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Cryoballoon

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https://www.readbyqxmd.com/read/28917494/early-dislodgment-and-migration-of-a-left-atrial-appendage-closure-device
#1
Mohamed Sanhoury, Gaetano Fassini, Antonio Dello Russo, Giuseppe Lumia, Antonio Bartorelli
A 68-year-old man underwent pulmonary vein isolation with cryoballoon combined with left atrial appendage closure using a LAmbre device. The device was dislodged and embolized early after implantation with no symptoms, and it was retrieved percutaneously. An early in-hospital check of the device position after implantation is important for early recognition of any possible device-related complication.
August 9, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28916528/the-impact-of-cryoballoon-versus-radiofrequency-ablation-for-paroxysmal-atrial-fibrillation-on-healthcare-utilization-and-costs-an-economic-analysis-from-the-fire-and-ice-trial
#2
(no author information available yet)
No abstract text is available yet for this article.
September 15, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28915140/life-threatening-massive-hemoptysis-after-cryoablation-for-atrial-fibrillation
#3
Vivek Jayaschandran, Amy N Mertens, Vishal K Patel, Bhavinkumar Dalal
A 59-year-old man developed massive hemoptysis, 1 month after undergoing cryoablation procedure for atrial fibrillation. He underwent emergent bronchoscopy that revealed massive, active bleeding with clots requiring repeated suctioning, epinephrine, and cold saline injection. The source of bleeding was identified in a follow-up bronchoscopy performed few days later-a 2×3 cm area of ulceration of the left main stem bronchus which was missed in the initial bronchoscopy owing to blood obscuring the field of vision...
September 14, 2017: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/28881895/balloon-based-esophageal-cryoablation-with-a-novel-focal-ablation-device-dose-finding-and-safety-in-porcine-and-human-models
#4
D W Schölvinck, S Friedland, G Triadafilopoulos, T Valli, M I van Berge Henegouwen, J J G H M Bergman, Bas L A M Weusten
The new Cryoballoon Focal Ablation System (CbFAS), a through-the-scope catheter with battery-powered handle that delivers cryogenic fluid into an inflated balloon, differs from current cryotherapy methods used for treatment of Barrett's epithelium. In this dose-finding study, short- and long-term histopathological effects and safety of the CbFAS were evaluated. Cryoablations with (supra)therapeutic durations (4-24 seconds) were performed in pigs that survived for 12 or 48 hours or 4 or 28 days. Next, cryoablations (durations based on animal data) were performed in normal mucosa of esophageal cancer patients scheduled to undergo esophagectomy...
November 1, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/28846806/apixaban-rivaroxaban-and-dabigatran-use-in-patients-undergoing-catheter-ablation-for-atrial-fibrillation-using-the-second-generation-cryoballoon
#5
Verena Tscholl, Abdullah Khaled-A Lsharaf, Tina Lin, Barbara Bellmann, Patrick Nagel, Klaus Lenz, Ulf Landmesser, Mattias Roser, Andreas Rillig
BACKGROUND: Data are limited on the safety of periprocedural anticoagulation with novel oral anticoagulants (NOACs) in patients undergoing pulmonary vein isolation (PVI) using the second-generation cryoballoon (CB) for the treatment of atrial fibrillation. HYPOTHESIS: We hypothesized that the incidence of acute periprocedural complications in patients undergoing PVI do not differ between patients treated with VKA compared to NOACs. METHODS: In 200 consecutive patients (mean age, 64...
August 28, 2017: Clinical Cardiology
https://www.readbyqxmd.com/read/28827273/comparison-of-health-related-quality-of-life-in-patients-with-atrial-fibrillation-treated-with-catheter-ablation-or-antiarrhythmic-drug-therapy-a-systematic-review-and-meta-analysis-protocol
#6
Katherine S Allan, Shaunattonie Henry, Theresa Aves, Laura Banfield, J Charles Victor, Paul Dorian, Jeff S Healey, Jason Andrade, Sandra Carroll, Michael McGillion
INTRODUCTION: Atrial fibrillation (AF) is the most prevalent cardiac arrhythmia and causes patients considerable burden; symptoms such as palpitations and dyspnoea are common, leading to frequent emergency room visits. Patients with AF report reduced health-related quality of life (HQOL) compared with the general population; thus, treatments focus on the restoration of sinus rhythm to improve symptoms. Catheter ablation (CA) is a primary treatment strategy to treat AF-related burden in select patient populations; however, repeat procedures are often needed, there is a risk of major complications and the procedure is quite costly in comparison to medical therapy...
August 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/28826333/cryoballoon-ablation-in-the-presence-of-a-large-occlutech-device
#7
Erwin Ströker, Carlo de Asmundis, Gian-Battista Chierchia
No abstract text is available yet for this article.
August 22, 2017: Acta Cardiologica
https://www.readbyqxmd.com/read/28793059/comparative-efficacy-and-safety-of-contact-force-sensing-catheter-and-second-generation-cryoballoon-ablation-for-atrial-fibrillation-a-meta-analysis
#8
X Zhou, W Lv, W Zhang, Y Ye, Y Li, Q Zhou, J Zhang, Q Xing, Y Lu, L Zhang, H Wang, W Qin, B Tang
This meta-analysis compared the efficacy and safety of the contact force (CF)-sensing catheter and second-generation cryoballoon (CB) ablation for treating atrial fibrillation (AF). Six controlled clinical trials comparing ablation for AF using a CF-sensing catheter or second-generation CB were identified from PubMed, EMBASE, Cochrane Library, Wanfang Data, and China National Knowledge Infrastructure. The procedure duration was significantly lower in the CB group compared with that in the CF group [mean difference (MD)=29...
August 7, 2017: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
https://www.readbyqxmd.com/read/28781863/cryoballoon-ablation-with-left-lateral-decubitus-position-in-atrial-fibrillation-patient-where-the-left-atrium-was-compressed-by-the-vertebra
#9
Yosuke Nakatani, Yoshiaki Yamaguchi, Tamotsu Sakamoto, Koichiro Kinugawa
Catheter ablation of atrial fibrillation is difficult when the left atrium is compressed by the vertebra. The heart may shift forward, and compression of the left atrium may be relieved in the left lateral decubitus position. Therefore, catheter ablation could be performed in the left lateral decubitus position even in such cases.
August 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28765757/vagal-response-in-cryoballoon-ablation-of-atrial-fibrillation-and-autonomic-nervous-system-utility-of-epicardial-adipose-tissue-location
#10
Satoshi Yanagisawa, Yasuya Inden, Yoshiaki Mizutani, Aya Fujii, Yosuke Kamikubo, Yasunori Kanzaki, Monami Ando, Junya Funabiki, Yosuke Murase, Masaki Takenaka, Noriaki Otake, Tetsuyoshi Hattori, Rei Shibata, Toyoaki Murohara
BACKGROUND: Mechanism and effects of vagal response (VR) during cryoballoon ablation procedure on the cardiac autonomic nervous system (ANS) are unclear. The present study aimed to evaluate the relationship between VR during cryoballoon catheter ablation for atrial fibrillation and ANS modulation by evaluating epicardial adipose tissue (EAT) locations and heart rate variability (HRV) analysis. METHODS: Forty-one patients with paroxysmal atrial fibrillation (11 with VR during the procedure and 30 without VR) who underwent second-generation cryoballoon ablation were included...
August 2017: Journal of Arrhythmia
https://www.readbyqxmd.com/read/28751544/the-impact-of-cryoballoon-versus-radiofrequency-ablation-for-paroxysmal-atrial-fibrillation-on-healthcare-utilization-and-costs-an-economic-analysis-from-the-fire-and-ice-trial
#11
K R Julian Chun, Josep Brugada, Arif Elvan, Laszlo Gellér, Matthias Busch, Alberto Barrera, Richard J Schilling, Matthew R Reynolds, Robert B Hokanson, Reece Holbrook, Benedict Brown, Michael Schlüter, Karl-Heinz Kuck
BACKGROUND: This study sought to assess payer costs following cryoballoon or radiofrequency current (RFC) catheter ablation of paroxysmal atrial fibrillation in the randomized FIRE AND ICE trial. METHODS AND RESULTS: A trial period analysis of healthcare costs evaluated the impact of ablation modality (cryoballoon versus RFC) on differences in resource use and associated payer costs. Analyses were based on repeat interventions, rehospitalizations, and cardioversions during the trial, with unit costs based on 3 national healthcare systems (Germany [€], the United Kingdom [£], and the United States [$])...
July 27, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28748144/hemoptysis-after-five-months-of-cryoballoon-ablation-what-is-the-relationship
#12
Keita Watanabe, Junichi Nitta, Akira Sato, Masahiko Goya, Mitsuaki Isobe, Kenzo Hirao
No abstract text is available yet for this article.
July 2017: HeartRhythm Case Reports
https://www.readbyqxmd.com/read/28720474/nitrous-oxide-cryotherapy-for-treatment-of-esophageal-squamous-cell-neoplasia-initial-multicenter-international-experience-with-a-novel-portable-cryoballoon-ablation-system-with-video
#13
Marcia Irene Canto, Julian A Abrams, Hannah T Künzli, Bas Weusten, Yoshihiro Komatsu, Blair A Jobe, Charles J Lightdale
BACKGROUND AND AIMS: Early esophageal squamous cell neoplasia (ESCN) can be successfully treated by EMR, endoscopic submucosal dissection (ESD), or radiofrequency ablation. A new portable, battery-powered cryotherapy system using nitrous oxide (cryoballoon focal ablation system [CbFAS]) has been used for Barrett's esophagus. It consists of a small hand-held device containing liquid nitrous oxide, which converts to gas within a low-pressure-compliant through-the-scope balloon and freezes targeted mucosa in contact with the balloon...
July 16, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28713025/for-cryoballoon-ablation-time-to-effect-is-time-well-spent
#14
EDITORIAL
Byron K Lee, Gregory M Marcus
No abstract text is available yet for this article.
July 14, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/28703873/cryoballoon-ablation-in-chinese-patients-with-paroxysmal-atrial-fibrillation-1-year-follow-up
#15
Tian-You Ling, Qi Jin, Wen-Qi Pan, Ning Zhang, Chang-Jian Lin, Hon-Chi Lee, Li-Qun Wu
OBJECTIVES: We assessed the effectiveness and safety of cryoballoon ablation (CBA) in the Chinese population with paroxysmal atrial fibrillation (AF) with a 1-year follow-up and determined the association of early recurrence of atrial tachyarrhythmias (ERAT) with late recurrence (LR). METHODS: A total of 114 patients (age 61±10 years, 78 males) with paroxysmal AF who underwent CBA were consecutively enrolled. After procedures, patients were observed for 3 d with continuous ECG monitoring in the hospital with routine follow-up visits at 3-month, 6-month, and 1-year...
July 13, 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28698895/using-anatomical-landmark-to-avoid-phrenic-nerve-injury-during-balloon-based-procedures-in-atrial-fibrillation-patients
#16
Nicolina M Smith, Larry Segars, Travis Kauffman, Anthony B Olinger
PURPOSE: Atrial fibrillation (AF) is an arrhythmia which affects as many as 2.7 million Americans. AF should be treated, because it can lead to a four-to-fivefold increased risk of experiencing a stroke. The American College of Cardiology/American Heart Association guidelines for the treatment of drug refractory and symptomatic paroxysmal AF denote catheter ablation as the standard of care. The newest ablation treatment, cryoballoon, uses a cold balloon tip. The biggest risk factor associated with the cryoballoon ablation is phrenic nerve injury (PNI)...
July 11, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28688719/how-safe-are-noacs-compared-with-phenprocoumon-after-pulmonary-vein-isolation-with-the-cryoballoon-technique-using-purse-string-suture-closure
#17
Ersan Akkaya, Alexander Berkowitsch, Sergej Zaltsberg, Nikolas Deubner, Harald Greiss, Andreas Hain, Christian W Hamm, Johannes Sperzel, Malte Kuniss, Thomas Neumann
INTRODUCTION: The aim of this observational study was to compare the postprocedural incidence of bleeding and thromboembolic complications associated with novel oral anticoagulants (NOACs) with that of interrupted and continuous phenprocoumon after pulmonary vein isolation (PVI) using a purse-string suture (PSS) closure of the puncture site. METHODS AND RESULTS: Consecutive patients who had undergone PVI via cryoballoon ablation were divided into the following groups: (1) interrupted phenprocoumon with heparin bridging (n=101), (2) continuous phenprocoumon targeting an internationally normalized ratio>2 (n=70), and (3) NOACs without bridging that were restarted 2-4h after the procedure (n=185)...
June 23, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28685200/role-of-the-burden-of-premature-atrial-contractions-during-the-blanking-period-following-second-generation-cryoballoon-ablation-in-predicting-late-recurrences-of-atrial-arrhythmias
#18
Hugo-Enrique Coutiño, Juan-Pablo Abugattas, Moisés Levinstein, Giacomo Mugnai, Darragh Moran, Valentina De Regibus, Erwin Ströker, Ken Takarada, Rajin Choudhury, Luis Marroquín, Francesca Salghetti, Ian-Emiray Lusoc, Saverio Iacopino, Juan Sieira, Carlo de Asmundis, Pedro Brugada, Gian-Battista Chierchia
PURPOSE: Recent data suggests that high burden of premature atrial complexes after pulmonary vein isolation predicts recurrences of atrial arrhythmias. The present study sought to assess the role of premature atrial complexes burden in predicting atrial arrhythmias recurrences in patients with atrial fibrillation (AF) who have undergone second-generation cryoballoon ablation (CB-Adv). METHODS: Consecutive patients with drug-resistant paroxysmal atrial fibrillation who underwent pulmonary vein isolation using CB-Adv technology as the index procedure were retrospectively included...
September 2017: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/28679138/nitrous-oxide-cryoballoon-therapy-of-refractory-gastric-antral-vascular-ectasia
#19
Arvind J Trindade, Sumant Inamdar, Divyesh V Sejpal
No abstract text is available yet for this article.
September 2017: Endoscopy
https://www.readbyqxmd.com/read/28678147/efficacy-of-second-generation-cryoballoon-ablation-in-paroxysmal-and-persistent-atrial-fibrillation-patients
#20
Antonio Curnis, Francesca Salghetti, Manuel Cerini, Francesca Vassanelli, Lorenza Inama, Clara Villa, Daniele Giacopelli, Abdallah Raweh, Luca Bontempi
AIMS: In this study, we aimed to compare the efficacy of single pulmonary vein isolation with the second-generation cryoballoon (CB-Adv) and predictors of atrial fibrillation recurrences in patients with paroxysmal (PAF) and persistent atrial fibrillation (PersAF). METHODS: Consecutive PAF and PersAF patients undergoing CB-Adv for the first time were enrolled. Patients were followed with in-clinic visits including Holter ECG. Atrial arrhythmic episodes symptomatic or documented lasting more than 30 s were considered as recurrences...
September 2017: Journal of Cardiovascular Medicine
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