Comparison of safety and efficacy between POLARx and Arctic Front cryoballoon ablation
Abstract Funding Acknowledgements Type of funding sources: None. Introduction Pulmonary vein isolation (PVI) remains the cornerstone of atrial fibrillation (AF) ablation. The POLARx cryoballoon, which maintains a constant balloon pressure during ablation, was recently introduced for the treatment of...
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croxfordunivpr:10.1093/europace/euac053.110 2024-05-19T07:35:03+00:00 Comparison of safety and efficacy between POLARx and Arctic Front cryoballoon ablation Rehman, M Adiyaman, A Smit, JJJ Manfai, B Elvan, A 2022 http://dx.doi.org/10.1093/europace/euac053.110 https://academic.oup.com/europace/article-pdf/24/Supplement_1/euac053.110/43768817/euac053.110.pdf en eng Oxford University Press (OUP) https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model EP Europace volume 24, issue Supplement_1 ISSN 1099-5129 1532-2092 journal-article 2022 croxfordunivpr https://doi.org/10.1093/europace/euac053.110 2024-05-02T09:33:10Z Abstract Funding Acknowledgements Type of funding sources: None. Introduction Pulmonary vein isolation (PVI) remains the cornerstone of atrial fibrillation (AF) ablation. The POLARx cryoballoon, which maintains a constant balloon pressure during ablation, was recently introduced for the treatment of AF. We present a comparison of acute and follow-up efficacy and safety outcomes between POLARx and Arctic Front, a frequently used second-generation used cryoballoon. Methods 251 consecutive patients who underwent first-time cryoballoon AF ablation with POLARx (n=118) or Arctic Front (n=133) with a follow-up of at least 6 months, were retrospectively included. Results Of the total 251 patients who were included, mean age was 63 ± 9 years and 161 (64%) participants were male. The majority of the patients suffered from paroxysmal atrial fibrillation (95%). Follow-up success rates did not significantly differ between the POLARx (79%) and Artic Front (75%) groups at 6 months. Antiarrhythmic drug-use after the blanking period of 3 months was 9% for the POLARx group. Complication rates, excluding groin complications, were low in both study groups and were not significantly different (4% in POLARx vs 3% in Arctic Front). Procedure times (71 ± 23 minutes vs. 120 ± 36 minutes) and fluoroscopy times (20 ± 10 minutes vs. 33 ± 18 minutes) were both more favourable in the POLARx group. Lastly, nadir balloon temperatures were significantly lower (-57 ± 7 ºC vs -51 ± 7 ºC) for the POLARx group for all pulmonary veins (p<0.001). Conclusion Cryoballoon AF ablation with the POLARx cryoballoon results in similar success and complication rates at 6 months, in comparison with Arctic Front. Procedure and fluoroscopy times are shorter and balloon nadir temperatures are significantly lower for the POLARx cryoballoon. This can lead to optimal logistics and thus cost-effective use of lab and personnel. Article in Journal/Newspaper Arctic Oxford University Press EP Europace 24 Supplement_1 |
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Oxford University Press |
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croxfordunivpr |
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English |
description |
Abstract Funding Acknowledgements Type of funding sources: None. Introduction Pulmonary vein isolation (PVI) remains the cornerstone of atrial fibrillation (AF) ablation. The POLARx cryoballoon, which maintains a constant balloon pressure during ablation, was recently introduced for the treatment of AF. We present a comparison of acute and follow-up efficacy and safety outcomes between POLARx and Arctic Front, a frequently used second-generation used cryoballoon. Methods 251 consecutive patients who underwent first-time cryoballoon AF ablation with POLARx (n=118) or Arctic Front (n=133) with a follow-up of at least 6 months, were retrospectively included. Results Of the total 251 patients who were included, mean age was 63 ± 9 years and 161 (64%) participants were male. The majority of the patients suffered from paroxysmal atrial fibrillation (95%). Follow-up success rates did not significantly differ between the POLARx (79%) and Artic Front (75%) groups at 6 months. Antiarrhythmic drug-use after the blanking period of 3 months was 9% for the POLARx group. Complication rates, excluding groin complications, were low in both study groups and were not significantly different (4% in POLARx vs 3% in Arctic Front). Procedure times (71 ± 23 minutes vs. 120 ± 36 minutes) and fluoroscopy times (20 ± 10 minutes vs. 33 ± 18 minutes) were both more favourable in the POLARx group. Lastly, nadir balloon temperatures were significantly lower (-57 ± 7 ºC vs -51 ± 7 ºC) for the POLARx group for all pulmonary veins (p<0.001). Conclusion Cryoballoon AF ablation with the POLARx cryoballoon results in similar success and complication rates at 6 months, in comparison with Arctic Front. Procedure and fluoroscopy times are shorter and balloon nadir temperatures are significantly lower for the POLARx cryoballoon. This can lead to optimal logistics and thus cost-effective use of lab and personnel. |
format |
Article in Journal/Newspaper |
author |
Rehman, M Adiyaman, A Smit, JJJ Manfai, B Elvan, A |
spellingShingle |
Rehman, M Adiyaman, A Smit, JJJ Manfai, B Elvan, A Comparison of safety and efficacy between POLARx and Arctic Front cryoballoon ablation |
author_facet |
Rehman, M Adiyaman, A Smit, JJJ Manfai, B Elvan, A |
author_sort |
Rehman, M |
title |
Comparison of safety and efficacy between POLARx and Arctic Front cryoballoon ablation |
title_short |
Comparison of safety and efficacy between POLARx and Arctic Front cryoballoon ablation |
title_full |
Comparison of safety and efficacy between POLARx and Arctic Front cryoballoon ablation |
title_fullStr |
Comparison of safety and efficacy between POLARx and Arctic Front cryoballoon ablation |
title_full_unstemmed |
Comparison of safety and efficacy between POLARx and Arctic Front cryoballoon ablation |
title_sort |
comparison of safety and efficacy between polarx and arctic front cryoballoon ablation |
publisher |
Oxford University Press (OUP) |
publishDate |
2022 |
url |
http://dx.doi.org/10.1093/europace/euac053.110 https://academic.oup.com/europace/article-pdf/24/Supplement_1/euac053.110/43768817/euac053.110.pdf |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
EP Europace volume 24, issue Supplement_1 ISSN 1099-5129 1532-2092 |
op_rights |
https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model |
op_doi |
https://doi.org/10.1093/europace/euac053.110 |
container_title |
EP Europace |
container_volume |
24 |
container_issue |
Supplement_1 |
_version_ |
1799473406242979840 |