Comparison of pulmonary vein isolation using cryoballoon versus conventional radiofrequency for paroxysmal atrial fibrillation

Giacomo Mugnai; Gian-Battista Chierchia; Carlo De Asmundis; Juan Sieira-Moret; Giulio Conte; Lucio Capulzini; Kristel Wauters; Moises Rodriguez-Mañero; Giacomo Di Giovanni; Giannis Baltogiannis; Giuseppe Ciconte; Yukio Saitoh; Justo Juliá; Pedro Brugada

doi:10.1016/j.amjcard.2014.01.425

Comparison of pulmonary vein isolation using cryoballoon versus conventional radiofrequency for paroxysmal atrial fibrillation

Giacomo Mugnai, Gian-Battista Chierchia, Carlo De Asmundis, Juan Sieira-Moret, Giulio Conte, Lucio Capulzini, Kristel Wauters, Moises Rodriguez-Mañero, Giacomo Di Giovanni, Giannis Baltogiannis, Giuseppe Ciconte, Yukio Saitoh, Justo Juliá, Pedro Brugada

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Abstract

The aim of this study was to compare the results of pulmonary vein isolation using conventional irrigated radiofrequency (RF) approach versus the cryoballoon (CB) ablation. From January 2008 to December 2011, a total of 426 patients with drug-resistant symptomatic paroxysmal atrial fibrillation underwent pulmonary vein isolation as the index procedure by conventional manual RF or CB ablation at our center. A final population of 396 patients was considered for analysis and divided into 2 groups: conventional RF ablation (n = 260) and CB ablation (n = 136). At a mean follow-up of 23 ± 13 months (median 27, range 4 to 68), the success rate for RF ablation group was 57.3% (149 patients) and was 63.2% (86 patients) for cryoablation group (p = 0.25). Procedural times were significantly shorter in the cryoablation group (192 ± 49 vs 112 ± 58 minutes, p

Original language	English
Pages (from-to)	1509-1513
Number of pages	5
Journal	The American Journal of Cardiology
Volume	113
Issue number	9
DOIs	https://doi.org/10.1016/j.amjcard.2014.01.425
Publication status	Published - 1 May 2014

Keywords

heparin
warfarin
ablation catheter
adult
aged
aneurysm
anticoagulant therapy
article
atrial esophageal fistula
atrioventricular reentrant tachycardia
body mass
brain hemorrhage
cardiogenic shock
cause of death
complete heart block
controlled study
cryoablation
disease severity
electrocardiography
esophagus fistula
event free survival
female
femoral artery pseudoaneurysm
fluoroscopy
follow up
glioblastoma
groin hematoma
guiding catheter
atrial fibrillation
heart ejection fraction
heart tamponade
human
hypertrophic cardiomyopathy
intermethod comparison
intracranial hypertension
major clinical study
male
mapping catheter
nerve paralysis
pericardial effusion
phrenic nerve
phrenic nerve paralysis
physical examination
priority journal
pulmonary vein isolation
pulmonary vein obstruction
radiofrequency ablation
radiofrequency ablation device
recurrent disease
sepsis
sinus arrest
ST segment elevation
tachycardia
transient ischemic attack
transthoracic echocardiography

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10.1016/j.amjcard.2014.01.425

http://www.ncbi.nlm.nih.gov/pubmed/24630388

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Mugnai, G., Chierchia, G.-B., De Asmundis, C., Sieira-Moret, J., Conte, G., Capulzini, L., Wauters, K., Rodriguez-Mañero, M., Di Giovanni, G., Baltogiannis, G., Ciconte, G., Saitoh, Y., Juliá, J., & Brugada, P. (2014). Comparison of pulmonary vein isolation using cryoballoon versus conventional radiofrequency for paroxysmal atrial fibrillation. The American Journal of Cardiology, 113(9), 1509-1513. https://doi.org/10.1016/j.amjcard.2014.01.425

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title = "Comparison of pulmonary vein isolation using cryoballoon versus conventional radiofrequency for paroxysmal atrial fibrillation",

abstract = "The aim of this study was to compare the results of pulmonary vein isolation using conventional irrigated radiofrequency (RF) approach versus the cryoballoon (CB) ablation. From January 2008 to December 2011, a total of 426 patients with drug-resistant symptomatic paroxysmal atrial fibrillation underwent pulmonary vein isolation as the index procedure by conventional manual RF or CB ablation at our center. A final population of 396 patients was considered for analysis and divided into 2 groups: conventional RF ablation (n = 260) and CB ablation (n = 136). At a mean follow-up of 23 ± 13 months (median 27, range 4 to 68), the success rate for RF ablation group was 57.3% (149 patients) and was 63.2% (86 patients) for cryoablation group (p = 0.25). Procedural times were significantly shorter in the cryoablation group (192 ± 49 vs 112 ± 58 minutes, p",

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author = "Giacomo Mugnai and Gian-Battista Chierchia and {De Asmundis}, Carlo and Juan Sieira-Moret and Giulio Conte and Lucio Capulzini and Kristel Wauters and Moises Rodriguez-Ma{\~n}ero and {Di Giovanni}, Giacomo and Giannis Baltogiannis and Giuseppe Ciconte and Yukio Saitoh and Justo Juli{\'a} and Pedro Brugada",

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Mugnai, G, Chierchia, G-B , De Asmundis, C, Sieira-Moret, J, Conte, G, Capulzini, L, Wauters, K, Rodriguez-Mañero, M, Di Giovanni, G, Baltogiannis, G, Ciconte, G, Saitoh, Y, Juliá, J & Brugada, P 2014, 'Comparison of pulmonary vein isolation using cryoballoon versus conventional radiofrequency for paroxysmal atrial fibrillation', The American Journal of Cardiology, vol. 113, no. 9, pp. 1509-1513. https://doi.org/10.1016/j.amjcard.2014.01.425

TY - JOUR

T1 - Comparison of pulmonary vein isolation using cryoballoon versus conventional radiofrequency for paroxysmal atrial fibrillation

AU - Mugnai, Giacomo

AU - Chierchia, Gian-Battista

AU - De Asmundis, Carlo

AU - Sieira-Moret, Juan

AU - Conte, Giulio

AU - Capulzini, Lucio

AU - Wauters, Kristel

AU - Rodriguez-Mañero, Moises

AU - Di Giovanni, Giacomo

AU - Baltogiannis, Giannis

AU - Ciconte, Giuseppe

AU - Saitoh, Yukio

AU - Juliá, Justo

AU - Brugada, Pedro

PY - 2014/5/1

Y1 - 2014/5/1

N2 - The aim of this study was to compare the results of pulmonary vein isolation using conventional irrigated radiofrequency (RF) approach versus the cryoballoon (CB) ablation. From January 2008 to December 2011, a total of 426 patients with drug-resistant symptomatic paroxysmal atrial fibrillation underwent pulmonary vein isolation as the index procedure by conventional manual RF or CB ablation at our center. A final population of 396 patients was considered for analysis and divided into 2 groups: conventional RF ablation (n = 260) and CB ablation (n = 136). At a mean follow-up of 23 ± 13 months (median 27, range 4 to 68), the success rate for RF ablation group was 57.3% (149 patients) and was 63.2% (86 patients) for cryoablation group (p = 0.25). Procedural times were significantly shorter in the cryoablation group (192 ± 49 vs 112 ± 58 minutes, p

AB - The aim of this study was to compare the results of pulmonary vein isolation using conventional irrigated radiofrequency (RF) approach versus the cryoballoon (CB) ablation. From January 2008 to December 2011, a total of 426 patients with drug-resistant symptomatic paroxysmal atrial fibrillation underwent pulmonary vein isolation as the index procedure by conventional manual RF or CB ablation at our center. A final population of 396 patients was considered for analysis and divided into 2 groups: conventional RF ablation (n = 260) and CB ablation (n = 136). At a mean follow-up of 23 ± 13 months (median 27, range 4 to 68), the success rate for RF ablation group was 57.3% (149 patients) and was 63.2% (86 patients) for cryoablation group (p = 0.25). Procedural times were significantly shorter in the cryoablation group (192 ± 49 vs 112 ± 58 minutes, p

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KW - warfarin

KW - ablation catheter

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KW - aged

KW - aneurysm

KW - anticoagulant therapy

KW - article

KW - atrial esophageal fistula

KW - atrioventricular reentrant tachycardia

KW - body mass

KW - brain hemorrhage

KW - cardiogenic shock

KW - cause of death

KW - complete heart block

KW - controlled study

KW - cryoablation

KW - disease severity

KW - electrocardiography

KW - esophagus fistula

KW - event free survival

KW - female

KW - femoral artery pseudoaneurysm

KW - fluoroscopy

KW - follow up

KW - glioblastoma

KW - groin hematoma

KW - guiding catheter

KW - atrial fibrillation

KW - heart ejection fraction

KW - heart tamponade

KW - human

KW - hypertrophic cardiomyopathy

KW - intermethod comparison

KW - intracranial hypertension

KW - major clinical study

KW - male

KW - mapping catheter

KW - nerve paralysis

KW - pericardial effusion

KW - phrenic nerve

KW - phrenic nerve paralysis

KW - physical examination

KW - priority journal

KW - pulmonary vein isolation

KW - pulmonary vein obstruction

KW - radiofrequency ablation

KW - radiofrequency ablation device

KW - recurrent disease

KW - sepsis

KW - sinus arrest

KW - ST segment elevation

KW - tachycardia

KW - transient ischemic attack

KW - transthoracic echocardiography

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DO - 10.1016/j.amjcard.2014.01.425

M3 - Article

SN - 0002-9149

VL - 113

SP - 1509

EP - 1513

JO - The American Journal of Cardiology

JF - The American Journal of Cardiology

IS - 9

ER -

Comparison of pulmonary vein isolation using cryoballoon versus conventional radiofrequency for paroxysmal atrial fibrillation

Abstract

Keywords

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