X‐ray exposure in cryoballoon versus radiofrequency ablation for atrial fibrillation over 7 years: A single center study
Abstract Background Facing an increasing number of radiofrequency ablation (RF) and cryoballoon ablation (CB) procedures for treatment of AF radiation exposure and its reduction is a focus point for interventional electrophysiologists. Objective This study evaluated the procedural parameters of the...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-12-01
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| Series: | Journal of Arrhythmia |
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| Online Access: | https://doi.org/10.1002/joa3.12780 |
| _version_ | 1811187144295710720 |
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| author | Konstantin Heinroth Tilman Blum Max Drexler Alexander Plehn Thomas Hartkopf Charlotte Horenburg Daniel Sedding |
| author_facet | Konstantin Heinroth Tilman Blum Max Drexler Alexander Plehn Thomas Hartkopf Charlotte Horenburg Daniel Sedding |
| author_sort | Konstantin Heinroth |
| collection | DOAJ |
| description | Abstract Background Facing an increasing number of radiofrequency ablation (RF) and cryoballoon ablation (CB) procedures for treatment of AF radiation exposure and its reduction is a focus point for interventional electrophysiologists. Objective This study evaluated the procedural parameters of the different ablation methods focusing on radiation exposure and the BMI of the patients. Methods One thousand one hundred and thirty‐three first procedural cases of pulmonary vein isolation in patients with paroxysmal and persistent AF treated with RF and CB‐based techniques were analyzed retrospectively over a period of 7 years focusing on the endpoints dose area product (DAP, cGycm2), fluoroscopy time (FT, min) and procedural time (PT, min). Results Of the 1133 patients (mean age 63.4 ± 11.4 years, BMI 28.9 ± 4.7) 335 patients received an RF procedure, 211 patients were treated with the cryoballoon first generation (CB1), and 587 patients with cryoballoon second generation (CB2), respectively. The mean DAP for the PVI was 508 ± 654 cGycm2 in RF procedures, 1077 ± 683 cGycm2 in CB1‐procedures, and 587 ± 489 cGycm2 in CB2‐procedures with fluoroscopy times significantly shorter in RF procedures (9.6 ± 5.2 min) as compared to 17.7 ± 5.9 min in CB1‐ and 16.3 ± 6.3 min in CB2‐procedures (p < .001). At the same time, the procedure duration using RF (115 ± 33.5 min) was significantly longer than both in CB1 (96 ± 16.8 min) and CB2 procedures (75 ± 15.9 min). Conclusions Despite longer fluoroscopy durations in the CB technique, the CB2 resulted in a comparable low radiation exposure in PVI as compared to RF, accompanied by shorter procedure durations. |
| first_indexed | 2024-04-11T13:58:18Z |
| format | Article |
| id | doaj.art-a13c059be3d54648816bf1637a98d650 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-04-11T13:58:18Z |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-a13c059be3d54648816bf1637a98d6502022-12-22T04:20:12ZengWileyJournal of Arrhythmia1880-42761883-21482022-12-013861017102710.1002/joa3.12780X‐ray exposure in cryoballoon versus radiofrequency ablation for atrial fibrillation over 7 years: A single center studyKonstantin Heinroth0Tilman Blum1Max Drexler2Alexander Plehn3Thomas Hartkopf4Charlotte Horenburg5Daniel Sedding6Department of Medicine III Martin‐Luther‐University Halle‐Wittenberg Halle GermanyDepartment of Medicine III Martin‐Luther‐University Halle‐Wittenberg Halle GermanyDepartment of Medicine III Martin‐Luther‐University Halle‐Wittenberg Halle GermanyDepartment of Medicine III Martin‐Luther‐University Halle‐Wittenberg Halle GermanyDepartment of Medicine III Martin‐Luther‐University Halle‐Wittenberg Halle GermanyDepartment of Medicine III Martin‐Luther‐University Halle‐Wittenberg Halle GermanyDepartment of Medicine III Martin‐Luther‐University Halle‐Wittenberg Halle GermanyAbstract Background Facing an increasing number of radiofrequency ablation (RF) and cryoballoon ablation (CB) procedures for treatment of AF radiation exposure and its reduction is a focus point for interventional electrophysiologists. Objective This study evaluated the procedural parameters of the different ablation methods focusing on radiation exposure and the BMI of the patients. Methods One thousand one hundred and thirty‐three first procedural cases of pulmonary vein isolation in patients with paroxysmal and persistent AF treated with RF and CB‐based techniques were analyzed retrospectively over a period of 7 years focusing on the endpoints dose area product (DAP, cGycm2), fluoroscopy time (FT, min) and procedural time (PT, min). Results Of the 1133 patients (mean age 63.4 ± 11.4 years, BMI 28.9 ± 4.7) 335 patients received an RF procedure, 211 patients were treated with the cryoballoon first generation (CB1), and 587 patients with cryoballoon second generation (CB2), respectively. The mean DAP for the PVI was 508 ± 654 cGycm2 in RF procedures, 1077 ± 683 cGycm2 in CB1‐procedures, and 587 ± 489 cGycm2 in CB2‐procedures with fluoroscopy times significantly shorter in RF procedures (9.6 ± 5.2 min) as compared to 17.7 ± 5.9 min in CB1‐ and 16.3 ± 6.3 min in CB2‐procedures (p < .001). At the same time, the procedure duration using RF (115 ± 33.5 min) was significantly longer than both in CB1 (96 ± 16.8 min) and CB2 procedures (75 ± 15.9 min). Conclusions Despite longer fluoroscopy durations in the CB technique, the CB2 resulted in a comparable low radiation exposure in PVI as compared to RF, accompanied by shorter procedure durations.https://doi.org/10.1002/joa3.12780atrial fibrillationradiofrequency ablationcryoballoon ablationfluoroscopyradiation exposure |
| spellingShingle | Konstantin Heinroth Tilman Blum Max Drexler Alexander Plehn Thomas Hartkopf Charlotte Horenburg Daniel Sedding X‐ray exposure in cryoballoon versus radiofrequency ablation for atrial fibrillation over 7 years: A single center study Journal of Arrhythmia atrial fibrillation radiofrequency ablation cryoballoon ablation fluoroscopy radiation exposure |
| title | X‐ray exposure in cryoballoon versus radiofrequency ablation for atrial fibrillation over 7 years: A single center study |
| title_full | X‐ray exposure in cryoballoon versus radiofrequency ablation for atrial fibrillation over 7 years: A single center study |
| title_fullStr | X‐ray exposure in cryoballoon versus radiofrequency ablation for atrial fibrillation over 7 years: A single center study |
| title_full_unstemmed | X‐ray exposure in cryoballoon versus radiofrequency ablation for atrial fibrillation over 7 years: A single center study |
| title_short | X‐ray exposure in cryoballoon versus radiofrequency ablation for atrial fibrillation over 7 years: A single center study |
| title_sort | x ray exposure in cryoballoon versus radiofrequency ablation for atrial fibrillation over 7 years a single center study |
| topic | atrial fibrillation radiofrequency ablation cryoballoon ablation fluoroscopy radiation exposure |
| url | https://doi.org/10.1002/joa3.12780 |
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