2022
DOI: 10.1016/j.hjc.2022.03.006
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Long-term comparisons of atrial fibrillation ablation outcomes with a cryoballoon or laser-balloon: A propensity-matched analysis based on continuous rhythm monitoring

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Cited by 20 publications
(20 citation statements)
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“…Direct PV cannulation and visualization of lesion site delivery with the LB may be advantageous for avoiding inadvertent ablation over the LAAO device. Prior studies have demonstrated that LB PVI is comparable to RF and CB for paroxysmal and persistent AF in its clinical effectiveness 10,12–15 . This is the first case series describing the feasibility of LB PVI in patients with prior LAAO device implantation.…”
Section: Discussionmentioning
confidence: 81%
“…Direct PV cannulation and visualization of lesion site delivery with the LB may be advantageous for avoiding inadvertent ablation over the LAAO device. Prior studies have demonstrated that LB PVI is comparable to RF and CB for paroxysmal and persistent AF in its clinical effectiveness 10,12–15 . This is the first case series describing the feasibility of LB PVI in patients with prior LAAO device implantation.…”
Section: Discussionmentioning
confidence: 81%
“…2,3 In this regard, two different head-to-head comparisons have reported comparable arrhythmic outcomes between patients treated with LB and CB, assessed with either a traditional 4 or a continuous rhythm monitoring strategy. 5 Consistently across studies, persistent AF (PeAF) patients have shown a higher rate of recurrences; thus, such individuals may benefit from adjunctive lesions, mostly aiming toward non-pulmonary-veins triggers. 6 Regardless of the procedural characteristics and AF type, the role of early recurrences of atrial tachyarrhythmias (ATAs) during the 3-month postablation timeframe-the so-called "blanking period" (BP), is still unclear.…”
Section: Introductionmentioning
confidence: 75%
“…Balloon‐based ablation techniques, such as cryo‐balloon (CB) and laser‐balloon (LB) ablation, have shown as durable pulmonary vein isolation (PVI) lesions as traditional radiofrequency (RF) CA 2,3 . In this regard, two different head‐to‐head comparisons have reported comparable arrhythmic outcomes between patients treated with LB and CB, assessed with either a traditional 4 or a continuous rhythm monitoring strategy 5 . Consistently across studies, persistent AF (PeAF) patients have shown a higher rate of recurrences; thus, such individuals may benefit from adjunctive lesions, mostly aiming toward non‐pulmonary‐veins triggers 6 …”
Section: Introductionmentioning
confidence: 99%
“…Laser balloon (LB), through the use of point-by-point laser energy and covering 30° of a circle with each lesion, is another alternative with equal efficacy and safety to RF and cryoballoon ablation techniques [ 80 , 81 , 82 ]. Interestingly, visually-guided LB ablation was associated with lower atrial arrhythmia recurrence at 12 months compared to RF ablation in one study, with a negative adenosine provocation test being predictive of a positive outcome [ 83 ].…”
Section: Atrial Fibrillation Catheter Ablationmentioning
confidence: 99%
“…Regarding patients with persistent AF, long-term follow-up (~54 months) revealed that RF ablation may reduce the risk of ischemic cerebrovascular events and congestive HF, together with improvements in quality of life, when compared to pharmacotherapy [ 107 ]. LB ablation is another alternative in patients with persistent AF, showing similar rates of atrial tachyarrhythmia recurrence to cryoablation in a recently reported propensity-matched analysis [ 82 ]. Additional ablation of mapped low voltage areas on top of circumferential PVI did not seem to provide an incremental benefit at 18 months in a randomized trial of patients with persistent AF, since no difference in arrhythmia-free interval was documented [ 108 ].…”
Section: Atrial Fibrillation Catheter Ablationmentioning
confidence: 99%