Cryoablation in persistent atrial fibrillation - a critical appraisal

被引：4

作者：

Tzeis, S. ^{[1
]}

Pastromas, S. ^{[1
]}

Sikiotis, A. ^{[1
]}

Andrikopoulos, G. ^{[1
]}

机构：

[1] Henry Dunant Hosp Ctr, Pacing & Electrophysiol Dept, Athens, Greece

来源：

NETHERLANDS HEART JOURNAL | 2016年 / 24卷 / 09期

关键词：

Persistent atrial fibrillation; Cryoballoon; Ablation; PULMONARY VEIN ISOLATION; 2ND-GENERATION CRYOBALLOON ABLATION; CATHETER ABLATION; INDEX PROCEDURE; FOCAL IMPULSE; FOLLOW-UP; PREVENTION; EXPERIENCE; ANATOMY; LESIONS;

D O I：

10.1007/s12471-016-0858-y

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Ablation of atrial fibrillation is an established treatment for the management of patients with paroxysmal and persistent atrial fibrillation. The complex pathophysiology of persistent atrial fibrillation has fuelled the concept of adjunctive substrate modification on top of pulmonary vein isolation. However, recent studies have failed to demonstrate additive benefit from complex ablation approaches, thus supporting that standalone pulmonary vein isolation may prove sufficient, at least as the initial ablation strategy in persistent atrial fibrillation. In this premise, the new-generation cryoballoon is an attractive option in this demanding subgroup of patients due to its reliable efficacy in achieving pulmonary vein isolation combined with collateral debulking of the neighbouring atrial myocardium. In this review, we present a critical appraisal of the role of cryoablation in patients with persistent atrial fibrillation, discussing related technical considerations and existing scientific evidence.

引用

页码：498 / 507

页数：10

共 47 条

[1] Efficacy and safety of cryoballoon ablation for atrial fibrillation: A systematic review of published studies [J].

Andrade, Jason G. ;

Khairy, Paul ;

Guerra, Peter G. ;

Deyell, Marc W. ;

Rivard, Lena ;

Macle, Laurent ;

Thibault, Bernard ;

Talajic, Mario ;

Roy, Denis ;

Dubuc, Marc .

HEART RHYTHM, 2011, 8 (09) :1444-1451

[2]

[Anonymous], N ENGL J MED

[3] Morphologic Analysis of Left Atrial Anatomy by Magnetic Resonance Angiography in Patients With Atrial Fibrillation: A Large Single Center Experience [J].

Anselmino, Matteo ;

Blandino, Alessandro ;

Beninati, Serena ;

Rovera, Chiara ;

Boffano, Carlo ;

Belletti, Marco ;

Caponi, Domenico ;

Scaglione, Marco ;

Cesarani, Federico ;

Gaita, Fiorenzo .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2011, 22 (01) :1-7

[4] Real-time dominant frequency mapping and ablation of dominant frequency sites in atrial fibrillation with left-to-right frequency gradients predicts long-term maintenance of sinus rhythm [J].

Atienza, Felipe ;

Almendral, Jesus ;

Jalife, Jose ;

Zlochiver, Sharon ;

Ploutz-Snyder, Robert ;

Torrecilla, Esteban G. ;

Arenal, Angel ;

Kalifa, Jerome ;

Fernandez-Aviles, Francisco ;

Berenfeld, Omer .

HEART RHYTHM, 2009, 6 (01) :33-40

[5] Mapping and ablating stable sources for atrial fibrillation: summary of the literature on Focal Impulse and Rotor Modulation (FIRM) [J].

Baykaner, Tina ;

Lalani, Gautam G. ;

Schricker, Amir ;

Krummen, David E. ;

Narayan, Sanjiv M. .

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2014, 40 (03) :237-244

[6] 2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design [J].

Calkins, Hugh ;

Kuck, Karl Heinz ;

Cappato, Riccardo ;

Brugada, Josep ;

Camm, A. John ;

Chen, Shih-Ann ;

Crijns, Harry J. G. ;

Damiano, Ralph J., Jr. ;

Davies, D. Wyn ;

DiMarco, John ;

Edgerton, James ;

Ellenbogen, Kenneth ;

Ezekowitz, Michael D. ;

Haines, David E. ;

Haissaguerre, Michel ;

Hindricks, Gerhard ;

Iesaka, Yoshito ;

Jackman, Warren ;

Jalife, Jose ;

Jais, Pierre ;

Kalman, Jonathan ;

Keane, David ;

Kim, Young-Hoon ;

Kirchhof, Paulus ;

Klein, George ;

Kottkamp, Hans ;

Kumagai, Koichiro ;

Lindsay, Bruce D. ;

Mansour, Moussa ;

Marchlinski, Francis E. ;

McCarthy, Patrick M. ;

Mont, J. Lluis ;

Morady, Fred ;

Nademanee, Koonlawee ;

Nakagawa, Hiroshi ;

Natale, Andrea ;

Nattel, Stanley ;

Packer, Douglas L. ;

Pappone, Carlo ;

Prystowsky, Eric ;

Raviele, Antonio ;

Reddy, Vivek ;

Ruskin, Jeremy N. ;

Shemin, Richard J. ;

Tsao, Hsuan-Ming ;

Wilber, David ;

Ad, Niv ;

Cummings, Jennifer ;

Gillinov, A. Mark ;

Heidbuchel, Hein .

EUROPACE, 2012, 14 (04) :528-606

[7]

Camm AJ, 2010, EUR HEART J, V31, P2369, DOI [10.1093/eurheartj/ehq278, 10.1093/europace/euq350]

[8] Second-generation cryoballoon ablation for paroxysmal atrial fibrillation: 1-year follow-up [J].

Chierchia, Gian-Battista ;

Di Giovanni, Giacomo ;

Ciconte, Giuseppe ;

de Asmundis, Carlo ;

Conte, Giulio ;

Sieira-Moret, Juan ;

Rodriguez-Manero, Moises ;

Casado, Ruben ;

Baltogiannis, Giannis ;

Namdar, Mehdi ;

Saitoh, Yukio ;

Paparella, Gaetano ;

Mugnai, Giacomo ;

Brugada, Pedro .

EUROPACE, 2014, 16 (05) :639-644

[9] Circumferential pulmonary vein isolation as index procedure for persistent atrial fibrillation: a comparison between radiofrequency catheter ablation and second-generation cryoballoon ablation [J].

Ciconte, Giuseppe ;

Baltogiannis, Giannis ;

de Asmundis, Carlo ;

Sieira, Juan ;

Conte, Giulio ;

Di Giovanni, Giacomo ;

Saitoh, Yukio ;

Irfan, Ghazala ;

Mugnai, Giacomo ;

Hunuk, Burak ;

Chierchia, Gian-Battista ;

Brugada, Pedro .

EUROPACE, 2015, 17 (04) :559-565

[10] Pulmonary vein isolation as index procedure for persistent atrial fibrillation: One-year clinical outcome after ablation using the second-generation cryoballoon [J].

Ciconte, Giuseppe ;

Ottaviano, Luca ;

Deasmundis, Carlo ;

Baltogiannis, Giannis ;

Conte, Giulio ;

Sieira, Juan ;

Di Giovanni, Giacomo ;

Saitoh, Yukio ;

Irfan, Ghazala ;

Mugnai, Giacomo ;

Storti, Cesare ;

Montenero, Annibale Sandro ;

Chierchia, Gian-Battista ;

Brugada, Pedro .

HEART RHYTHM, 2015, 12 (01) :60-66

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