"Clinical Impact of the Cryoballoon Temperature and Occlusion Status on the Success of Pulmonary Vein Isolation"

Complete occlusion of the pulmonary veins (PVs) with the cryoballoon (CB) is considered to be the crucial factor for a successful PV isolation (PVI). We investigated whether a complete occlusion was indispensable for a successful CB based PVI of every PV. Atrial fibrillation patients (n=123, 97; par...

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Veröffentlicht in:Journal of atrial fibrillation 2018-08, Vol.11 (2), p.2065-2065
Hauptverfasser: Nishimura, Takuro, Okishige, Kaoru, Yamauchi, Yasuteru, Aoyagi, Hideshi, Ito, Naruhiko, Tsuchiya, Yusuke, Shigeta, Takatoshi, Nakamura, Rena, Asano, Mitsutoshi, Yamashita, Mitsumi, Nakamura, Tomofumi, Suzuki, Hidetoshi, Shimura, Tsukasa, Kurabayashi, Manabu, Keida, Takehiko, Sasano, Tetsuo, Hirao, Kenzo
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container_end_page 2065
container_issue 2
container_start_page 2065
container_title Journal of atrial fibrillation
container_volume 11
creator Nishimura, Takuro
Okishige, Kaoru
Yamauchi, Yasuteru
Aoyagi, Hideshi
Ito, Naruhiko
Tsuchiya, Yusuke
Shigeta, Takatoshi
Nakamura, Rena
Asano, Mitsutoshi
Yamashita, Mitsumi
Nakamura, Tomofumi
Suzuki, Hidetoshi
Shimura, Tsukasa
Kurabayashi, Manabu
Keida, Takehiko
Sasano, Tetsuo
Hirao, Kenzo
description Complete occlusion of the pulmonary veins (PVs) with the cryoballoon (CB) is considered to be the crucial factor for a successful PV isolation (PVI). We investigated whether a complete occlusion was indispensable for a successful CB based PVI of every PV. Atrial fibrillation patients (n=123, 97; paroxysmal) undergoing a de novo PVI were enrolled. A total of 477 PVs were analyzed. The occlusion grade (OG) was scored as follows: OG3 (complete occlusion), OG2 (incomplete occlusion with slight leakage), OG1 (poor occlusion with massive leakage). There was no significant difference in the CB temperature (CBT) at all measured time points (from 30 to 120sec after freezing) and nadir CBT between OG2 and OG3 in all PVs except for the right inferior PV (RIPV). The RIPV isolation success rate was significantly lower for the OG2 status than OG3 (97.5 vs. 57.6%; p95% for both OG2 and OG3. Phrenic nerve paralysis (PNP) was provoked during the RSPV isolation in two patients in whom the RSPVs were frozen during OG3. An OG3 may not always be required for a successful PVI of all PVs except the RIPV. OG2 could have comparable effects as OG3 in terms of a successful RSPV isolation. Not aiming for OG3 for the RSPV may reduce the risk of PNP.
doi_str_mv 10.4022/jafib.2065
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Phrenic nerve paralysis (PNP) was provoked during the RSPV isolation in two patients in whom the RSPVs were frozen during OG3. An OG3 may not always be required for a successful PVI of all PVs except the RIPV. OG2 could have comparable effects as OG3 in terms of a successful RSPV isolation. 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Phrenic nerve paralysis (PNP) was provoked during the RSPV isolation in two patients in whom the RSPVs were frozen during OG3. An OG3 may not always be required for a successful PVI of all PVs except the RIPV. OG2 could have comparable effects as OG3 in terms of a successful RSPV isolation. 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subjects Cardiology
Original Research
title "Clinical Impact of the Cryoballoon Temperature and Occlusion Status on the Success of Pulmonary Vein Isolation"
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