Persistence of Phrenic Nerve Palsy Following 28‐mm Cryoballoon Ablation: A Four‐Year Single Center Experience
Background Phrenic nerve palsy (PNP) is the most frequently observed complication in the setting of cryoballoon (CB) ablation (Arctic Front, Medtronic Inc., Minneapolis, MN, USA). Although, usually transient, resolving before the end of the procedure, persistent PNP (not resolving before the end of...
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Online Access: | http://dx.doi.org/10.1111/pace.12636 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fpace.12636 https://onlinelibrary.wiley.com/doi/pdf/10.1111/pace.12636 |
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crwiley:10.1111/pace.12636 2024-06-09T07:44:18+00:00 Persistence of Phrenic Nerve Palsy Following 28‐mm Cryoballoon Ablation: A Four‐Year Single Center Experience SAITOH, YUKIO IRFAN, GHAZALA CICONTE, GIUSEPPE MUGNAI, GIACOMO SIEIRA, JUAN DI GIOVANNI, GIACOMO BALTOGIANNIS, GIANNIS CONTE, GIULIO HÜNÜK, BURAK STRÖKER, ERWIN VELAGIĆ, VEDRAN OVEREINDER, INGRID DE ASMUNDIS, CARLO CHIERCHIA, GIAN‐BATTISTA BRUGADA, PEDRO 2015 http://dx.doi.org/10.1111/pace.12636 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fpace.12636 https://onlinelibrary.wiley.com/doi/pdf/10.1111/pace.12636 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Pacing and Clinical Electrophysiology volume 38, issue 7, page 807-814 ISSN 0147-8389 1540-8159 journal-article 2015 crwiley https://doi.org/10.1111/pace.12636 2024-05-16T14:24:42Z Background Phrenic nerve palsy (PNP) is the most frequently observed complication in the setting of cryoballoon (CB) ablation (Arctic Front, Medtronic Inc., Minneapolis, MN, USA). Although, usually transient, resolving before the end of the procedure, persistent PNP (not resolving before the end of procedure) can occur. Literature on persistent PNP after second generation CB ablation is relatively sparse. Methods A total of 316 consecutive patients having undergone large 28‐mm CB ablation as index procedure in the Heart Rhythm Management Center, UZ Brussels, Belgium, from January 2009 to December 2013 were retrospectively reviewed for the study. Of these 117 patients were treated with the first generation CB (CB1) and 199 patients with the second generation CB (CB2). Results PNP occurred in 10% of the total population. Persistent PNP was only observed following CB2 ablation which occurred in 4.5% of the group. At a mean follow‐up of 11 months, diaphragmatic contraction in persistent PNP patients resumed in 78% (7/9) of the patients. In a final follow‐up at 5 and 20 months, PNP persisted in two patients, respectively. PNP during ablation in the right inferior pulmonary vein was only observed in the CB2 group. No predictors of persistency of PNP were observed. Conclusion Persistence of PNP only occurred in the CB2 group in 4.5% of patients. The majority of patients with persistent PNP were asymptomatic. In most of the patients having persistent PNP after ablation, complete phrenic nerve function resumed during follow‐up (78%). Article in Journal/Newspaper Arctic Wiley Online Library Arctic Pacing and Clinical Electrophysiology 38 7 807 814 |
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Open Polar |
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Wiley Online Library |
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crwiley |
language |
English |
description |
Background Phrenic nerve palsy (PNP) is the most frequently observed complication in the setting of cryoballoon (CB) ablation (Arctic Front, Medtronic Inc., Minneapolis, MN, USA). Although, usually transient, resolving before the end of the procedure, persistent PNP (not resolving before the end of procedure) can occur. Literature on persistent PNP after second generation CB ablation is relatively sparse. Methods A total of 316 consecutive patients having undergone large 28‐mm CB ablation as index procedure in the Heart Rhythm Management Center, UZ Brussels, Belgium, from January 2009 to December 2013 were retrospectively reviewed for the study. Of these 117 patients were treated with the first generation CB (CB1) and 199 patients with the second generation CB (CB2). Results PNP occurred in 10% of the total population. Persistent PNP was only observed following CB2 ablation which occurred in 4.5% of the group. At a mean follow‐up of 11 months, diaphragmatic contraction in persistent PNP patients resumed in 78% (7/9) of the patients. In a final follow‐up at 5 and 20 months, PNP persisted in two patients, respectively. PNP during ablation in the right inferior pulmonary vein was only observed in the CB2 group. No predictors of persistency of PNP were observed. Conclusion Persistence of PNP only occurred in the CB2 group in 4.5% of patients. The majority of patients with persistent PNP were asymptomatic. In most of the patients having persistent PNP after ablation, complete phrenic nerve function resumed during follow‐up (78%). |
format |
Article in Journal/Newspaper |
author |
SAITOH, YUKIO IRFAN, GHAZALA CICONTE, GIUSEPPE MUGNAI, GIACOMO SIEIRA, JUAN DI GIOVANNI, GIACOMO BALTOGIANNIS, GIANNIS CONTE, GIULIO HÜNÜK, BURAK STRÖKER, ERWIN VELAGIĆ, VEDRAN OVEREINDER, INGRID DE ASMUNDIS, CARLO CHIERCHIA, GIAN‐BATTISTA BRUGADA, PEDRO |
spellingShingle |
SAITOH, YUKIO IRFAN, GHAZALA CICONTE, GIUSEPPE MUGNAI, GIACOMO SIEIRA, JUAN DI GIOVANNI, GIACOMO BALTOGIANNIS, GIANNIS CONTE, GIULIO HÜNÜK, BURAK STRÖKER, ERWIN VELAGIĆ, VEDRAN OVEREINDER, INGRID DE ASMUNDIS, CARLO CHIERCHIA, GIAN‐BATTISTA BRUGADA, PEDRO Persistence of Phrenic Nerve Palsy Following 28‐mm Cryoballoon Ablation: A Four‐Year Single Center Experience |
author_facet |
SAITOH, YUKIO IRFAN, GHAZALA CICONTE, GIUSEPPE MUGNAI, GIACOMO SIEIRA, JUAN DI GIOVANNI, GIACOMO BALTOGIANNIS, GIANNIS CONTE, GIULIO HÜNÜK, BURAK STRÖKER, ERWIN VELAGIĆ, VEDRAN OVEREINDER, INGRID DE ASMUNDIS, CARLO CHIERCHIA, GIAN‐BATTISTA BRUGADA, PEDRO |
author_sort |
SAITOH, YUKIO |
title |
Persistence of Phrenic Nerve Palsy Following 28‐mm Cryoballoon Ablation: A Four‐Year Single Center Experience |
title_short |
Persistence of Phrenic Nerve Palsy Following 28‐mm Cryoballoon Ablation: A Four‐Year Single Center Experience |
title_full |
Persistence of Phrenic Nerve Palsy Following 28‐mm Cryoballoon Ablation: A Four‐Year Single Center Experience |
title_fullStr |
Persistence of Phrenic Nerve Palsy Following 28‐mm Cryoballoon Ablation: A Four‐Year Single Center Experience |
title_full_unstemmed |
Persistence of Phrenic Nerve Palsy Following 28‐mm Cryoballoon Ablation: A Four‐Year Single Center Experience |
title_sort |
persistence of phrenic nerve palsy following 28‐mm cryoballoon ablation: a four‐year single center experience |
publisher |
Wiley |
publishDate |
2015 |
url |
http://dx.doi.org/10.1111/pace.12636 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fpace.12636 https://onlinelibrary.wiley.com/doi/pdf/10.1111/pace.12636 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Pacing and Clinical Electrophysiology volume 38, issue 7, page 807-814 ISSN 0147-8389 1540-8159 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/pace.12636 |
container_title |
Pacing and Clinical Electrophysiology |
container_volume |
38 |
container_issue |
7 |
container_start_page |
807 |
op_container_end_page |
814 |
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1801373058332622848 |