Cryoballoon ablation in atrial fibrillation: Advantages and drawbacks
Pulmonary vein isolation is the cornerstone of atrial fibrillation ablation and is effective for preventing arrhythmias recurrences, especially in patients with paroxysmal atrial fibrillation. During the last years, cryoballoon ablation has emerged as an unquestionable alternative approach to radiof...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-11-01
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| Series: | Revista Portuguesa de Cardiologia |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0870255117302056 |
| _version_ | 1818267216029679616 |
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| author | Serge Boveda |
| author_facet | Serge Boveda |
| author_sort | Serge Boveda |
| collection | DOAJ |
| description | Pulmonary vein isolation is the cornerstone of atrial fibrillation ablation and is effective for preventing arrhythmias recurrences, especially in patients with paroxysmal atrial fibrillation. During the last years, cryoballoon ablation has emerged as an unquestionable alternative approach to radiofrequency ablation. Many non-randomized and randomized trials have proven undoubtedly that cryoballoon ablation displays similar efficacy and overall safety profile, when compared to radiofrequency ablation for the treatment of patients with drug-refractory paroxysmal atrial fibrillation. These results have been obtained in all types of pulmonary veins anatomical subsets, which confirms that there is no need to select patients according to the latter. The value of cryoablation in the setting of short persistent atrial fibrillation still needs more evidence. Importantly, cryoballoon ablation seems to be less operator-dependent and more reproducible than radiofrequency for the isolation of pulmonary veins. Keywords: Atrial fibrillation, Ablation, Cryoablation |
| first_indexed | 2024-12-12T20:19:04Z |
| format | Article |
| id | doaj.art-7920a2c279f54af8b821a35fe1db75aa |
| institution | Directory Open Access Journal |
| issn | 0870-2551 |
| language | English |
| last_indexed | 2024-12-12T20:19:04Z |
| publishDate | 2017-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Revista Portuguesa de Cardiologia |
| spelling | doaj.art-7920a2c279f54af8b821a35fe1db75aa2022-12-22T00:13:18ZengElsevierRevista Portuguesa de Cardiologia0870-25512017-11-01361924Cryoballoon ablation in atrial fibrillation: Advantages and drawbacksSerge Boveda0Département de Rythmologie, Clinique Pasteur, Toulouse, FrancePulmonary vein isolation is the cornerstone of atrial fibrillation ablation and is effective for preventing arrhythmias recurrences, especially in patients with paroxysmal atrial fibrillation. During the last years, cryoballoon ablation has emerged as an unquestionable alternative approach to radiofrequency ablation. Many non-randomized and randomized trials have proven undoubtedly that cryoballoon ablation displays similar efficacy and overall safety profile, when compared to radiofrequency ablation for the treatment of patients with drug-refractory paroxysmal atrial fibrillation. These results have been obtained in all types of pulmonary veins anatomical subsets, which confirms that there is no need to select patients according to the latter. The value of cryoablation in the setting of short persistent atrial fibrillation still needs more evidence. Importantly, cryoballoon ablation seems to be less operator-dependent and more reproducible than radiofrequency for the isolation of pulmonary veins. Keywords: Atrial fibrillation, Ablation, Cryoablationhttp://www.sciencedirect.com/science/article/pii/S0870255117302056 |
| spellingShingle | Serge Boveda Cryoballoon ablation in atrial fibrillation: Advantages and drawbacks Revista Portuguesa de Cardiologia |
| title | Cryoballoon ablation in atrial fibrillation: Advantages and drawbacks |
| title_full | Cryoballoon ablation in atrial fibrillation: Advantages and drawbacks |
| title_fullStr | Cryoballoon ablation in atrial fibrillation: Advantages and drawbacks |
| title_full_unstemmed | Cryoballoon ablation in atrial fibrillation: Advantages and drawbacks |
| title_short | Cryoballoon ablation in atrial fibrillation: Advantages and drawbacks |
| title_sort | cryoballoon ablation in atrial fibrillation advantages and drawbacks |
| url | http://www.sciencedirect.com/science/article/pii/S0870255117302056 |
| work_keys_str_mv | AT sergeboveda cryoballoonablationinatrialfibrillationadvantagesanddrawbacks |