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Japan ablation registry: cryoablation in atrioventricular nodal reentrant tachycardia (“JARCANRET study”): results from large multicenter retrospective investigation

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Abstract

Purpose

Cryoenergy has been demonstrated to be a safe alternative to radiofrequency ablation for catheter ablation of atrioventricular nodal reentrant tachycardia (AVNRT). This study aimed to evaluate the safety and efficacy of cryoablation in patients with AVNRT.

Methods

A multicenter retrospective study was performed. Two hundred eighty-three consecutive patients with AVNRT underwent cryoablation. Cryomapping at − 30 °C and − 80 °C was performed to predict cryoablation outcome and ascertain antegrade conduction. Cryoenergy was delivered subsequently at the same spot (cryoablation at − 80 °C) for 240 s.

Results

Ablation procedure was acutely successful in 281 out of 283 patients (99.3%). Of note, 22 patients (10.1%) had transient AV block during the cryoablation, but no injurious effects on AV conduction were provoked during cryomapping. During a follow-up period of 367 ± 35 days, the recurrence rate was 3.9% (11 out of 281). There were no significant differences among the patients with a complete elimination of slow pathway conduction, AH jump without an echo beat, and AH jump with a single echo beat, in terms of the long-term recurrence of AVNRT.

Conclusions

Cryoablation of AVNRT appears to be effective both acutely and during the long-term with a minimal risk of unwanted injuries to the conduction system. It seems to be important to monitor the antegrade conduction during cryoenergy applications, even when cryomapping demonstrates a safe location for cryoablation. The recurrence rate of AVNRT did not differ according to the properties of the residual slow pathway conduction.

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Author information

Authors and Affiliations

  1. Heart Center, Japan Red Cross Yokohama City Bay Hospital, Yokohama, Japan

    Kaoru Okishige

  2. Cardiovascular Department, Saiseikai Kumamoto Hospital, Kumamoto, Japan

    Ken Okumura & Takuo Tsurugi

  3. Cardiovascular Department, Hokko Memorial Hospital, Sapporo, Japan

    Akihiko Yotsukura & Tadafumi Nanbu

  4. Cardiovascular Department, Niigata Medical Center, Niigata, Japan

    Hirotaka Sugiura & Akiko Sanada

  5. Department of Advanced Cardiovascular Therapeutics, Chiba University Graduate School of Medicine, Chiba, Japan

    Yusuke Kondo & Masahiro Takano

  6. Cardiology Department, Edogawa Hospital, Tokyo, Japan

    Takehiko Keida & Masaki Fujita

  7. Cardiovascular Department, Gifu Heart Center, Gifu, Japan

    Hiroki Kamiya & Kunihiko Tsuchiya

  8. Cardiovascular Department, Akashi Medical Center, Akashi, Japan

    Kazumasa Adachi & Yukinori Katoh

  9. Cardiovascular Department, Kokura Memorial Hospital, Kokura, Japan

    Kenichi Hiroshima & Kei Yamamoto

  10. Cardiovascular Department, Miyazaki Medical Association Hospital, Miyazaki, Japan

    Keiichi Ashikaga & Tadashi Hoshiyama

  11. Arrhythmia Center, Tokyo Medical and Dental University, Tokyo, Japan

    Tetsuo Sasano & Kenzo Hirao

Authors
  1. Kaoru Okishige
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  2. Ken Okumura
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  3. Takuo Tsurugi
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  4. Akihiko Yotsukura
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  9. Masahiro Takano
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  10. Takehiko Keida
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  11. Masaki Fujita
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  12. Hiroki Kamiya
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  13. Kunihiko Tsuchiya
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  14. Kazumasa Adachi
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  15. Yukinori Katoh
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  16. Kenichi Hiroshima
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  17. Kei Yamamoto
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  18. Keiichi Ashikaga
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  19. Tadashi Hoshiyama
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  20. Tetsuo Sasano
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  21. Kenzo Hirao
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Correspondence to Kaoru Okishige.

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Okishige, K., Okumura, K., Tsurugi, T. et al. Japan ablation registry: cryoablation in atrioventricular nodal reentrant tachycardia (“JARCANRET study”): results from large multicenter retrospective investigation. J Interv Card Electrophysiol 58, 289–297 (2020). https://doi.org/10.1007/s10840-019-00585-0

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  • DOI: https://doi.org/10.1007/s10840-019-00585-0

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