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Does Size Matter?: Cryoballoon-Based Pulmonary Vein Isolation Using a Novel 25-mm Circular Mapping Catheter

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Does Size Matter?: Cryoballoon-Based Pulmonary Vein Isolation Using a Novel 25-mm Circular Mapping Catheter. / Reissmann, Bruno; Schlüter, Michael; Santoro, Francesco; Maurer, Tilman; Heeger, Christian-Hendrik; Lemes, Christine; Fink, Thomas; Riedl, Johannes; Rillig, Andreas; Mathew, Shibu; Ouyang, Feifan; Kuck, Karl-Heinz; Metzner, Andreas.

In: CIRC J, Vol. 82, No. 3, 23.02.2018, p. 666-671.

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

Harvard

Reissmann, B, Schlüter, M, Santoro, F, Maurer, T, Heeger, C-H, Lemes, C, Fink, T, Riedl, J, Rillig, A, Mathew, S, Ouyang, F, Kuck, K-H & Metzner, A 2018, 'Does Size Matter?: Cryoballoon-Based Pulmonary Vein Isolation Using a Novel 25-mm Circular Mapping Catheter', CIRC J, vol. 82, no. 3, pp. 666-671. https://doi.org/10.1253/circj.CJ-17-0956

APA

Reissmann, B., Schlüter, M., Santoro, F., Maurer, T., Heeger, C-H., Lemes, C., Fink, T., Riedl, J., Rillig, A., Mathew, S., Ouyang, F., Kuck, K-H., & Metzner, A. (2018). Does Size Matter?: Cryoballoon-Based Pulmonary Vein Isolation Using a Novel 25-mm Circular Mapping Catheter. CIRC J, 82(3), 666-671. https://doi.org/10.1253/circj.CJ-17-0956

Vancouver

Reissmann B, Schlüter M, Santoro F, Maurer T, Heeger C-H, Lemes C et al. Does Size Matter?: Cryoballoon-Based Pulmonary Vein Isolation Using a Novel 25-mm Circular Mapping Catheter. CIRC J. 2018 Feb 23;82(3):666-671. https://doi.org/10.1253/circj.CJ-17-0956

Bibtex

@article{0cdf3ff07ced40a091e39881fefb9a15,
title = "Does Size Matter?: Cryoballoon-Based Pulmonary Vein Isolation Using a Novel 25-mm Circular Mapping Catheter",
abstract = "BACKGROUND: Real-time recording of pulmonary vein isolation (PVI) using a circular mapping catheter has become a key aspect of cryoballoon (CB) ablation. The aim of this study was to investigate the procedural safety, efficacy and rate of real-time pulmonary vein (PV) recording using a novel circular mapping catheter with a 25-mm loop size for CB-based PVI.Methods and Results:A total of 40 patients with symptomatic atrial fibrillation (AF) underwent PVI using a second-generation CB and a novel 25-mm circular mapping catheter. A total of 159 PV were identified and successfully isolated. Real-time PV recording was achieved in 80% of the PV. In 3 right inferior PV the circular mapping catheter had to be exchanged for a stiff guidewire due to insufficient mechanical support. Therefore, acute PVI using exclusively the circular mapping catheter was achieved in 156/159 PV (98%). Mean procedure and fluoroscopy times were 66±21 min and 15±6 min, respectively. Transient phrenic nerve palsy occurred in 1 patient as the only procedural complication.CONCLUSIONS: The exclusive use of a novel 25-mm circular mapping catheter for CB ablation of AF results in a real-time PV recording rate of 80% and isolation of 98% of targeted PV.",
keywords = "Aged, Atrial Fibrillation/surgery, Catheter Ablation/instrumentation, Catheters/standards, Cryosurgery/methods, Echocardiography, Transesophageal, Equipment Design, Female, Humans, International Normalized Ratio, Male, Middle Aged, Pulmonary Veins/physiopathology, Treatment Outcome",
author = "Bruno Reissmann and Michael Schl{\"u}ter and Francesco Santoro and Tilman Maurer and Christian-Hendrik Heeger and Christine Lemes and Thomas Fink and Johannes Riedl and Andreas Rillig and Shibu Mathew and Feifan Ouyang and Karl-Heinz Kuck and Andreas Metzner",
year = "2018",
month = feb,
day = "23",
doi = "10.1253/circj.CJ-17-0956",
language = "English",
volume = "82",
pages = "666--671",
journal = "CIRC J",
issn = "1346-9843",
publisher = "Japanese Circulation Society",
number = "3",

}

RIS

TY - JOUR

T1 - Does Size Matter?: Cryoballoon-Based Pulmonary Vein Isolation Using a Novel 25-mm Circular Mapping Catheter

AU - Reissmann, Bruno

AU - Schlüter, Michael

AU - Santoro, Francesco

AU - Maurer, Tilman

AU - Heeger, Christian-Hendrik

AU - Lemes, Christine

AU - Fink, Thomas

AU - Riedl, Johannes

AU - Rillig, Andreas

AU - Mathew, Shibu

AU - Ouyang, Feifan

AU - Kuck, Karl-Heinz

AU - Metzner, Andreas

PY - 2018/2/23

Y1 - 2018/2/23

N2 - BACKGROUND: Real-time recording of pulmonary vein isolation (PVI) using a circular mapping catheter has become a key aspect of cryoballoon (CB) ablation. The aim of this study was to investigate the procedural safety, efficacy and rate of real-time pulmonary vein (PV) recording using a novel circular mapping catheter with a 25-mm loop size for CB-based PVI.Methods and Results:A total of 40 patients with symptomatic atrial fibrillation (AF) underwent PVI using a second-generation CB and a novel 25-mm circular mapping catheter. A total of 159 PV were identified and successfully isolated. Real-time PV recording was achieved in 80% of the PV. In 3 right inferior PV the circular mapping catheter had to be exchanged for a stiff guidewire due to insufficient mechanical support. Therefore, acute PVI using exclusively the circular mapping catheter was achieved in 156/159 PV (98%). Mean procedure and fluoroscopy times were 66±21 min and 15±6 min, respectively. Transient phrenic nerve palsy occurred in 1 patient as the only procedural complication.CONCLUSIONS: The exclusive use of a novel 25-mm circular mapping catheter for CB ablation of AF results in a real-time PV recording rate of 80% and isolation of 98% of targeted PV.

AB - BACKGROUND: Real-time recording of pulmonary vein isolation (PVI) using a circular mapping catheter has become a key aspect of cryoballoon (CB) ablation. The aim of this study was to investigate the procedural safety, efficacy and rate of real-time pulmonary vein (PV) recording using a novel circular mapping catheter with a 25-mm loop size for CB-based PVI.Methods and Results:A total of 40 patients with symptomatic atrial fibrillation (AF) underwent PVI using a second-generation CB and a novel 25-mm circular mapping catheter. A total of 159 PV were identified and successfully isolated. Real-time PV recording was achieved in 80% of the PV. In 3 right inferior PV the circular mapping catheter had to be exchanged for a stiff guidewire due to insufficient mechanical support. Therefore, acute PVI using exclusively the circular mapping catheter was achieved in 156/159 PV (98%). Mean procedure and fluoroscopy times were 66±21 min and 15±6 min, respectively. Transient phrenic nerve palsy occurred in 1 patient as the only procedural complication.CONCLUSIONS: The exclusive use of a novel 25-mm circular mapping catheter for CB ablation of AF results in a real-time PV recording rate of 80% and isolation of 98% of targeted PV.

KW - Aged

KW - Atrial Fibrillation/surgery

KW - Catheter Ablation/instrumentation

KW - Catheters/standards

KW - Cryosurgery/methods

KW - Echocardiography, Transesophageal

KW - Equipment Design

KW - Female

KW - Humans

KW - International Normalized Ratio

KW - Male

KW - Middle Aged

KW - Pulmonary Veins/physiopathology

KW - Treatment Outcome

U2 - 10.1253/circj.CJ-17-0956

DO - 10.1253/circj.CJ-17-0956

M3 - SCORING: Journal article

C2 - 29279459

VL - 82

SP - 666

EP - 671

JO - CIRC J

JF - CIRC J

SN - 1346-9843

IS - 3

ER -