全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Study of the Impact of the Patient Rhythm during Cryoballoon Ablation on the Acute Biophysical Parameters

DOI: 10.4236/wjcd.2022.121007, PP. 65-76

Keywords: Pulmonary Vein Isolation, Cryoballoon, Paroxysmal Atrial Fibrillation, Biophysical Parameters

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: Pulmonary vein isolation by means of cryoballoon is a well-established way of treatment of atrial fibrillation. The aim of the study was to compare the acute cryoballoon biophysical parameters attained during energy?applications to the individual pulmonary vein during sinus rhythm versus?atrial fibrillation. Methods: 100 Patients who underwent their first-time PVI using second-generation cryoballoon for symptomatic and drug-refractory AF, between the beginning of March to end of August 2016, were initially screened.?61 patients with paroxysmal AF were included in the present study. 39 patients with persistent AF were excluded. No pre-procedural anatomical imaging was?reported. Results: A total of 61 patients (male 80%, age 59.3 ± 13.4 years)?were included in the present analysis. A total of 243 pulmonary veins were isolated with an average of 1.87 ± 1.14 cryo

References

[1]  Arentz, T., Weber, R., Bürkle, G., Herrera, C., Blum, T., Stockinger, J., Minners, J., Neumann, F.J. and Kalusche, D. (2007) Small or Large Isolation Areas around the Pulmonary Veins for the Treatment of Atrial Fibrillation? Results from a Prospective Randomized Study. Circulation, 115, 3057-3063.
https://doi.org/10.1161/CIRCULATIONAHA.107.690578
[2]  Kettering, K., Greil, G.F., Fenchel, M., Kramer, U., Weig, H.J., Busch, M., Miller, S., Sieverding, L., Laszlo, R. and Schreieck, J. (2009) Catheter Ablation of Atrial Fibrillation Using the Navx-/Ensite-System and a CT-/MRI-Guided Approach. Clinical Research in Cardiology, 98, 285-296.
https://doi.org/10.1007/s00392-009-0001-9
[3]  Friedman, P.L. (2005) Catheter Cryoablation of Cardiac Arrhythmias. Current Opinion in Cardiology, 20, 48-54.
[4]  Mugnai, G., Moran, D., Stroker, E., Ruggiero, D., Coutino-Moreno, H.E., Takarada, K., De Regibus, V., Choudhury, R., Iacopino, S., Filannino, P., Umbrain, V., Beckers, S., Brugada, P., de Asmundis, C. and Chierchia, G.-B. (2016) Cryoballoon Ablation during Atrial Fibrillation Is Associated with Faster Temperature Drop and Lower Freezing Temperatures. Journal of Interventional Cardiac Electrophysiology, 47, 357-364.
https://doi.org/10.1007/s10840-016-0175-9
[5]  Ahmed, H., Neuzil, P., Skoda, J., D’Avila, A., Donaldson, D., Laragy, M., et al. (2010) The Permanency of Pulmonary Vein Isolation Using a Cryoballoon Ablation Catheter. Journal of Cardiovascular Electrophysiology, 21, 731-737.
https://doi.org/10.1111/j.1540-8167.2009.01703.x
[6]  Aryana, A., Mugnai, G., Singh, S., Pujara, D., de Asmundis, C., Singh, S., et al. (2016) Procedural and Biophysical Indicators of Durable Pulmonary Vein Isolation during Cryoballoon Ablation of Atrial Fibrillation. HeartRhythm, 13, 424-432.
https://doi.org/10.1016/j.hrthm.2015.10.033
[7]  Ghosh, J., Martin, A., Keech, A., Chan, K., Gomes, S., Singarayar, S., et al. (2013) Balloon Warming Time Is the Strongest Predictor of Late Pulmonary Vein Electrical Reconnection following Cryoballoon Ablation for Atrial Fibrillation. HeartRhythm, 10, 1311-1317.
https://doi.org/10.1016/j.hrthm.2013.06.014
[8]  Siklody, C.H., Minners, J., Allgeier, M., Allgeier, H.J., Jander, N., Weber, R., Schie- beling-Romer, J., Neumann, F.-J., Kalusche, D. and Arentz, T. (2009) Cryoballoon Pulmonary Vein Isolation Guided by Transesophageal Echocardiography: Novel Aspects on an Emerging Ablation Technique. Journal of Cardiovascular Electrophysiology, 20, 1197-1202.
https://doi.org/10.1111/j.1540-8167.2009.01524.x
[9]  Chun, K.R.J., Fürnkranz, A., Schmidt, B., Metzner, A., Tilz, R., Zerm, T., et al. (2009) Right Ventricular Rapid Pacing in Catheter Ablation of Atrial Fibrillation: A Novel Application for Cryoballoon Pulmonary Vein Isolation. Clinical Research in Cardiology, 98, 493-500.
https://doi.org/10.1007/s00392-009-0031-3
[10]  Chao, T.-H., Tsai, L.-M., Tsai, W.-C., Li, Y.-H., Lin, L.-J. and Chen, J.-H. (2000) Effect of Atrial Fibrillation on Pulmonary Venous Flow Patterns Assessed by Doppler Transesophageal Echocardiography. CHEST, 117, 1546-1550.
https://doi.org/10.1378/chest.117.6.1546
[11]  Castello, R., Pearson, A.C., Lenzen, P., Labovitz, A.J., et al. (1991) Effect of Mitral Regurgitation on Pulmonary Venous Velocities Derived from Transesophageal Echocardiography Color-Guided Pulsed Doppler Imaging. Journal of the American College of Cardiology, 17, 1499-1506.
https://doi.org/10.1016/0735-1097(91)90638-P
[12]  Ren, W.D., Visentin, P., Nicolosi, G.L., Canterin, F.A., Dall’aglio, V., Lestuzzi, C., Mimo, R., Pavan, D., Sparacino, L., Cervesato, E. and Zanuttini, D. (1993) Effect of Atrial Fibrillation on Pulmonary Venous Flow Patterns: Transoesophageal Pulsed Doppler Echocardiographic Study. European Heart Journal, 14, 1320-1327.
https://doi.org/10.1093/eurheartj/14.10.1320
[13]  Takase, B., Nagata, M., Matsui, T., Kihara, T., Kameyama, A., Hamabe, A., Noya, K., Satomura, K., Ishihara, M., Kurita, A. and Ohsuzu, F. (2004) Pulmonary Vein Dimensions and Variation of Branching Pattern in Patients with Paroxysmal Atrial Fibrillation Using Magnetic Resonance Angiography. Japanese Heart Journal, 45, 81-92.
https://doi.org/10.1536/jhj.45.81

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133