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Cryoballoon ablation for pulmonary vein isolation
Author(s) -
Andrade Jason G.
Publication year - 2020
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/jce.14459
Subject(s) - medicine , pulmonary vein , ablation , atrial fibrillation , catheter ablation , catheter , percutaneous , cryoablation , isolation (microbiology) , cardiology , radiology , surgery , biology , microbiology and biotechnology
Over the past 20 years, multiple studies have demonstrated the superiority of percutaneous catheter‐based pulmonary vein isolation (PVI) in the management of atrial fibrillation (AF). Unfortunately, the results of catheter ablation can be limited by arrhythmia recurrence, which is often a result of a failure to achieve durable lesions around the pulmonary vein ostia. In response, significant efforts have been directed toward developing technologies to achieve safer and more durable PVI, including the development of dedicated catheters capable of achieving PVI with a single ablation lesion (eg, the Arctic Front Cryoballoon; Medtronic CryoCath, Pointe‐Claire, Canada). The purpose of this review is to discuss the contemporary role of cryoballoon ablation in the invasive management of AF, with a focus on the characteristics that differentiate cryoballoon from radiofrequency ablation.