Heeger, Christian-H, Popescu, Sorin Stefan ORCID: 0000-0002-5469-8833, Sohns, Christian, Pott, Alexander, Metzner, Andreas, Inaba, Osamu, Straube, Florian ORCID: 0000-0002-4491-5224, Kuniss, Malte, Aryana, Arash, Miyazaki, Shinsuke, Cay, Serkan, Ehrlich, Joachim R., El-Battrawy, Ibrahim, Martinek, Martin ORCID: 0000-0002-8895-8488, Saguner, Ardan M., Tscholl, Verena, Yalin, Kivanc, Lyan, Evgeny, Su, Wilber, Papiashvili, Giorgi, Botros, Maichel Sobhy Naguib, Gasperetti, Alessio ORCID: 0000-0003-3432-070X, Proietti, Riccardo ORCID: 0000-0003-4113-7030, Wissner, Erik ORCID: 0000-0002-7033-567X, Scherr, Daniel, Kamioka, Masashi, Makimoto, Hisaki, Urushida, Tsuyoshi, Aksu, Tolga, Chun, Julian K. R., Aytemir, Kudret, Jedrzejczyk-Patej, Ewa ORCID: 0000-0002-1009-0076, Kuck, Karl-Heinz, Dahme, Tillman ORCID: 0000-0002-6211-7162, Steven, Daniel, Sommer, Philipp and Tilz, Roland Richard (2023). Impact of cryoballoon application abortion due to phrenic nerve injury on reconnection rates: a YETI subgroup analysis. Europace, 25 (2). S. 374 - 382. OXFORD: OXFORD UNIV PRESS. ISSN 1532-2092

Full text not available from this repository.

Abstract

Aims Cryoballoon (CB)-based pulmonary vein isolation (PVI) is an effective treatment for atrial fibrillation (AF). The most frequent complication during CB-based PVI is right-sided phrenic nerve injury (PNI) which is leading to premature abortion of the freeze cycle. Here, we analysed reconnection rates after CB-based PVI and PNI in a large-scale population during repeat procedures. Methods and results In the YETI registry, a total of 17 356 patients underwent CB-based PVI in 33 centres, and 731 (4.2%) patients experienced PNI. A total of 111/731 (15.2%) patients received a repeat procedure for treatment of recurrent AF. In 94/111 (84.7%) patients data on repeat procedures were available. A total of 89/94 (94.7%) index pulmonary veins (PVs) have been isolated during the initial PVI. During repeat procedures, 22 (24.7%) of initially isolated index PVs showed reconnection. The use of a double stop technique did non influence the PV reconnection rate (P = 0.464). The time to PNI was 140.5 +/- 45.1 s in patients with persistent PVI and 133.5 +/- 53.8 s in patients with reconnection (P = 0.559). No differences were noted between the two populations in terms of CB temperature at the time of PNI (P = 0.362). The only parameter associated with isolation durability was CB temperature after 30 s of freezing. The PV reconnection did not influence the time to AF recurrence. Conclusion In patients with cryoballon application abortion due to PNI, a high rate of persistent PVI rate was found at repeat procedures. Our data may help to identify the optimal dosing protocol in CB-based PVI procedures.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Heeger, Christian-HUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Popescu, Sorin StefanUNSPECIFIEDorcid.org/0000-0002-5469-8833UNSPECIFIED
Sohns, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pott, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Metzner, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Inaba, OsamuUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Straube, FlorianUNSPECIFIEDorcid.org/0000-0002-4491-5224UNSPECIFIED
Kuniss, MalteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Aryana, ArashUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Miyazaki, ShinsukeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cay, SerkanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ehrlich, Joachim R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
El-Battrawy, IbrahimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Martinek, MartinUNSPECIFIEDorcid.org/0000-0002-8895-8488UNSPECIFIED
Saguner, Ardan M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tscholl, VerenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Yalin, KivancUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lyan, EvgenyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Su, WilberUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Papiashvili, GiorgiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Botros, Maichel Sobhy NaguibUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gasperetti, AlessioUNSPECIFIEDorcid.org/0000-0003-3432-070XUNSPECIFIED
Proietti, RiccardoUNSPECIFIEDorcid.org/0000-0003-4113-7030UNSPECIFIED
Wissner, ErikUNSPECIFIEDorcid.org/0000-0002-7033-567XUNSPECIFIED
Scherr, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kamioka, MasashiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Makimoto, HisakiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Urushida, TsuyoshiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Aksu, TolgaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chun, Julian K. R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Aytemir, KudretUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jedrzejczyk-Patej, EwaUNSPECIFIEDorcid.org/0000-0002-1009-0076UNSPECIFIED
Kuck, Karl-HeinzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dahme, TillmanUNSPECIFIEDorcid.org/0000-0002-6211-7162UNSPECIFIED
Steven, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sommer, PhilippUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tilz, Roland RichardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-698662
DOI: 10.1093/europace/euac212
Journal or Publication Title: Europace
Volume: 25
Number: 2
Page Range: S. 374 - 382
Date: 2023
Publisher: OXFORD UNIV PRESS
Place of Publication: OXFORD
ISSN: 1532-2092
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PULMONARY VEIN ISOLATION; 2ND-GENERATION CRYOBALLOON; ABLATION; EXPERIENCE; FREEZE; PALSYMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69866

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item