Advertisement

How to ablate atrioventricular nodal reentry using cryoenergy

      Most electrophysiologists are well acquainted with the technique of radiofrequency (RF) ablation of AV nodal reentrant supraventricular tachycardia (AVNRT). This familiarity has, in turn, translated into a high degree of efficacy and safety with this method of ablation. On the other hand, catheter cryoablation is a relatively new approach for treating patients with AVNRT.
      • Skanes A.
      • Dubuc M.
      • Klein G.
      • Thibault B.
      • Krahn A.D.
      • Yee R.
      • Roy D.
      • Guerra P.
      • Talajic M.
      Cryothermal ablation of the slow pathway for the elimination of atrioventricular nodal reentrant tachycardia.
      • Friedman P.L.
      • Dubuc M.
      • Green M.
      • Jackman W.M.
      • Keane D.T.J.
      • Marinchak R.A.
      • Nazari J.
      • Packer D.L.
      • Skanes A.
      • Steinberg J.S.
      • Stevenson W.G.
      • Tchou P.J.
      • Wilber D.J.
      • Worley S.J.
      Catheter cryoablation of supraventricular tachycardia results of the multicenter prospective “Frosty” trial.
      Although the two ablation methods have certain similarities, understanding the unique features of cryoablation is important so that the method can be optimally used.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Heart Rhythm
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Skanes A.
        • Dubuc M.
        • Klein G.
        • Thibault B.
        • Krahn A.D.
        • Yee R.
        • Roy D.
        • Guerra P.
        • Talajic M.
        Cryothermal ablation of the slow pathway for the elimination of atrioventricular nodal reentrant tachycardia.
        Circulation. 2000; 102: 2856-2860
        • Friedman P.L.
        • Dubuc M.
        • Green M.
        • Jackman W.M.
        • Keane D.T.J.
        • Marinchak R.A.
        • Nazari J.
        • Packer D.L.
        • Skanes A.
        • Steinberg J.S.
        • Stevenson W.G.
        • Tchou P.J.
        • Wilber D.J.
        • Worley S.J.
        Catheter cryoablation of supraventricular tachycardia.
        Heart Rhythm. 2004; 1: 129-138
        • Fischbach P.S.
        • Saarel E.V.
        • MacDonald D.
        Transient atrioventricular conduction block with cryoablation following normal cryomapping.
        Heart Rhythm. 2004; 1: 554-557
        • Kimman G.P.
        • Theuns D.A.M.J.
        • Szili-Torok T.
        • Scholten M.F.
        • Res J.C.
        • Jordaens L.J.
        CRAVT.
        Eur Heart J. 2004; 25: 2232-2237
        • Zrenner B.
        • Dong J.
        • Schreieck J.
        • Deisenhofer I.
        • Estner H.
        • Luani B.
        • Karch M.
        • Schmitt C.
        Transvenous cryoablation versus radiofrequency ablation of the slow pathway for the treatment of atrioventricular nodal re-entrant tachycardia.
        Eur Heart J. 2004; 25: 2226-2231