Document Detail


Complete pulmonary vein isolation using balloon cryoablation in patients with paroxysmal atrial fibrillation.
MedLine Citation:
PMID:  19889345     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Electrical isolation of the pulmonary veins and disconnection of the left atrial musculature from their arrhythmogenic effects is the cornerstone of definitive and curative treatment in patients with symptomatic recurrent paroxysmal atrial fibrillation that is refractory to antiarrhythmic therapy. 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. We report on immediate outcomes in the first five patients who underwent treatment. These cases represent initial experience with the technique in Spain. A total of 20 pulmonary veins were treated and complete acute electrical isolation was achieved in all cases (100%). Patients were discharged from hospital within 72 hours of the procedure, and there were no complications. 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.
Authors:
Jes?s M Paylos; Robert H Hoyt; Clara Ferrero; Carmen Berrio; Arancha Rey; Isabel Delgado; Jes?s J Veiga; Jos? L Moreno
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revista espa?ola de cardiolog?a     Volume:  62     ISSN:  1579-2242     ISO Abbreviation:  Rev Esp Cardiol     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-05     Completed Date:  2010-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404277     Medline TA:  Rev Esp Cardiol     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  1326-31     Citation Subset:  IM    
Affiliation:
Laboratorio de Electrofisiolog?a, Unidad de Arritmias, Cl?nica Moncloa, Madrid, Spain. jpaylos@ircus.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Atrial Fibrillation / surgery*
Balloon Dilatation*
Cryosurgery*
Female
Humans
Male
Middle Aged
Pulmonary Veins / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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