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Pregled bibliografske jedinice broj: 1108631

Comparison of procedural efficacy and biophysical parameters between two competing cryoballoon technologies for pulmonary vein isolation: Insights from an initial multicenter experience


Yap, Sing‐Chien; Anic, Ante; Breskovic, Toni; Haas, Annika; Bhagwandien, Rohit E.; Jurisic, Zrinka; Szili‐Torok, Tamas; Luik, Armin
Comparison of procedural efficacy and biophysical parameters between two competing cryoballoon technologies for pulmonary vein isolation: Insights from an initial multicenter experience // Journal of Cardiovascular Electrophysiology, Ahead of print (2021), JCE-20-1673.R1, 8 doi:10.1111/jce.14915 (međunarodna recenzija, članak, znanstveni)


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Naslov
Comparison of procedural efficacy and biophysical parameters between two competing cryoballoon technologies for pulmonary vein isolation: Insights from an initial multicenter experience

Autori
Yap, Sing‐Chien ; Anic, Ante ; Breskovic, Toni ; Haas, Annika ; Bhagwandien, Rohit E. ; Jurisic, Zrinka ; Szili‐Torok, Tamas ; Luik, Armin

Izvornik
Journal of Cardiovascular Electrophysiology (1045-3873) Ahead of print (2021); JCE-20-1673.R1, 8

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
atrial fibrillation ; catheter ablation ; cryoablation ; cryoballoon ; pulmonary vein isolation

Sažetak
Introduction: Recently a novel cryoballoon system (POLARx, Boston Scientific) became available for the treatment of atrial fibrillation. This cryoballoon is comparable with Arctic Front Advance Pro (AFA-Pro, Medtronic), however, it maintains a constant balloon pressure. We compared the procedural efficacy and biophysical characteristics of both systems. Methods: One hundred and ten consecutive patients who underwent first-time cryoballoon ablation (POLARx: n = 57 ; AFA-Pro: n = 53) were included in this prospective cohort study. Results: Acute isolation was achieved in 99.8% of all pulmonary veins (POLARx: 99.5% vs. AFA- Pro: 100%, p = 1.00). Total procedure time (81 vs. 67 min, p < .001) and balloon in body time (51 vs. 35 min, p < .001) were longer with POLARx. After a learning curve, these times were similar. Cryoablation with POLARx was associated with shorter time to balloon temperature -30°C (27 vs. 31 s, p < .001) and -40°C (32 vs. 54 s, p < .001), lower balloon nadir temperature (-55°C vs. -47°C, p < .001), and longer thawing time till 0°C (16 vs. 9 s, p < .001). There were no differences in time-to- isolation (TTI ; POLARx: 45 s vs. AFA-Pro 43 s, p = .441), however, POLARx was associated with a lower balloon temperature at TTI (-46°C vs. -37°C, p < .001). Factors associated with acute isolation differed between groups. The incidence of phrenic nerve palsy was comparable (POLARx: 3.5% vs. AFA-Pro: 3.7%). Conclusion: The novel cryoballoon is comparable to AFA-Pro and requires only a short learning curve to get used to the slightly different handling. It was associated with faster cooling rates and lower balloon temperatures but TTI was similar to AFA-Pro.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Ustanove:
KBC Split

Profili:

Avatar Url Toni Brešković (autor)

Avatar Url Zrinka Jurišić (autor)

doi

Citiraj ovu publikaciju

Yap, Sing‐Chien; Anic, Ante; Breskovic, Toni; Haas, Annika; Bhagwandien, Rohit E.; Jurisic, Zrinka; Szili‐Torok, Tamas; Luik, Armin
Comparison of procedural efficacy and biophysical parameters between two competing cryoballoon technologies for pulmonary vein isolation: Insights from an initial multicenter experience // Journal of Cardiovascular Electrophysiology, Ahead of print (2021), JCE-20-1673.R1, 8 doi:10.1111/jce.14915 (međunarodna recenzija, članak, znanstveni)
Yap, S., Anic, A., Breskovic, T., Haas, A., Bhagwandien, R., Jurisic, Z., Szili‐Torok, T. & Luik, A. (2021) Comparison of procedural efficacy and biophysical parameters between two competing cryoballoon technologies for pulmonary vein isolation: Insights from an initial multicenter experience. Journal of Cardiovascular Electrophysiology, Ahead of print, JCE-20-1673.R1, 8 doi:10.1111/jce.14915.
@article{article, year = {2021}, pages = {8}, DOI = {10.1111/jce.14915}, chapter = {JCE-20-1673.R1}, keywords = {atrial fibrillation, catheter ablation, cryoablation, cryoballoon, pulmonary vein isolation}, journal = {Journal of Cardiovascular Electrophysiology}, doi = {10.1111/jce.14915}, volume = {Ahead of print}, issn = {1045-3873}, title = {Comparison of procedural efficacy and biophysical parameters between two competing cryoballoon technologies for pulmonary vein isolation: Insights from an initial multicenter experience}, keyword = {atrial fibrillation, catheter ablation, cryoablation, cryoballoon, pulmonary vein isolation}, chapternumber = {JCE-20-1673.R1} }
@article{article, year = {2021}, pages = {8}, DOI = {10.1111/jce.14915}, chapter = {JCE-20-1673.R1}, keywords = {atrial fibrillation, catheter ablation, cryoablation, cryoballoon, pulmonary vein isolation}, journal = {Journal of Cardiovascular Electrophysiology}, doi = {10.1111/jce.14915}, volume = {Ahead of print}, issn = {1045-3873}, title = {Comparison of procedural efficacy and biophysical parameters between two competing cryoballoon technologies for pulmonary vein isolation: Insights from an initial multicenter experience}, keyword = {atrial fibrillation, catheter ablation, cryoablation, cryoballoon, pulmonary vein isolation}, chapternumber = {JCE-20-1673.R1} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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