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J Atr Fibrillation. 2015 Aug 31;8(2):1231. doi: 10.4022/jafib.1231. eCollection 2015.

Outcomes Of Cryoballoon Ablation Of Atrial Fibrillation: A Comprehensive Review.

Journal of atrial fibrillation

Arash Aryana, Mark R Bowers, Padraig Gearoid O'Neill

Affiliations

  1. Mercy General Hospital and Dignity Health Heart and Vascular Institute, Sacramento, California.

PMID: 27957187 PMCID: PMC5135165 DOI: 10.4022/jafib.1231

Abstract

Over the last decade, cryoballoon ablation has emerged as an effective alternate strategy to point-by-point radiofrequency ablation for treatment of symptomatic atrial fibrillation. There are several reasons for this. First, the acute and long-term safety and efficacy associated with cryoablation appear comparable to that of radiofrequency ablation in patients with both paroxysmal and also persistent atrial fibrillation. Second, cryoablation offers certain advantages over conventional radiofrequency ablation including a gentler learning curve, shorter ablation and procedure times as well as lack of need for costly electroanatomical mapping technologies commonly utilized with radiofrequency ablation. Lastly, with the recent advent of the second-generation cryoballoon, the effectiveness of cryoablation has further improved dramatically. This comprehensive review examines the gradual evolution of the cryoablation tools as well as the rationale and data in support of the currently-available cryoballoon technologies for catheter ablation of atrial fibrillation.

Keywords: Atrial Fibrillation; Catheter Ablation; Cryoablation; Cryoballoon; Outcome

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