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Does a left common pulmonary trunk anatomy represent a real limitation for atrial fibrillation cryoablation success?

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Fig. 1

Data Availability

The data generated and/or analyzed during the current study are available from the corresponding author on reasonable request.

Abbreviations

AF:

Atrial fibrillation

CBA:

Cryoballoon ablation

LCPT:

Left common pulmonary trunk

PV:

Pulmonary vein

PVI:

Pulmonary vein isolation

References

  1. Kajiyama T, Miyazaki S, Matsuda J, Watanabe T, Niida T, Takagi T, et al. Anatomic parameters predicting procedural difficulty and balloon temperature predicting successful applications in individual pulmonary veins during 28-mm second-generation cryoballoon ablation. JACC Clin Electrophysiol. 2017;3(6):580–8.

    Article  PubMed  Google Scholar 

  2. Cabrera JA, Ho SY, Climent V, Sanchez-Quintana D. The architecture of the left lateral atrial wall: a particular anatomic region with implications for ablation of atrial fibrillation. Eur Heart J. 2008;29:356–62.

    Article  PubMed  Google Scholar 

  3. Larsen JM, Deyell MW, Champagne J, Francois J, Andrade JG. Impact of left common pulmonary veins in the contact force versus cryoballoon atrial fibrillation ablation (CIRCA - DOSE) study. J Cardiovasc Electrophysiol. 2020;31:2300–7.

    Article  Google Scholar 

  4. Shigeta T, Okishige K, Yamauchi Y, Aoyagi H, Nakamura T, Yamashita M, et al. Clinical assessment of cryoballoon ablation in cases with atrial fibrillation and a left common pulmonary vein. J Cardiovasc Electrophysiol. 2017;28(9):1021–7.

    Article  PubMed  Google Scholar 

  5. Wei H, Guo X, Zhou G, Sun Q, Yang J, Xie H, et al. Procedural findings and clinical outcome of second-generation cryoballoon ablation in patients with variant pulmonary vein anatomy. J Cardiovasc Electrophysiol. 2019;30(1):32–8.

    Article  PubMed  Google Scholar 

  6. Ströker E, Takarada K, De AC, Abugattas P, Mugnai G, Velagic V, et al. Second generation cryoballoon ablation in the setting of left common pulmonary veins: procedural findings and clinical outcome. Heart Rhythm. 2017;14(9):1311–8.

    Article  PubMed  Google Scholar 

  7. Bose A, Chevli PA, Berberian G, Januszkiewicz J, Ahmad G, Hashmath Z, et al. Presence of a left common pulmonary vein and pulmonary vein anatomical characteristics as predictors of outcome following cryoballoon ablation for paroxysmal atrial fibrillation. J Interv Card Electrophysiol. 2020;62(2):409–17.

    Article  PubMed  Google Scholar 

  8. Ronsoni RDM, Silvestrini TL, Saffi MAL, Leiria TLL. Impact of the left common ostium following pulmonary vein isolation in AF: systematic review and meta-analysis. J Arrhythmia. 2022;38(3):287–98.

    Article  Google Scholar 

  9. Çöteli C, Dural M, Şener YZ, et al. Comparison of atrial fibrillation ablation using cryoballoon versus radiofrequency in patients with left common pulmonary veins: mid-term follow-up results. J Interv Card Electrophysiol. 2022;64:597–605.

    Article  PubMed  Google Scholar 

  10. Aryana A, Su W, Kuniss M, Okishige K, de Asmundis C, Tondo C, et al. Segmental nonocclusive cryoballoon ablation of pulmonary veins and extrapulmonary vein structures: best practices III. Heart Rhythm. 2021;18(8):1435–44.

    Article  PubMed  Google Scholar 

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Correspondence to Joana Brito.

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Ethics approval and consent to participate

All patients provided written informed consent. The Institutional Ethics Committee on human research at our institution approved the collection and review of these data.

Conflict of interest

Drs. Cortez-Dias and Sousa received travel and consulting fees from Biosense Webster, Boston Scientific, and Abbott Medical. All other authors have reported that they have no relationships relevant to the contents of this paper to disclosure.

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Brito, J., Rodrigues, T., António, P.S. et al. Does a left common pulmonary trunk anatomy represent a real limitation for atrial fibrillation cryoablation success?. J Interv Card Electrophysiol 66, 1333–1335 (2023). https://doi.org/10.1007/s10840-023-01537-5

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  • DOI: https://doi.org/10.1007/s10840-023-01537-5

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