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How to perform antral pulmonary venous isolation using the cryoballoon

      This article describes our current practice, clinical outcomes, and future directions for the use of balloon cryoablation for the treatment of atrial fibrillation.

      Keywords

      Abbreviations:

      AF (atrial fibrillation), PAF (paroxysmal atrial fibrillation), PNP (phrenic nerve palsy), PV (pulmonary vein)
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      References

        • Khairy P.
        • Chauvet P.
        • Lehmann J.
        • et al.
        Lower incidence of thrombus formation with cryoenergy versus radiofrequency catheter ablation.
        Circulation. 2003; 107: 2045-2050
        • Kojodjojo P.
        • O'Neill M.D.
        • Lim P.B.
        • et al.
        Pulmonary venous isolation by antral ablation with a large cryoballoon for treatment of paroxysmal and persistent atrial fibrillation: medium-term outcomes and non-randomised comparison with pulmonary venous isolation by radiofrequency ablation.
        Heart. 2010; 96: 1379-1384
        • 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
        • Van Belle Y.
        • Janse P.
        • Theuns D.
        • Szili-Torok T.
        • Jordaens L.
        One year follow-up after cryoballoon isolation of the pulmonary veins in patients with paroxysmal atrial fibrillation.
        Europace. 2008; 10: 1271-1276
        • Furnkranz A.
        • Chun K.R.
        • Nuyens D.
        • et al.
        Characterization of conduction recovery after pulmonary vein isolation using the “single big cryoballoon” technique.
        Heart Rhythm. 2010; 7: 184-190
        • Packer D.L.
        STOP-AF Trial.
        American College of Cardiology Annual Scientific Sessions, Atlanta, GAMarch 14, 2010
        • Ahmed H.
        • Neuzil P.
        • d'Avila A.
        • et al.
        The esophageal effects of cryoenergy during cryoablation for atrial fibrillation.
        Heart Rhythm. 2009; 6: 962-969
        • Thomas D.
        • Katus H.A.
        • Voss F.
        Asymptomatic pulmonary vein stenosis after cryoballoon catheter ablation of paroxysmal atrial fibrillation.
        J Electrocardiol. 2010; 44: 473-476
        • Siklody C.H.
        • Minners J.
        • Allgeier M.
        • et al.
        Pressure-guided cryoballoon isolation of the pulmonary veins for the treatment of paroxysmal atrial fibrillation.
        J Cardiovasc Electrophysiol. 2010; 21: 120-125
        • Siklody C.H.
        • 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