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In conclusion, balloon cryoablation of the pulmonary veins is a practical, safe and effective technique for achieving the electrophysiologic goal of acute pulmonary vein isolation in patients with paroxysmal atrial fibrillation.
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The type of lesion produced by balloon cryoablation is such that the tissue architecture is preserved and thrombus formation and the risk of pulmonary vein stenosis are reduced.
The development of balloon cryoablation has recently proven to be safe and effective for PVI in animals and humans.
12 16 In the largest series reported to date, Neumann et al investigated the efficacy of balloon cryoablation in 293 paroxysmal and 53 persistent AF subjects.
Monitoring of phrenic nerve function by continuous pacing and palpating the vigour of diaphragmatic contractions is essential in minimising the risk of phrenic nerve palsy during balloon cryoablation.
Using the current generation of balloon ablation catheters, electrical isolation occurs at the level of the PV ostia, but the antral regions are largely unablated because of its initial technical feasibility and presumed safety benefits, balloon cryoablation was being increasingly employed for pulmonary vein (PV) isolation.
Pulmonary vein isolation using balloon cryoablation is a innovative technique for managing atrial fibrillation with a high efficacy rate.
b Under local anaesthesia and US guidance, cryoablation of the breast mass is performed using three cryoneedles.
The phrenic nerve palsy that took 14 months to recover was caused by unmonitored cryoablation of the right lower PV.
In 9 patients, right PNP was observed during cryoablation of the right superior PV (5.8% of those with CB).
Resuscitative endovascular balloon occlusion of the aorta.
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