Cryoballoon Best Practices II: Practical guide to procedural monitoring and dosing during atrial fibrillation ablation from the perspective of experienced users

被引:74
作者
Su, Wilber [1 ]
Aryana, Arash [2 ]
Passman, Rod [3 ]
Singh, Gurjit [4 ]
Hokanson, Robert [5 ]
Kowalski, Marcin [6 ]
Andrade, Jason [7 ,8 ]
Wang, Paul [9 ]
机构
[1] Banner Univ, Med Ctr, 1300 N 12th St,Suite 407, Phoenix, AZ 85006 USA
[2] Dign Hlth Heart & Vasc Inst, Mercy Med Grp, Sacramento, CA USA
[3] Northwestern Feinberg Sch Med, Chicago, IL USA
[4] Henry Ford Hlth Syst, Detroit, MI USA
[5] Medtronic Inc, Minneapolis, MN USA
[6] INorthwell Hlth, Staten Isl, NY USA
[7] Montreal Heart Inst, Montreal, PQ, Canada
[8] Univ British Columbia, Vancouver, BC, Canada
[9] Stanford Hlth Care, Stanford, CA USA
关键词
Atrial fibrillation; Best practice; Catheter ablation; Cry ablation; Cryoballoon; PULMONARY VEIN ISOLATION; 28 MM CRYOBALLOON; 2ND-GENERATION CRYOBALLOON; ATRIOESOPHAGEAL FISTULA; FOLLOW-UP; RADIOFREQUENCY ABLATION; ESOPHAGEAL LESIONS; MAPPING CATHETER; SINGLE; 3-MINUTE; TIME;
D O I
10.1016/j.hrthm.2018.04.021
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Since the evaluation of the cryoballoon in the Sustained Treatment Of Paroxysmal Atrial Fibrillation trial, more than 350,000 patients with atrial fibrillation have been treated. Several studies have reported improved outcomes using the second-generation cryoballoon, and recent publications have evaluated modifications, refinements, and improvements in procedural techniques. Here, peer-reviewed articles published since the first cryoballoon best practices review were summarized against the technical practices of physicians with a high level of experience with the cryoballoon (average >= 6 years of experience in >= 900 cases). This summary includes a comprehensive literature review along with practical usage guidance from physicians using the cryoballoon to facilitate safe, efficient, and effective outcomes for patients with atrial fibrillation.
引用
收藏
页码:1348 / 1355
页数:8
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