Left atrial appendage electrical isolation for persistent atrial fibrillation: Radiofrequency vs cryoballoon ablation

Romero, Jorge; Biase, Luigi Di

doi:10.1111/pace.13689

Pacing Clinical Electrophis

2019

DOI: 10.1111/pace.13689

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Left atrial appendage electrical isolation for persistent atrial fibrillation: Radiofrequency vs cryoballoon ablation

Jorge Romero

Luigi Di Biase

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Cited by 2 publications

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“…A third point pertains to acute and late LAA electrical reconnection. As stated elsewhere [15], assessment of persistent LAAEI is recommended before LAA occlusion. About 85% of LAA reconnects within 60 min [12]; thus, we suggest to test dormant conduction with adenosine or isoproterenol, and to wait a reasonable time between isolation and LAAO (i.e., 30 min).…”

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confidence: 99%

Burn and plug: is it too much for the left atrial appendage?

Tarantino

Romero

Zhang

et al. 2019

J Interv Card Electrophysiol

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mentioning

confidence: 99%

Burn and plug: is it too much for the left atrial appendage?

Tarantino

Romero

Zhang

et al. 2019

J Interv Card Electrophysiol

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Cryoballoon ablation for extrapulmonary vein targets

Ling

Chen

et al. 2020

Current Opinion in Cardiology

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Purpose of review Cryoballoon catheter can create large and contiguous lesions with stable contact during ablation. It has proven to be well tolerated and effective in pulmonary vein isolation. But atrial arrhythmias, including atrial fibrillation, atrial tachycardia, and atrial flutter (AFL), also relate to many extrapulmonary vein targets. It is necessary to understand the current evidence for the use of cryoballoon ablation for targets outside of pulmonary veins. Recent findings Studies have shown that the cryoballoon ablation can be used in extrapulmonary vein area, including left atrium roof, left atrial appendages, posterior left atrial wall, mitral isthmus, and right atrial appendage. The results indicate cryoballoon ablation is an effective and well-tolerated treatment option for the atrial arrhythmias in these locations outside of pulmonary vein when clinical necessary. Summary The cryoballoon ablation can safely and effectively perform contiguous linear lesions, structure isolations, and local ablation for targets outside of the pulmonary veins.

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Left atrial appendage electrical isolation for persistent atrial fibrillation: Radiofrequency vs cryoballoon ablation

Cited by 2 publications

References 9 publications

Burn and plug: is it too much for the left atrial appendage?

Burn and plug: is it too much for the left atrial appendage?

Cryoballoon ablation for extrapulmonary vein targets

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