[Trancatheter ablation with cryoballoon for the treatment of atrial fibrillation. A rapid assessment]
Negro A, Maltoni S, Pecoraro V, Camerlingo M, Falasca G, Lauretti F
Record ID 32017000453
Italian
Original Title:
Ablazione transcatetere mediante criopallone per il trattamento della fibrillazione atriale. Valutazione rapida
Authors' objectives:
The objective of the present assessment was to assess efficacy, safety, and technical performance of percutaneous ablation with cryoballoon in comparison to radiofrequency ablation for pulmonary vein isolation in patients with paroxysmal and persistent atrial fibrillation.
Percutaneous ablation with cryoballoon could offer advantages in terms of: identification and mapping of target sites (a reversible cryomapping is possible), reduction of catheter time in the left atrium (leading to a possible reduction of procedural complications), reduced procedural and fluoroscopy time with increased efficiency and, finally, relative simplicity of the procedure with a shorter learning curve.
Authors' recommendations:
Most of the studies assessed the first-generation cryoballoon (Arctic FrontTM, Medtronic Inc, Minneapolis, MN) to treat paroxysmal atrial fibrillation.
For this indication, cryoballoon ablation does not seem to be more effective than radiofrequency ablation in terms of recurrence of atrial fibrillation; cryoballoon ablation is associated with a significantly lower incidence of pericardial effusion and cardiac tamponade but with a higher risk of phrenic nerve injury (PNI) at hospital discharge. Furthermore, it was associated with a reduced procedural time.
Only two studies assessed the use of cryoballoon ablation in persistent atrial fibrillation.
Details
Project Status:
Completed
Year Published:
2017
URL for published report:
https://assr.regione.emilia-romagna.it/pubblicazioni/rapporti-documenti/crioablazione-valutazione-rapida
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Italy
MeSH Terms
- Atrial Fibrillation
- Catheter Ablation
- Cryosurgery
Contact
Organisation Name:
Agenzia Sanitaria e Sociale Regionale (Regional Agency for Health and Social Care)
Contact Address:
Viale Aldo Moro 21, 40127 Bologna, Italia tel. +39 051 5277177 fax +39 051 5277049
Contact Name:
Ballini_Lu@regione.emilia-romagna.it
Contact Email:
Ballini_Lu@regione.emilia-romagna.it
Copyright:
Agenzia sanitaria e sociale regionale, Regione Emilia-Romagna
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