Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation
Background: High-power short-duration (HPSD) and cryoballoon ablation (CBA) has been used for pulmonary vein isolation (PVI). Objective: We aimed to compare the efficacy of PVI between CBA and HPSD ablation in patients with paroxysmal atrial fibrillation (PAF). Methods: We retrospectively analyzed 2...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-07-01
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| Series: | Indian Pacing and Electrophysiology Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0972629223000402 |
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| author | Ankit Jain Chun-Chao Chen Shih-Lin Chang Yenn-Jiang Lin Li-Wei Lo Yu-Feng Hu Fa-Po Chung Chin-Yu Lin Ting-Yung Chang Ta-Chuan Tuan Tze-Fan Chao Jo-Nan Liao Chih-Min Liu Cheng-I Wu Chye-Gen Chin Wen-Han Cheng Shin-Huei Liu Ching-Yao Chou Isaiah C. Lugtu Shih-Ann Chen |
| author_facet | Ankit Jain Chun-Chao Chen Shih-Lin Chang Yenn-Jiang Lin Li-Wei Lo Yu-Feng Hu Fa-Po Chung Chin-Yu Lin Ting-Yung Chang Ta-Chuan Tuan Tze-Fan Chao Jo-Nan Liao Chih-Min Liu Cheng-I Wu Chye-Gen Chin Wen-Han Cheng Shin-Huei Liu Ching-Yao Chou Isaiah C. Lugtu Shih-Ann Chen |
| author_sort | Ankit Jain |
| collection | DOAJ |
| description | Background: High-power short-duration (HPSD) and cryoballoon ablation (CBA) has been used for pulmonary vein isolation (PVI). Objective: We aimed to compare the efficacy of PVI between CBA and HPSD ablation in patients with paroxysmal atrial fibrillation (PAF). Methods: We retrospectively analyzed 251 consecutive PAF patients from January 2018 to July 2020. Of them, 124 patients (mean age 57.2 ± 10.1 year) received HPSD and 127 patients (mean age 59.6 ± 9.4 year) received CBA. In HPSD group, the radiofrequency energy was set as 50 W/10 s at anterior wall and 40 W/10 s at posterior wall. In CBA group, 28 mm s generation cryoballoon was used for PVI according the guidelines. Results: There was no significant difference in baseline characteristics between these 2 groups. The time to achieve PVI was significantly shorter in cryoballoon ablation group than in HPSD group (20.6 ± 1.7 min vs 51.8 ± 36.3, P = 0.001). The 6-month overall recurrence for atrial tachyarrhythmias was not significantly different between the two groups (HPSD:14.50% vs CBA:11.0%, P = 0.40). There were different types of recurrent atrial tachyarrhythmia between these 2 groups. Recurrence as atrial flutter was significantly more common in CBA group compared to HPSD group (57.1% vs 12.5%, P = 0.04). Conclusion: In PAF patients, CBA and HPSD had a favourable and comparable outcome. The recurrence pattern was different between CBA and HPSD groups. |
| first_indexed | 2024-03-13T03:59:02Z |
| format | Article |
| id | doaj.art-668a8375273f4a3bbfca3c018031425a |
| institution | Directory Open Access Journal |
| issn | 0972-6292 |
| language | English |
| last_indexed | 2024-03-13T03:59:02Z |
| publishDate | 2023-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Pacing and Electrophysiology Journal |
| spelling | doaj.art-668a8375273f4a3bbfca3c018031425a2023-06-22T05:02:25ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922023-07-01234110115Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablationAnkit Jain0Chun-Chao Chen1Shih-Lin Chang2Yenn-Jiang Lin3Li-Wei Lo4Yu-Feng Hu5Fa-Po Chung6Chin-Yu Lin7Ting-Yung Chang8Ta-Chuan Tuan9Tze-Fan Chao10Jo-Nan Liao11Chih-Min Liu12Cheng-I Wu13Chye-Gen Chin14Wen-Han Cheng15Shin-Huei Liu16Ching-Yao Chou17Isaiah C. Lugtu18Shih-Ann Chen19Heart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Vardhman Mahavir, Medical College and Safdarjung Hospital, New Delhi, IndiaHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Division of Cardiology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan; Division of Cardiology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Corresponding author. Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, Taiwan.Heart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Division of Cardiology, Department of Medicine, Shin Kong Wu Ho Su Memorial Hospital, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, TaiwanHeart Rhythm Centre and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Cardiovascular Centre, Taichung Veterans General Hospital, Taichung, Taiwan; College of Medicine, Chung Hsing University, Taichung, TaiwanBackground: High-power short-duration (HPSD) and cryoballoon ablation (CBA) has been used for pulmonary vein isolation (PVI). Objective: We aimed to compare the efficacy of PVI between CBA and HPSD ablation in patients with paroxysmal atrial fibrillation (PAF). Methods: We retrospectively analyzed 251 consecutive PAF patients from January 2018 to July 2020. Of them, 124 patients (mean age 57.2 ± 10.1 year) received HPSD and 127 patients (mean age 59.6 ± 9.4 year) received CBA. In HPSD group, the radiofrequency energy was set as 50 W/10 s at anterior wall and 40 W/10 s at posterior wall. In CBA group, 28 mm s generation cryoballoon was used for PVI according the guidelines. Results: There was no significant difference in baseline characteristics between these 2 groups. The time to achieve PVI was significantly shorter in cryoballoon ablation group than in HPSD group (20.6 ± 1.7 min vs 51.8 ± 36.3, P = 0.001). The 6-month overall recurrence for atrial tachyarrhythmias was not significantly different between the two groups (HPSD:14.50% vs CBA:11.0%, P = 0.40). There were different types of recurrent atrial tachyarrhythmia between these 2 groups. Recurrence as atrial flutter was significantly more common in CBA group compared to HPSD group (57.1% vs 12.5%, P = 0.04). Conclusion: In PAF patients, CBA and HPSD had a favourable and comparable outcome. The recurrence pattern was different between CBA and HPSD groups.http://www.sciencedirect.com/science/article/pii/S0972629223000402Atrial fibrillationPulmonary vein isolationHigh power short duration ablationCryoballoon ablationRecurrence |
| spellingShingle | Ankit Jain Chun-Chao Chen Shih-Lin Chang Yenn-Jiang Lin Li-Wei Lo Yu-Feng Hu Fa-Po Chung Chin-Yu Lin Ting-Yung Chang Ta-Chuan Tuan Tze-Fan Chao Jo-Nan Liao Chih-Min Liu Cheng-I Wu Chye-Gen Chin Wen-Han Cheng Shin-Huei Liu Ching-Yao Chou Isaiah C. Lugtu Shih-Ann Chen Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation Indian Pacing and Electrophysiology Journal Atrial fibrillation Pulmonary vein isolation High power short duration ablation Cryoballoon ablation Recurrence |
| title | Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation |
| title_full | Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation |
| title_fullStr | Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation |
| title_full_unstemmed | Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation |
| title_short | Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation |
| title_sort | comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high power short duration ablation |
| topic | Atrial fibrillation Pulmonary vein isolation High power short duration ablation Cryoballoon ablation Recurrence |
| url | http://www.sciencedirect.com/science/article/pii/S0972629223000402 |
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