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W hilst radiofrequency ablation is widely considered the “gold standard” for pulmonary-vein isolation, cryoballoon ablation is considered easier to perform. The aim of the randomised, multicentre FIRE AND ICE trial was to demonstrate, in patients with paroxysmal atrial fibrillation, the non-inferiority of cryoballoon ablation with respect to the time to a first documented clinical failure within 1 year outside a 90-day “blanking period” after the index ablation. This editorial gives an overview of the trial and its findings.

Results and Implications of the FIRE AND ICE Trial