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CardioVasc

, Volume 19, Issue 2, pp 38–41 | Cite as

Optimale Therapie bei Vorhofflimmern

Kryoablation

  • Kyoung-Ryul Julian ChunEmail author
  • Stefano Bordignon
  • Boris Schmidt
Fortbildung Schwerpunkt Kardiologie
  • 16 Downloads

Die Katheterablation von Vorhofflimmern (VHF) repräsentiert das effektivste Verfahren zur erfolgreichen Rhythmuskontrolle und wird für therapierefraktäres paroxysmales VHF in den Leitlinien empfohlen. Die FIRE AND ICE-Studie konnte die Gleichwertigkeit des Kryoballons zur Radiofrequenz-Ablation für paroxysmales VHF nachweisen.

Literatur

  1. 1.
    Kannel WB et al. Epidemiologic features of chronic atrial fibrillation: the Framingham study. N Engl J Med. 1982;306:1018–22CrossRefGoogle Scholar
  2. 2.
    Ostrander LD et al. Electrocardiographic findings among the adult population of a total natrural community, Tecumseh, Michigan. Circulation. 1965;31:888–98CrossRefGoogle Scholar
  3. 3.
    Kirchhof P et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2016;37:2893–962CrossRefGoogle Scholar
  4. 4.
    Piccini JP et al. Pulmonary vein isolation for the maintenance of sinus rhythm in patients with atrial fibrillation: a meta-analysis of randomized, controlled trials. Circ Arrhythm Electrophysiol. 2009;2:626–33CrossRefGoogle Scholar
  5. 5.
    Morillo CA et al. Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of paroxysmal atrial fibrillation (RAAFT-2): a randomized trial. JAMA. 2014;311:692–700CrossRefGoogle Scholar
  6. 6.
    Calkins H et al. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation. Heart Rhythm. 2017;14:e275–e444CrossRefGoogle Scholar
  7. 7.
    Lin D et al. Electrophysiologic findings and long-term outcomes in patients undergoing third or more catheter ablation procedures for atrial fibrillation. J Cardiovasc Electrophysiol. 2015;26:371–7CrossRefGoogle Scholar
  8. 8.
    Chun KRJ, et al. The “single big cryoballoon” technique for acute pulmonary vein isolation in patients with paroxysmal atrial fibrillation: a prospective observational single centre study. Eur Heart J. 2009;30:699–709CrossRefGoogle Scholar
  9. 9.
    Chun KJ et al. Single transseptal big Cryoballoon pulmonary vein isolation using an inner lumen mapping catheter. Pacing Clin Electrophysiol PACE. 2012;35:1304–11CrossRefGoogle Scholar
  10. 10.
    Heeger CH et al. Time-to-effect guided pulmonary vein isolation utilizing the third-generation versus second generation cryoballoon: One year clinical success. Cardiol J. 2018;  https://doi.org/10.5603/CJ.a2018.00560Google Scholar
  11. 11.
    Fürnkranz A et al. Procedural characteristics of pulmonary vein isolation using the novel third-generation cryoballoon. Eur Eur Pacing Arrhythm Card Electrophysiol J Work Groups Card Pacing Arrhythm Card Cell Electrophysiol Eur Soc Cardiol. 2016;18:1795–800Google Scholar
  12. 12.
    Kuck KH et al. Cryoballoon or Radiofrequency Ablation for Paroxysmal Atrial Fibrillation. N Engl J Med. 2016;374:2235–45CrossRefGoogle Scholar
  13. 13.
    Fürnkranz A et al. Improved procedural efficacy of pulmonary vein isolation using the novel second-generation cryoballoon. J Cardiovasc Electrophysiol. 2013;24:492–7CrossRefGoogle Scholar
  14. 14.
    Providencia R et al. Results from a multicentre comparison of cryoballoon vs. radiofrequency ablation for paroxysmal atrial fibrillation: is cryoablation more reproducible? Eur Eur Pacing Arrhythm Card Electrophysiol J Work Groups Card Pacing Arrhythm Card Cell Electrophysiol Eur Soc Cardiol. 2017;19:48–57Google Scholar
  15. 15.
    Bordignon S et al. High rate of durable pulmonary vein isolation after second-generation cryoballoon ablation: analysis of repeat procedures. Eur Eur Pacing Arrhythm Card Electrophysiol J Work Groups Card Pacing Arrhythm Card Cell Electrophysiol Eur Soc Cardiol. 2015;17:725–31Google Scholar
  16. 16.
    Reddy VY et al. Durability of Pulmonary Vein Isolation with Cryoballoon Ablation: Results from the Sustained PV Isolation with Arctic Front Advance (SUPIR) Study. J Cardiovasc Electrophysiol. 2015;26:493–500CrossRefGoogle Scholar
  17. 17.
    Koektuerk B et al. Cryoballoon Ablation for Pulmonary Vein Isolation in Patients With Persistent Atrial Fibrillation: One-Year Outcome Using Second Generation Cryoballoon. Circ Arrhythm Electrophysiol. 2015;8:1073–9CrossRefGoogle Scholar
  18. 18.
    Boveda S et al. Single-Procedure Outcomes and Quality-of-Life Improvement 12 Months Post-Cryoballoon Ablation in Persistent Atrial Fibrillation: Results From the Multicenter CRYO4PERSISTENT AF Trial. JACC Clin Electrophysiol. 2018;4:1440–7CrossRefGoogle Scholar
  19. 19.
    Schmidt B et al. Laser Balloon or Wide-Area Circumferential Irrigated Radiofrequency Ablation for Persistent Atrial Fibrillation: A Multicenter Prospective Randomized Study. Circ Arrhythm Electrophysiol 2017;10.  https://doi.org/10.1161/CIRCEP.117.005767
  20. 20.
    Bordignon S et al. Durable single shot cryoballoon isolation of the left atrial appendage followed by percutaneous left atrial appendage closure. Circ Arrhythm Electrophysiol. 2015;8:751–2CrossRefGoogle Scholar
  21. 21.
    Yorgun H et al. Left atrial appendage isolation in addition to pulmonary vein isolation in persistent atrial fibrillation: one-year clinical outcome after cryoballoon-based ablation. Eur Eur Pacing Arrhythm Card Electrophysiol J Work Groups Card Pacing Arrhythm Card Cell Electrophysiol Eur Soc Cardiol. 2017;19:758–68Google Scholar
  22. 22.
    Miyazaki S et al. Pulmonary Vein Isolation Using a Second-Generation Cryoballoon in Patients With Paroxysmal Atrial Fibrillation: One-Year Outcome Using a Single Big-Balloon 3-Minute Freeze Technique. J Cardiovasc Electrophysiol. 2016;27:1375–80CrossRefGoogle Scholar
  23. 23.
    Ciconte G et al. Single 3-Minute versus Double 4-Minute Freeze Strategy for Second-Generation Cryoballoon Ablation: A Single-Center Experience. J Cardiovasc Electrophysiol. 2016;27:796–803CrossRefGoogle Scholar
  24. 24.
    Chun KRJ et al. Individualized cryoballoon energy pulmonary vein isolation guided by real-time pulmonary vein recordings, the randomized ICE-T trial. Heart Rhythm. 2017;14:495–500CrossRefGoogle Scholar
  25. 25.
    Dorwarth U et al. Pulmonary vein electrophysiology during cryoballoon ablation as a predictor for procedural success. J Interv Card Electrophysiol Int J Arrhythm Pacing. 2011;32:205–11CrossRefGoogle Scholar
  26. 26.
    Aryana A et al. Procedural and biophysical indicators of durable pulmonary vein isolation during cryoballoon ablation of atrial fibrillation. Heart Rhythm. 2016;13:424–32CrossRefGoogle Scholar
  27. 27.
    Cappato R et al. Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circ Arrhythm Electrophysiol. 2010;3:32–8CrossRefGoogle Scholar
  28. 28.
    Chun KRJ et al. Complications in Catheter Ablation of Atrial Fibrillation in 3,000 Consecutive Procedures: Balloon Versus Radiofrequency Current Ablation. JACC Clin Electrophysiol. 2017;3:154–61CrossRefGoogle Scholar
  29. 29.
    Fürnkranz A et al. Reduced incidence of esophageal lesions by luminal esophageal temperature-guided second-generation cryoballoon ablation. Heart Rhythm. 2015;12:268–74CrossRefGoogle Scholar
  30. 30.
    Ghosh J et al. Immediate balloon deflation for prevention of persistent phrenic nerve palsy during pulmonary vein isolation by balloon cryoablation. Heart Rhythm. 2013;10:646–52CrossRefGoogle Scholar
  31. 31.
    Franceschi F et al. Diaphragmatic electromyography during cryoballoon ablation: a novel concept in the prevention of phrenic nerve palsy. Heart Rhythm. 2011;8:885–91CrossRefGoogle Scholar
  32. 32.
    Nagase T et al. Low Risk of Pulmonary Vein Stenosis After Contemporary Atrial Fibrillation Ablation- Lessons From Repeat Procedures After Radiofrequency Current, Cryoballoon, and Laser Balloon. Circ J Off J Jpn Circ Soc. 2018;82:1558–65Google Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Kyoung-Ryul Julian Chun
    • 1
    Email author
  • Stefano Bordignon
    • 1
  • Boris Schmidt
    • 1
  1. 1.Cardioangiologisches Centrum Bethanien — CCBMed. Klinik III MarkuskrankenhausFrankfurtDeutschland

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