Modified hockey stick maneuver utilizing a steerable cryoballoon catheter for left inferior pulmonary vein isolation
Abstract Successful cryoballoon pulmonary vein (PV) isolation sometimes requires cryoballoon occlusion techniques including a hockey stick maneuver (HSM) using a steerable sheath, whose steerable segment should be positioned in the left atrium (LA) for left inferior PV (LIPV) occlusion. However, a s...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-10-01
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| Series: | Journal of Arrhythmia |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/joa3.12237 |
| Summary: | Abstract Successful cryoballoon pulmonary vein (PV) isolation sometimes requires cryoballoon occlusion techniques including a hockey stick maneuver (HSM) using a steerable sheath, whose steerable segment should be positioned in the left atrium (LA) for left inferior PV (LIPV) occlusion. However, a small LA can cause a transseptal puncture site adjacent to both the LIPV ostium and the LA roof, leading to the steerable segment out of the LA during the HSM. This report illustrates a modified HSM utilizing a steerable cryoballoon catheter, which might be considered as an option when the standard one is not operated as the LIPV occlusion technique. |
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| ISSN: | 1880-4276 1883-2148 |