[논문]Safety and efficacy of a second-generation cryoballoon in the ablation of paroxysmal atrial fibrillation

Martins, R.P.; Hamon, D.; Cesari, O.; Behaghel, A.; Behar, N.; Sellal, J.M.; Daubert, J.C.; Mabo, P.; Pavin, D.

doi:10.1016/j.hrthm.2014.01.002

[해외논문] Safety and efficacy of a second-generation cryoballoon in the ablation of paroxysmal atrial fibrillation

Heart rhythm, v.11 no.3, 2014년, pp.386 - 393

Martins, R.P. , Hamon, D. , Cesari, O. , Behaghel, A. , Behar, N. , Sellal, J.M. , Daubert, J.C. , Mabo, P. , Pavin, D.

Abstract ▼ AI-Helper

Background: Compared with the first-generation Arctic Front cryoballoon (ARC-CB), the new Arctic Front Advance cryoballoon (ARC-Adv-CB) increases the efficient CB-tissue contact surface during freezing, which may increase the incidence of phrenic nerve (PN) palsy (PNP). Objective: To evaluate the safety and efficacy of paroxysmal atrial fibrillation (AF) ablation with the ARC-Adv-CB as well as the merits of a predictor of PNP. Methods: AF ablation was performed by using a ''single 28-mm big CB'' approach. The rate of pulmonary vein (PV) isolation with a first cryoapplication was measured. The distance between the CB and a PN pacing catheter in the superior vena cava was measured to predict PNP during freezing. Results: In 147 patients, PV were isolated with a single cryoapplication in 205 (81.3%) of 252 PV treated with the ARC-CB and in 280 (90.3%) of 310 PV treated with the ARC-Adv-CB (P = .003). The mean time to PV isolation was 52 +/- 34 seconds and 40 +/- 25 seconds (P < .001) and the temperature at the time of isolation was -36.1 +/- 10.3oC and -32.3 +/- 10.2oC (P = .001) in the ARC-CB and ARC-Adv-CB groups, respectively. Mean procedure and fluoroscopy durations were significantly shorter in the ARC-Adv-CB group. Transient PNP was observed in 7(10.6%) and 20(24.4%) of the patients treated with the ARC-CB and ARC-Adv-CB, respectively (P = .048). The distance between the lateral edge of the CB and a vertical line through the tip of the pacing catheter accurately predicted PNP (P < .001). Conclusions: The 28-mm ARC-Adv-CB enabled more efficient ablation of paroxysmal AF and shorter procedures than did the ARC-CB. This higher performance was associated with a higher incidence of PNP, which was predicted by the distance between the CB and the PN.

Keyword

참고문헌 (24)

N Engl J Med Haissaguerre 339 659 1998 10.1056/NEJM199809033391003 Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins

상세보기
J Cardiovasc Electrophysiol Natale 18 560 2007 10.1111/j.1540-8167.2007.00816.x Venice Chart international consensus document on atrial fibrillation ablation

상세보기
Circ Arrhythm Electrophysiol Cappato 3 32 2010 10.1161/CIRCEP.109.859116 Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation

상세보기
Europace Weerasooriya 10 1251 2008 10.1093/europace/eun284 Balloon cryoablation for paroxysmal atrial fibrillation

상세보기
Eur Heart J Chun 30 699 2009 10.1093/eurheartj/ehn570 The ‘single big cryoballoon’ technique for acute pulmonary vein isolation in patients with paroxysmal atrial fibrillation: a prospective observational single centre study

상세보기
Circulation Khairy 107 2045 2003 10.1161/01.CIR.0000058706.82623.A1 Lower incidence of thrombus formation with cryoenergy versus radiofrequency catheter ablation

상세보기
J Am Coll Cardiol Packer 61 1713 2013 10.1016/j.jacc.2012.11.064 Cryoballoon ablation of pulmonary veins for paroxysmal atrial fibrillation: first results of the North American Arctic Front (STOP AF) pivotal trial

상세보기
Europace Van Belle 10 1271 2008 10.1093/europace/eun218 One year follow-up after cryoballoon isolation of the pulmonary veins in patients with paroxysmal atrial fibrillation

상세보기
J Am Coll Cardiol Vogt 61 1707 2013 10.1016/j.jacc.2012.09.033 Long-term outcomes after cryoballoon pulmonary vein isolation: results from a prospective study in 605 patients

상세보기
Eur Heart J Van Belle 28 2231 2007 10.1093/eurheartj/ehm227 Pulmonary vein isolation using an occluding cryoballoon for circumferential ablation: feasibility, complications, and short-term outcome

상세보기
J Am Coll Cardiol Neumann 52 273 2008 10.1016/j.jacc.2008.04.021 Circumferential pulmonary vein isolation with the cryoballoon technique results from a prospective 3-center study

상세보기
Heart Rhythm Liu 7 191 2010 10.1016/j.hrthm.2009.11.021 Pulmonary vein reconnection after cryoballoon ablation: back to the drawing board

상세보기
Pacing Clin Electrophysiol Kubala 34 837 2011 10.1111/j.1540-8159.2011.03070.x Normal pulmonary veins anatomy is associated with better AF-free survival after cryoablation as compared to atypical anatomy with common left pulmonary vein

상세보기
Europace Sorgente 13 205 2011 10.1093/europace/euq388 Pulmonary vein ostium shape and orientation as possible predictors of occlusion in patients with drug-refractory paroxysmal AF undergoing cryoballoon ablation

상세보기
Circ Arrhythm Electrophysiol Bordignon 5 e98 2012 10.1161/CIRCEP.112.975516 Remaining ice cap on second-generation cryoballoon after deflation

상세보기
Semin Respir Crit Care Med Qureshi 30 315 2009 10.1055/s-0029-1222445 Diaphragm paralysis

상세보기
Heart Rhythm Furnkranz 7 184 2010 10.1016/j.hrthm.2009.10.038 Characterization of conduction recovery after pulmonary vein isolation using the “single big cryoballoon” technique

상세보기
J Cardiovasc Electrophysiol Furnkranz 24 492 2013 10.1111/jce.12082 Improved procedural efficacy of pulmonary vein isolation using the novel second-generation cryoballoon

상세보기
Heart Rhythm Casado-Arroyo 10 1318 2013 10.1016/j.hrthm.2013.07.005 Phrenic nerve paralysis during cryoballoon ablation for atrial fibrillation: a comparison between the first- and second-generation balloon

상세보기
Rev Esp Cardiol Nieto-Tolosa 64 942 2010 10.1016/j.recesp.2011.02.023 [Phrenic nerve identification with cardiac multidetector computed tomography]

상세보기
Heart Rhythm Horton 7 937 2010 10.1016/j.hrthm.2010.03.027 Locating the right phrenic nerve by imaging the right pericardiophrenic artery with computerized tomographic angiography: implications for balloon-based procedures

상세보기
J Interv Card Electrophysiol Kuhne 36 47 2012 10.1007/s10840-012-9740-z Phrenic nerve palsy during ablation of AF using a 28-mm cryoballoon catheter: predictors and prevention

상세보기
J Cardiovasc Electrophysiol Chun 20 1203 2009 10.1111/j.1540-8167.2009.01549.x Cryoballoon pulmonary vein isolation with real-time recordings from the pulmonary veins

상세보기
J Interv Card Electrophysiol Dorwarth 32 205 2011 10.1007/s10840-011-9585-x Pulmonary vein electrophysiology during cryoballoon ablation as a predictor for procedural success

상세보기

원문 URL 링크

DOI : 10.1016/j.hrthm.2014.01.002
Elsevier : 저널 > 논문

*원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다.

저작권 관리 안내

내보내기 메뉴

내보내기 구분

파일저장
인쇄
메일전송

구성항목

기본정보
상세정보

관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관

저장형식

Text(ASCII format)
Excel format
RefWorks Direct Export
RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley

메일정보

받는사람 (필수): @
보내는사람 (선택): @
제목
내용: KISTI 검색결과 이메일 서비스

안내

총 건의 자료가 검색되었습니다.

다운받으실 자료의 인덱스를 입력하세요. (1-10,000)

검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다.

데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요)

다운로드 파일은 UTF-8 형태로 저장됩니다.
파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오.

Text(ASCII format)
Excel format

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

AI-Helper ※ AI-Helper는 을 사용합니다.

AI-Helper

안녕하세요, AI-Helper입니다. 좌측 "선택된 텍스트"에서 텍스트를 선택하여 요약, 번역, 용어설명을 실행하세요.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.

연합인증

[해외논문] Safety and efficacy of a second-generation cryoballoon in the ablation of paroxysmal atrial fibrillation

Abstract ▼ AI-Helper

Keyword

참고문헌 (24)

이 논문을 인용한 문헌

관련 콘텐츠

원문 URL 링크

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format