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Clinical outcomes of cryoballoon ablation for pulmonary vein isolation

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Clinical outcomes of cryoballoon ablation for pulmonary vein isolation : Impact of intraprocedural heart rhythm. / Reissmann, Bruno; Heeger, Christian-H; Opitz, Karena; Schlüter, Michael; Wohlmuth, Peter; Rottner, Laura; Fink, Thomas; Gerds-Li, Jin-Hong; Mathew, Shibu; Lemes, Christine; Maurer, Tilman; Ouyang, Feifan; Kuck, Karl-Heinz; Rillig, Andreas; Schöppenthau, Doreen; Metzner, Andreas.

In: CARDIOL J, Vol. 29, No. 5, 2022, p. 807-814.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Reissmann, B, Heeger, C-H, Opitz, K, Schlüter, M, Wohlmuth, P, Rottner, L, Fink, T, Gerds-Li, J-H, Mathew, S, Lemes, C, Maurer, T, Ouyang, F, Kuck, K-H, Rillig, A, Schöppenthau, D & Metzner, A 2022, 'Clinical outcomes of cryoballoon ablation for pulmonary vein isolation: Impact of intraprocedural heart rhythm', CARDIOL J, vol. 29, no. 5, pp. 807-814. https://doi.org/10.5603/CJ.a2020.0147

APA

Reissmann, B., Heeger, C-H., Opitz, K., Schlüter, M., Wohlmuth, P., Rottner, L., Fink, T., Gerds-Li, J-H., Mathew, S., Lemes, C., Maurer, T., Ouyang, F., Kuck, K-H., Rillig, A., Schöppenthau, D., & Metzner, A. (2022). Clinical outcomes of cryoballoon ablation for pulmonary vein isolation: Impact of intraprocedural heart rhythm. CARDIOL J, 29(5), 807-814. https://doi.org/10.5603/CJ.a2020.0147

Vancouver

Reissmann B, Heeger C-H, Opitz K, Schlüter M, Wohlmuth P, Rottner L et al. Clinical outcomes of cryoballoon ablation for pulmonary vein isolation: Impact of intraprocedural heart rhythm. CARDIOL J. 2022;29(5):807-814. https://doi.org/10.5603/CJ.a2020.0147

Bibtex

@article{f561c0ac61f645b2b7efcf08b43bcd1e,
title = "Clinical outcomes of cryoballoon ablation for pulmonary vein isolation: Impact of intraprocedural heart rhythm",
abstract = "BACKGROUND: The current study sought to assess the impact of the intraprocedural heart rhythm (sinus rhythm [SR] vs. atrial fibrillation [AF]) on acute procedural characteristics, durability of pulmonary vein isolation (PVI) and long-term clinical outcomes of cryoballoon (CB) ablation.METHODS: A total of 195 patients with symptomatic paroxysmal (n = 136) or persistent AF (n = 59) underwent CB-based PVI. Ablation procedures were either performed in SR (SR group; n = 147) or during AF (AF group; n = 48). Persistent AF was more frequent in the AF group than in the SR group (62% vs. 20%). All other patient baseline characteristics did not differ between the two groups.RESULTS: The nadir temperature during the CB applications was significantly lower in the AF group than in patients in the SR group (-49 [interquartile range, -44; -54]°C vs. -47 [-42; -52]°C, p = 0.002). Median procedure and fluoroscopy times as well as the rate of real-time recordings were not different between the two groups. Repeat ablation for the treatment of atrial arrhythmia recurrence was performed in 60 patients (SR: 44 [30%] patients; AF: 16 [33%] patients), with a trend towards a lower rate of pulmonary vein reconnections in the AF group (p = 0.07). There was no difference in 3-year arrhythmia-free survival (p = 0.8).CONCLUSIONS: Cryoballoon-based PVI during AF results in lower nadir balloon temperatures and a trend towards a higher durability of PVI as compared to procedures performed in SR. The rate of real-time PVI recordings was not affected by the intraprocedural heart rhythm.",
author = "Bruno Reissmann and Christian-H Heeger and Karena Opitz and Michael Schl{\"u}ter and Peter Wohlmuth and Laura Rottner and Thomas Fink and Jin-Hong Gerds-Li and Shibu Mathew and Christine Lemes and Tilman Maurer and Feifan Ouyang and Karl-Heinz Kuck and Andreas Rillig and Doreen Sch{\"o}ppenthau and Andreas Metzner",
year = "2022",
doi = "10.5603/CJ.a2020.0147",
language = "English",
volume = "29",
pages = "807--814",
journal = "CARDIOL J",
issn = "1897-5593",
publisher = "Via Medica",
number = "5",

}

RIS

TY - JOUR

T1 - Clinical outcomes of cryoballoon ablation for pulmonary vein isolation

T2 - Impact of intraprocedural heart rhythm

AU - Reissmann, Bruno

AU - Heeger, Christian-H

AU - Opitz, Karena

AU - Schlüter, Michael

AU - Wohlmuth, Peter

AU - Rottner, Laura

AU - Fink, Thomas

AU - Gerds-Li, Jin-Hong

AU - Mathew, Shibu

AU - Lemes, Christine

AU - Maurer, Tilman

AU - Ouyang, Feifan

AU - Kuck, Karl-Heinz

AU - Rillig, Andreas

AU - Schöppenthau, Doreen

AU - Metzner, Andreas

PY - 2022

Y1 - 2022

N2 - BACKGROUND: The current study sought to assess the impact of the intraprocedural heart rhythm (sinus rhythm [SR] vs. atrial fibrillation [AF]) on acute procedural characteristics, durability of pulmonary vein isolation (PVI) and long-term clinical outcomes of cryoballoon (CB) ablation.METHODS: A total of 195 patients with symptomatic paroxysmal (n = 136) or persistent AF (n = 59) underwent CB-based PVI. Ablation procedures were either performed in SR (SR group; n = 147) or during AF (AF group; n = 48). Persistent AF was more frequent in the AF group than in the SR group (62% vs. 20%). All other patient baseline characteristics did not differ between the two groups.RESULTS: The nadir temperature during the CB applications was significantly lower in the AF group than in patients in the SR group (-49 [interquartile range, -44; -54]°C vs. -47 [-42; -52]°C, p = 0.002). Median procedure and fluoroscopy times as well as the rate of real-time recordings were not different between the two groups. Repeat ablation for the treatment of atrial arrhythmia recurrence was performed in 60 patients (SR: 44 [30%] patients; AF: 16 [33%] patients), with a trend towards a lower rate of pulmonary vein reconnections in the AF group (p = 0.07). There was no difference in 3-year arrhythmia-free survival (p = 0.8).CONCLUSIONS: Cryoballoon-based PVI during AF results in lower nadir balloon temperatures and a trend towards a higher durability of PVI as compared to procedures performed in SR. The rate of real-time PVI recordings was not affected by the intraprocedural heart rhythm.

AB - BACKGROUND: The current study sought to assess the impact of the intraprocedural heart rhythm (sinus rhythm [SR] vs. atrial fibrillation [AF]) on acute procedural characteristics, durability of pulmonary vein isolation (PVI) and long-term clinical outcomes of cryoballoon (CB) ablation.METHODS: A total of 195 patients with symptomatic paroxysmal (n = 136) or persistent AF (n = 59) underwent CB-based PVI. Ablation procedures were either performed in SR (SR group; n = 147) or during AF (AF group; n = 48). Persistent AF was more frequent in the AF group than in the SR group (62% vs. 20%). All other patient baseline characteristics did not differ between the two groups.RESULTS: The nadir temperature during the CB applications was significantly lower in the AF group than in patients in the SR group (-49 [interquartile range, -44; -54]°C vs. -47 [-42; -52]°C, p = 0.002). Median procedure and fluoroscopy times as well as the rate of real-time recordings were not different between the two groups. Repeat ablation for the treatment of atrial arrhythmia recurrence was performed in 60 patients (SR: 44 [30%] patients; AF: 16 [33%] patients), with a trend towards a lower rate of pulmonary vein reconnections in the AF group (p = 0.07). There was no difference in 3-year arrhythmia-free survival (p = 0.8).CONCLUSIONS: Cryoballoon-based PVI during AF results in lower nadir balloon temperatures and a trend towards a higher durability of PVI as compared to procedures performed in SR. The rate of real-time PVI recordings was not affected by the intraprocedural heart rhythm.

U2 - 10.5603/CJ.a2020.0147

DO - 10.5603/CJ.a2020.0147

M3 - SCORING: Journal article

C2 - 33140384

VL - 29

SP - 807

EP - 814

JO - CARDIOL J

JF - CARDIOL J

SN - 1897-5593

IS - 5

ER -