Bibliographic Details
| Title: |
Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation |
| Authors: |
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 |
| Source: |
Indian Pacing and Electrophysiology Journal, Vol 23, Iss 4, Pp 110-115 (2023) |
| Publisher Information: |
Elsevier, 2023. |
| Publication Year: |
2023 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
Atrial fibrillation, Pulmonary vein isolation, High power short duration ablation, Cryoballoon ablation, Recurrence, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
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. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
0972-6292 |
| Relation: |
http://www.sciencedirect.com/science/article/pii/S0972629223000402; https://doaj.org/toc/0972-6292 |
| DOI: |
10.1016/j.ipej.2023.04.001 |
| Access URL: |
https://doaj.org/article/668a8375273f4a3bbfca3c018031425a |
| Accession Number: |
edsdoj.668a8375273f4a3bbfca3c018031425a |
| Database: |
Directory of Open Access Journals |
