Heart Rhythm
Volume 7, Issue 2 , Pages 184-190 , February 2010

Characterization of conduction recovery after pulmonary vein isolation using the “single big cryoballoon” technique

  • Alexander Fürnkranz, MD

      Affiliations

    • Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany
    • Department of Cardiology, Wilhelminenhospital, Vienna, Austria
    • Corresponding Author InformationAddress reprint requests and correspondence: Dr. Alexander Fürnkranz, Department of Cardiology, Asklepios Klinik St. Georg, Lohmühlenstr. 5, 20099 Hamburg, Germany
    • ,
  • K.R. Julian Chun, MD

      Affiliations

    • Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany
    • ,
  • Dieter Nuyens, MD, PhD

      Affiliations

    • Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany
    • ,
  • Andreas Metzner, MD

      Affiliations

    • Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany
    • ,
  • Ilka Köster, MD

      Affiliations

    • Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany
    • ,
  • Boris Schmidt, MD

      Affiliations

    • Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany
    • ,
  • Feifan Ouyang, MD

      Affiliations

    • Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany
    • ,
  • Karl-Heinz Kuck, MD

      Affiliations

    • Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany

Received 23 September 2009 ,Accepted 31 October 2009.

References 

  1. Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998;339:659–666
  2. Chun KRJ, Schmidt B, Metzner A, et al. The “single big cryoballoon” technique for acute pulmonary vein isolation in patients with paroxysmal atrial fibrillation: a prospective observational single centre study. Eur Heart J. 2009;30:699–709
  3. Van Belle Y, Janse P, Rivero-Ayerza MJ, et al. Pulmonary vein isolation using an occluding cryoballoon for circumferential ablation: feasibility, complications, and short-term outcome. Eur Heart J. 2007;28:2231–2237
  4. Klein G, Oswald H, Gardiwal A, et al. Efficacy of pulmonary vein isolation by cryoballoon ablation in patients with paroxysmal atrial fibrillation. Heart Rhythm. 2008;5:802–806
  5. Neumann T, Vogt J, Schumacher B, et al. Circumferential pulmonary vein isolation with the cryoballoon technique results from a prospective 3-center study. J Am Coll Cardiol. 2008;52:273–278
  6. Ouyang F, Antz M, Ernst S, et al. Recovered pulmonary vein conduction as a dominant factor for recurrent atrial tachyarrhythmias after complete circular isolation of the pulmonary veins: lessons from double lasso technique. Circulation. 2005;111:127–135
  7. Van Belle Y, Janse P, Theuns D, et al. One year follow-up after cryoballoon isolation of the pulmonary veins in patients with paroxysmal atrial fibrillation. Europace. 2008;10:1271–1276
  8. Sarabanda AV, Bunch TJ, Johnson SB, et al. Efficacy and safety of circumferential pulmonary vein isolation using a novel cryothermal balloon ablation system. J Am Coll Cardiol. 2005;46:1902–1912
  9. Phillips KP, Schweikert RA, Saliba WI, et al. Anatomic location of pulmonary vein electrical disconnection with balloon-based catheter ablation. J Cardiovasc Electrophysiol. 2008;19:14–18
  10. Khairy P, Chauvet P, Lehmann J, et al. Lower incidence of thrombus formation with cryoenergy versus radiofrequency catheter ablation. Circulation. 2003;107:2045–2050
  11. Siklody CH, Minners J, Allgeier M, et al. Cryoballoon pulmonary vein isolation guided by transesophageal echocardiography: novel aspects on an emerging ablation technique. J Cardiovasc Electrophysiol. 2009;20:1197–1202
  12. Reddy VY, Neuzil P, d'Avila A, et al. Balloon catheter ablation to treat paroxysmal atrial fibrillation: what is the level of pulmonary venous isolation?. Heart Rhythm. 2008;5:353–360

 Dr. Kuck is consultant to CryoCath and has received research grants and honoraria for CryoCath educational lectures. Dr. Chun has received honoraria for CryoCath educational lectures.

PII: S1547-5271(09)01258-2

doi: 10.1016/j.hrthm.2009.10.038

Heart Rhythm
Volume 7, Issue 2 , Pages 184-190 , February 2010

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