Cryotherapy of cardiac arrhythmia: From basic science to the bedside

被引：62
作者：
Avitall, Boaz [1 ]
Kalinski, Arthur [1 ]
机构：
[1] Univ Illinois, Chicago, IL 60612 USA
来源：
HEART RHYTHM | 2015年 / 12卷 / 10期
关键词：
Cryoablation; Pulmonary vein isolation; Arrhythmia; Cryoballoon; NODAL REENTRANT TACHYCARDIA; PULMONARY VEIN ISOLATION; RADIOFREQUENCY CATHETER ABLATION; PHRENIC-NERVE INJURY; ATRIAL-FIBRILLATION; CRYOBALLOON ABLATION; ATRIOESOPHAGEAL FISTULA; RESPIRATORY STRUCTURES; 3-MINUTE FREEZE; CRYOABLATION;
D O I：
10.1016/j.hrthm.2015.05.034
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
This review focuses on the basic science of cellular destruction by tissue freezing and application of transvenous cryocatheter technology to treat cardiac arrhythmia. Ideally, foci for arrhythmias are selectively ablated, arrhythmogenic tissues are destroyed, and reentry circuits are bisected in order to silence adverse electrical activity, with the goal of restoring normal sinus rhythm. The mechanism of ablation using cryotherapy results in distinct lesion qualities advantageous to radiofrequency (Khairy P. Chauvet M, Lehman J, et al. Lower incidence of thrombus formation with cryoenergy versus radiofrequency catheter ablation. Circulation 2003;107:2045-2050). This review is devoted to the mechanism of cryoablation, postablation histopathological changes, and how this information should be used by the clinicians to improve safety and maximize ablation success.
引用
收藏
页码：2195 / 2203
页数：9
相关论文
共 56 条
[11]   Single 3-minute freeze for second-generation cryoballoon ablation: One-year follow-up after pulmonary vein isolation [J].
Ciconte, Giuseppe ;
de Asmundis, Carlo ;
Sieira, Juan ;
Conte, Giulio ;
Di Giovanni, Giacomo ;
Mugnai, Giacomo ;
Saitoh, Yukio ;
Baltogiannis, Giannis ;
Irfan, Ghazala ;
Coutino-Moreno, Hugo Enrique ;
Hunuk, Burak ;
Velagic, Vedran ;
Brugada, Pedro ;
Chierchia, Gian-Battista .
HEART RHYTHM, 2015, 12 (04) :673-680
[12]   Effects of Freezing on Major Arteries [J].
Cooper, Irving S. ;
Samra, Khairy ;
Wisniewska, Krystyna .
STROKE, 1971, 2 (05) :471-482
[13]   CRYOGENIC SURGERY - A NEW METHOD OF DESTRUCTION OR EXTIRPATION OF BENIGN OR MALIGNANT TISSUES [J].
COOPER, IS .
NEW ENGLAND JOURNAL OF MEDICINE, 1963, 268 (14) :743-+
[14]   Cryoablation Versus Radiofrequency Energy for the Ablation of Atrioventricular Nodal Reentrant Tachycardia (the CYRANO Study) Results From a Large Multicenter Prospective Randomized Trial [J].
Deisenhofer, Isabel ;
Zrenner, Bernhard ;
Yin, Yue-hui ;
Pitschner, Heinz-Friedrich ;
Kuniss, Malte ;
Grossmann, Georg ;
Stiller, Sascha ;
Luik, Armin ;
Veltmann, Christian ;
Frank, Julia ;
Linner, Julia ;
Estner, Heidi L. ;
Pflaumer, Andreas ;
Wu, Jinjin ;
von Bary, Christian ;
Uecer, Ekrem ;
Reents, Tilko ;
Tzeis, Stylianos ;
Fichtner, Stephanie ;
Kathan, Susanne ;
Karch, Martin R. ;
Jilek, Clemens ;
Ammar, Sonia ;
Kolb, Christof ;
Liu, Zeng-Chang ;
Haller, Bernhard ;
Schmitt, Claus ;
Hessling, Gabriele .
CIRCULATION, 2010, 122 (22) :2239-2245
[15]   THE PATHOLOGY OF INJURY TO NERVE INDUCED BY COLD [J].
DENNYBROWN, D ;
ADAMS, RD ;
BRENNER, C ;
DOHERTY, MM .
JOURNAL OF NEUROPATHOLOGY AND EXPERIMENTAL NEUROLOGY, 1945, 4 (04) :305-323
[16]   Successful use of "cryo-mapping" to avoid phrenic nerve damage during ostial superior vena caval ablation despite nerve proximity [J].
Dib, Chadi ;
Kapa, Suraj ;
Powell, Brian D. ;
Packer, Douglas L. ;
Asirvatham, Samuel J. .
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2008, 22 (01) :23-30
[17]   Transvenous catheter ice mapping and cryoablation of the atrioventricular node in dogs [J].
Dubuc, M ;
Roy, D ;
Thibault, B ;
Ducharme, A ;
Tardif, JC ;
Villemaire, C ;
Leung, TK ;
Talajic, M .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1999, 22 (10) :1488-1498
[18]   Transient atrioventricular conduction block with cryoablation following normal cryomapping [J].
Fischbach, PS ;
Saarel, EV ;
Dick, M .
HEART RHYTHM, 2004, 1 (05) :554-557
[19]   Cryo-injury and biopreservation [J].
Fowler, Alex ;
Toner, Mehmet .
CELL INJURY: MECHANISMS, RESPONSES, AND REPAIR, 2005, 1066 :119-135
[20]   Improved Procedural Efficacy of Pulmonary Vein Isolation Using the Novel Second-Generation Cryoballoon [J].
Fuernkranz, Alexander ;
Bordignon, Stefano ;
Schmidt, Boris ;
Gunawardene, Melanie ;
Schulte-Hahn, Britta ;
Urban, Verena ;
Bode, Frank ;
Nowak, Bernd ;
Chun, Julian K. R. .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2013, 24 (05) :492-497
123456