Buelent Koektuerk1, Hikmet Yorgun2, Oezlem Koektuerk3, Cem H Turan2, Muhammet Necati Murat Aksoy2, Ramazan G Turan2, Eduard Gorr2, Paul M Bansmann4, Christian Hoppe2, Marc Horlitz2. 1. Krankenhaus Porz am Rhein, Department of Cardiology/Electrophysiology, Witten/Herdecke University, Cologne, Germany. b.koektuerk@khporz.de. 2. Krankenhaus Porz am Rhein, Department of Cardiology/Electrophysiology, Witten/Herdecke University, Cologne, Germany. 3. Klinikum Lüdenscheid Klinik für Innere Medizin V, Lüdenscheid, Germany. 4. Krankenhaus Porz am Rhein, Department of Radiology, Witten/Herdecke University, Cologne, Germany.
Abstract
PURPOSE: In this study, we aimed to report our preliminary experience regarding the impact of the novel short-tip (ST) cryoballoon (CB) on procedural efficacy and signal quality during pulmonary vein (PV) isolation for both paroxysmal and persistent atrial fibrillation. METHODS: Between March, 2015, and August, 2015, we enrolled a total of 64 patients (47 patients male, 73 %) with a mean age of 60 ± 11 years. In the study population, 31 patients (48 %) underwent PVI using Advance (ADV) CB and 33 (52 %) patients with ST CB. In all patients, a 28-mm balloon was used. RESULTS: Acute procedural success rates were 100 % for the entire study population. A statistically insignificant increase in the percentage of PV signal recordings was observed with ST CB in all PVs compared to ADV CB [88 vs. 81 % for left superior PV (LSPV), 82 vs. 78 % for left inferior PV (LIPV), 85 vs. 84 % for right superior PV (RSPV), 82 vs. 71 % for right inferior PV (RIPV), p < 0.05]. Additionally, the difference in minimum temperature reached during the procedure per PV was not statistically significant between ST CB and ADV CB except the LIPV (LSPV -44.2 ± 5.9 vs. -45.6 ± 5.3 °C, p = 0.970; LIPV -38.7 ± 4.6 °C vs -44.6 ± 6.8 °C, p < 0.001; RSPV -45.6 ± 7.4 °C vs.-47.2 ± 6.1 °C, p = 0.168; RIPV -41.4 ± 5.1 °C vs.-43.7 ± 6.3 °C, p = 0.360). Time to isolation for each PV was similar between ST and ADV CB (p > 0.05). CONCLUSION: Our preliminary findings indicated similar acute procedural success for the novel ST CB compared with second generation ADV CB. The increase in the ratio of PV signal recordings obtained during the PVI using the novel ST CB was not significant.
PURPOSE: In this study, we aimed to report our preliminary experience regarding the impact of the novel short-tip (ST) cryoballoon (CB) on procedural efficacy and signal quality during pulmonary vein (PV) isolation for both paroxysmal and persistent atrial fibrillation. METHODS: Between March, 2015, and August, 2015, we enrolled a total of 64 patients (47 patients male, 73 %) with a mean age of 60 ± 11 years. In the study population, 31 patients (48 %) underwent PVI using Advance (ADV) CB and 33 (52 %) patients with ST CB. In all patients, a 28-mm balloon was used. RESULTS: Acute procedural success rates were 100 % for the entire study population. A statistically insignificant increase in the percentage of PV signal recordings was observed with ST CB in all PVs compared to ADV CB [88 vs. 81 % for left superior PV (LSPV), 82 vs. 78 % for left inferior PV (LIPV), 85 vs. 84 % for right superior PV (RSPV), 82 vs. 71 % for right inferior PV (RIPV), p < 0.05]. Additionally, the difference in minimum temperature reached during the procedure per PV was not statistically significant between ST CB and ADV CB except the LIPV (LSPV -44.2 ± 5.9 vs. -45.6 ± 5.3 °C, p = 0.970; LIPV -38.7 ± 4.6 °C vs -44.6 ± 6.8 °C, p < 0.001; RSPV -45.6 ± 7.4 °C vs.-47.2 ± 6.1 °C, p = 0.168; RIPV -41.4 ± 5.1 °C vs.-43.7 ± 6.3 °C, p = 0.360). Time to isolation for each PV was similar between ST and ADV CB (p > 0.05). CONCLUSION: Our preliminary findings indicated similar acute procedural success for the novel ST CB compared with second generation ADV CB. The increase in the ratio of PV signal recordings obtained during the PVI using the novel ST CB was not significant.
Authors: Alexander Fürnkranz; Stefano Bordignon; Daniela Dugo; Laura Perotta; Melanie Gunawardene; Britta Schulte-Hahn; Bernd Nowak; Boris Schmidt; Julian K R Chun Journal: J Cardiovasc Electrophysiol Date: 2014-05-02
Authors: Andreas Metzner; Peter Rausch; Christine Lemes; Bruno Reissmann; Alexander Bardyszewski; Roland Tilz; Andreas Rillig; Shibu Mathew; Sebastian Deiss; Masashi Kamioka; Tobias Toennis; Tina Lin; Feifan Ouyang; Karl-Heinz Kuck; Erik Wissner Journal: J Cardiovasc Electrophysiol Date: 2014-01-30
Authors: A John Camm; Gregory Y H Lip; Raffaele De Caterina; Irene Savelieva; Dan Atar; Stefan H Hohnloser; Gerhard Hindricks; Paulus Kirchhof Journal: Europace Date: 2012-08-24 Impact factor: 5.214
Authors: Kudret Aytemir; Kadri Murat Gurses; Muhammed Ulvi Yalcin; Duygu Kocyigit; Muhammet Dural; Banu Evranos; Hikmet Yorgun; Ahmet Hakan Ates; Mehmet Levent Sahiner; Ergun Baris Kaya; Mehmet Ali Oto Journal: Europace Date: 2014-11-05 Impact factor: 5.214
Authors: K R Julian Chun; Alexander Fürnkranz; Andreas Metzner; Boris Schmidt; Roland Tilz; Thomas Zerm; Ilka Köster; Dieter Nuyens; Erik Wissner; Feifan Ouyang; Karl Heinz Kuck Journal: J Cardiovasc Electrophysiol Date: 2009-07-13
Authors: Michael Kühne; Sven Knecht; David Altmann; Peter Ammann; Beat Schaer; Stefan Osswald; Christian Sticherling Journal: Heart Rhythm Date: 2012-10-04 Impact factor: 6.343
Authors: Alexander Pott; Michael Baumhardt; Karolina Weinmann; Manuel Rattka; Tilman Stephan; Mirjam Keßler; Carlo Bothner; Kerstin Petscher; Wolfgang Rottbauer; Tillman Dahme Journal: Int J Cardiol Heart Vasc Date: 2019-04-30
Authors: Luigi Sciarra; Saverio Iacopino; Zefferino Palamà; Ermenegildo De Ruvo; Pasquale Filannino; Alessio Borrelli; Paolo Artale; Alberto Caragliano; Antonio Scarà; Paolo Golia; Lucia De Luca; Domenico Grieco; Marco Rebecchi; Stefano Favale; Leonardo Calò Journal: Indian Pacing Electrophysiol J Date: 2018-02-22