Details

Autor(en) / Beteiligte

• Chikata, Akio
• Kato, Takeshi
• Usuda, Kazuo
• Fujita, Shuhei
• Maruyama, Michiro
• Nagata, Yoshiki
• Sakagami, Satoru
• Kanamori, Naomi
• Yaegashi, Takanori
• Saeki, Takahiro
• Kusayama, Takashi
• Usui, Soichiro
• Furusho, Hiroshi
• Kaneko, Shuichi
• Takamura, Masayuki

Titel

Impact of left atrial size on isolation area in the acute phase of pulmonary vein isolation using 28 mm cryoballoon

Ist Teil von

• Pacing and clinical electrophysiology, 2018-07, Vol.41 (7), p.700-706

Ort / Verlag

United States: Wiley Subscription Services, Inc

Erscheinungsjahr

2018

Quelle

MEDLINE

Beschreibungen/Notizen

• Background The impact of left atrial (LA) size on isolation area (ISA) using a 28‐mm second‐generation cryoballoon (CB) in the acute phase after pulmonary vein isolation (PVI) and the differences of CB from contact force‐guided radiofrequency (RF) ablation have not been fully investigated. Methods We examined 85 consecutive patients (CB group, 35; RF group, 50) with drug‐refractory paroxysmal atrial fibrillation who underwent their first PVI procedure at two institutions. We evaluated ISA after PVI using 3D‐Merge computed tomography images (GE Healthcare, Little Chalfont, UK) and high‐resolution electroanatomical mapping. Results Total ISA was significantly smaller in the CB group (20.6 ± 6.0 cm2) than in the RF group (29.0 ± 7.1 cm2; P < 0.0001). In the CB group, ISA of the left pulmonary vein (LPV), right pulmonary vein (RPV), and total ISA were not correlated with the left atrial surface area (LASA). The ratios of ISA to LASA (%ISA) of LPV and total ISA negatively correlated with LASA in the CB group (LPV: r = −0.4001, P = 0.0173; total ISA: r = −0.4733, P = 0.0041). In contrast, in the RF group, ISA of LPV, RPV, and total ISA positively correlated with LASA; (LPV: r = 0.5155, P = 0.001; RPV: r = 0.6398, P < 0.0001; total ISA: r = 0.7299, P < 0.0001). Conclusion ISA created using CB was significantly smaller than that using RF and did not change regardless of LASA increment. Differences in ISA between the two groups became more prominent in the large atrium.