Cryoballoon ablation for atrial fibrillation without the use of a contrast medium: a combination of the intracardiac echocardiography and pressure wave monitoring guided approach

Makino, Yuichiro; Mizutani, Yoshiaki; Yamashita, Daiki; Yonekawa, Jun; Satake, Akinori; Kurobe, Masanari; Hiramatsu, T; Ichimiya, Hitoshi; Uchida, Yasuhiro; Watanabe, Junji; Kanashiro, Masaaki; Ichimiya, Shingo; Inden, Yasuya; Murohara, Toyoaki

doi:10.1007/s00380-021-01963-3

Cited by 7 publications

(1 citation statement)

References 26 publications

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“…Other researchers also implemented NC protocols for CBA, however with the use of other measures to assess PV occlusion prior to the cryoapplication, which included transesophageal or intracardiac echocardiography guidance, electroanatomic mapping systems, PV pressure monitoring, cold saline injection with postinjection PV temperature drop [11][12][13][14][15][16][17]. Recently a new dielectric imaging system with a tool occlusion software allowing contrast free cryoablations has been introduced with a potential to change our approach to cryoablation [18,19].…”

Section: Discussionmentioning

confidence: 99%

Cryoballoon ablation without use of contrast for the treatment of paroxysmal atrial fibrillation

Derejko,

Kuśnierz,

Bardyszewski

et al. 2024

Cardiol J.

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Background: Cryoballoon ablation (CBA) for atrial fibrillation (AF) is usually preceded by demonstrating pulmonary vein (PV) occlusion using contrast. The aim of the study was to determine efficacy and safety of a simplified protocol for CBA performed without demonstrating PV occlusion and compare achieved results with conventional CBA. Methods: Paroxysmal AF patients undergoing a first-time CBA were prospectively included. In the non-contrast (NC) group CBA was performed using standardized protocol without demonstrating PV occlusion. In the conventional contrast (CC) group ablations were performed after confirmation of PV occlusion. Results:The NC and CC groups comprised 51 and 22 patients, respectively. PVI according to the group assignment was achieved in 34 (67%) and 21 (95.5%) patients from the NC and CC groups, respectively (p < 0.001). In the NC group, 184 (90%) out of 204 veins were isolated without venography. There were no differences between the NC and CC groups in terms of procedure duration

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Section: Discussionmentioning

confidence: 99%

Cryoballoon ablation without use of contrast for the treatment of paroxysmal atrial fibrillation

Derejko,

Kuśnierz,

Bardyszewski

et al. 2024

Cardiol J.

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2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Tzeis,

Gerstenfeld,

Kalman

et al. 2024

Journal of Arrhythmia

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In the last three decades, ablation of atrial fibrillation (AF) has become an evidence‐based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding healthcare professionals involved in catheter or surgical AF ablation. Mounting research evidence and technological advances have resulted in a rapidly changing landscape in the field of catheter and surgical AF ablation, thus stressing the need for regularly updated versions of this partnership which were issued in 2012 and 2017. Seven years after the last consensus, an updated document was considered necessary to define a contemporary framework for selection and management of patients considered for or undergoing catheter or surgical AF ablation. This consensus is a joint effort from collaborating cardiac electrophysiology societies, namely the European Heart Rhythm Association, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, and the Latin American Heart Rhythm Society

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2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Tzeis,

Gerstenfeld,

Kalman

et al. 2024

J Interv Card Electrophysiol

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Cryoballoon ablation for atrial fibrillation without the use of a contrast medium: a combination of the intracardiac echocardiography and pressure wave monitoring guided approach

Cited by 7 publications

References 26 publications

Cryoballoon ablation without use of contrast for the treatment of paroxysmal atrial fibrillation

Cryoballoon ablation without use of contrast for the treatment of paroxysmal atrial fibrillation

2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

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