerra PG, Landry E, Coulombe N, Leduc H, Rivard L, Macle L, Thibault B, Talajic M, Roy D, Khairy P. Pulmonary vein isolation using a second-generation cryoballoon catheter: A randomized comparison of ablation duration and method of deflation. J Cardiovasc Electrophysiol. 2013; 24: 692-698. doi: 10. 1111/jce. 12114.
4. Aryana A, Morkoch S, Bailey S, Lim HW, Sara R, d'Avila A, O'Neill PG. Acute procedural and cryoballoon characteristics from cryoablation of atrial fibrillation using the first-and second-generation cryoballoon: A retrospective comparative study with follow-up outcomes. J Interv Card Electrophysiol. 2014; 41: 177-186. doi: 10. 1007/s10840-014-9942-7.
5. Fürnkranz A, Bordignon S, Schmidt B, Gunawardene M, Schulte-Hahn B, Urban V, Bode F, Nowak B, Chun JK. Improved procedural efficacy of pulmonary vein isolation using the novel second-generation cryoballoon. J Cardiovasc Electrophysiol. 2013; 24: 492-497. doi: 10. 1111/jce. 12082.
6. Staren ED, Sabel MS, Gianakakis LM, Wiener GA, Hart VM, Gorski M, Dowlatshahi K, Corning BF, Haklin MF, Koukoulis G. Cryosurgery of breast cancer. Arch Surg. 1997; 132: 28-33.
7. Gage AA, Baust JM, Baust JG. Experimental cryosurgery investigations in vivo. Cryobiology. 2009; 59: 229-243. doi: 10. 1016/j. cryobiol. 2009. 10. 001.
8. Okumura Y, Kolasa MW, Johnson SB, Bunch TJ, Henz BD, O'Brien CJ, Miller DV, Packer DL. Mechanism of tissue heating during high intensity focused ultrasound pulmonary vein isolation: implications for atrial fibrillation ablation efficacy and phrenic nerve protection. J Cardiovasc Electrophysiol. 2008; 19: 945-951. doi: 10. 1111/j. 1540-8167. 2008. 01162. x.
9. Takami M, Misiri J, Lehmann HI, Parker KD, Johnson SB, Sarmiento RI, Packer DL. Spatial and time-course thermodynamics during pulmonary vein isolation using the second-generation cryoballoon in a canine in vivo model. Circ Arrhythm Electrophysiol. 2015; 8: 186-192. doi: 10. 1161/ CIRCEP. 114. 002137.
10. Dubuc M, Roy D, Thibault B, Ducharme A, Tardif JC, Villemaire C, Leung TK, Talajic M. Transvenous catheter ice mapping and cryoablation of the atrioventricular node in dogs. Pacing Clin Electrophysiol. 1999; 22: 1488-1498.
11. Bordignon S, Fürnkranz A, Perrotta L, Dugo D, Konstantinou A, Nowak B, Schulte-Hahn B, Schmidt B, Chun KR. High rate of durable pulmonary vein isolation after second-generation cryoballoon ablation: Analysis of repeat procedures. Europace. 2015; 17: 725-731. doi: 10. 1093/europace/ euu331.
12. Arentz T, Weber R, Bürkle G, Herrera C, Blum T, Stockinger J, Minners J, Neumann FJ, Kalusche D. Small or large isolation areas around the pulmonary veins for the treatment of atrial fibrillation? Results from a prospective randomized study. Circulation. 2007; 115: 3057-3063. doi: 10. 1161/CIRCULATIONAHA. 107. 690578.
13. Yu WC, Hsu TL, Tai CT, Tsai CF, Hsieh MH, Lin WS, Lin YK, Tsao HM, Ding YA, Chang MS, Chen SA. Acquired pulmonary vein stenosis after radiofrequency catheter ablation of paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol. 2001; 12: 887-892.
14. Cronin P, Kelly AM, Desjardins B, Patel S, Gross BH, Kazerooni EA, Morady F, Oral H, Carlos RC. Normative analysis of pulmonary vein drainage patterns on multidetector CT with measurements of pulmonary vein ostial diameter and distance to first bifurcation. Acad Radiol. 2007; 14: 178-188. doi: 10. 1016/j. acra. 2006. 11. 004.