Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation
Introduction: In May 2020, a novel cryoballoon system (POLARx; Boston Scientific) became available for catheter ablation of atrial fibrillation (AF). The design of the cryoballoon is comparable to the Arctic Front Advance Pro (AFA-Pro; Medtronic), but it is more compliant during freezing. We compare...
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ftunivrotterdam:oai:repub.eur.nl:136589 2024-06-02T08:02:43+00:00 Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation A. (Amira) Assaf R.E. (Rohit) Bhagwandien T. (Tamas) Szili Torok S.C. (Sing) Yap 2021-09-01 https://repub.eur.nl/pub/136589 https://doi.org/10.1111/jce.15182 unknown https://repub.eur.nl/pub/136589 doi:10.1111/jce.15182 urn:hdl:1765/136589 Journal of Cardiovascular Electrophysiology vol. 32 no. 9, pp. 2424-2431 info:eu-repo/semantics/article 2021 ftunivrotterdam https://doi.org/10.1111/jce.15182 2024-05-06T17:04:38Z Introduction: In May 2020, a novel cryoballoon system (POLARx; Boston Scientific) became available for catheter ablation of atrial fibrillation (AF). The design of the cryoballoon is comparable to the Arctic Front Advance Pro (AFA-Pro; Medtronic), but it is more compliant during freezing. We compared the procedural efficacy, biophysical parameters, and risk of phrenic nerve palsy (PNP) between the two cryoballoons. Methods: Embase, MEDLINE, Web of Science, Cochrane, and Google Scholar databases were searched until June 1, 2021 for relevant studies comparing POLARx versus AFA-Pro in patients undergoing pulmonary vein isolation (PVI) for AF. Results: A total of four studies, involving 310 patients were included. There was no difference between the two groups for outcomes regarding procedural efficacy: acute PVI (odds ratio [OR]: 0.43; 95% confidence interval [CI]: 0.06 to 3.03; p =.40), procedure time (mean difference [MD]: 8.15 min; 95% CI: −8.09 to 24.39; p =.33), fluoroscopy time (MD: 1.32 min; 95% CI: −1.61 to 4.25; p =.38) and ablation time (MD: 1.00 min; 95% CI: −0.20 to 2.20; p =.10). The balloon nadir temperature was lower for all individual pulmonary veins (PV) in POLARx compared with AFA-Pro (MD: −9.74°C, −9.98°C, −6.72°C, −7.76°C, for left superior PV, left inferior PV, right superior PV, and right inferior PV, respectively; all p <.001). The incidence of PNP was similar between groups (OR: 0.79; 95% CI: 0.22 to 2.85; p =.72). Conclusion: In AF patients undergoing PVI, POLARx and AFA-Pro had a similar procedural efficacy. Balloon nadir temperatures were lower with POLARx, however, the incidence of PNP was similar. Article in Journal/Newspaper Arctic RePub - Publications from Erasmus University, Rotterdam Arctic Journal of Cardiovascular Electrophysiology 32 9 2424 2431 |
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RePub - Publications from Erasmus University, Rotterdam |
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Introduction: In May 2020, a novel cryoballoon system (POLARx; Boston Scientific) became available for catheter ablation of atrial fibrillation (AF). The design of the cryoballoon is comparable to the Arctic Front Advance Pro (AFA-Pro; Medtronic), but it is more compliant during freezing. We compared the procedural efficacy, biophysical parameters, and risk of phrenic nerve palsy (PNP) between the two cryoballoons. Methods: Embase, MEDLINE, Web of Science, Cochrane, and Google Scholar databases were searched until June 1, 2021 for relevant studies comparing POLARx versus AFA-Pro in patients undergoing pulmonary vein isolation (PVI) for AF. Results: A total of four studies, involving 310 patients were included. There was no difference between the two groups for outcomes regarding procedural efficacy: acute PVI (odds ratio [OR]: 0.43; 95% confidence interval [CI]: 0.06 to 3.03; p =.40), procedure time (mean difference [MD]: 8.15 min; 95% CI: −8.09 to 24.39; p =.33), fluoroscopy time (MD: 1.32 min; 95% CI: −1.61 to 4.25; p =.38) and ablation time (MD: 1.00 min; 95% CI: −0.20 to 2.20; p =.10). The balloon nadir temperature was lower for all individual pulmonary veins (PV) in POLARx compared with AFA-Pro (MD: −9.74°C, −9.98°C, −6.72°C, −7.76°C, for left superior PV, left inferior PV, right superior PV, and right inferior PV, respectively; all p <.001). The incidence of PNP was similar between groups (OR: 0.79; 95% CI: 0.22 to 2.85; p =.72). Conclusion: In AF patients undergoing PVI, POLARx and AFA-Pro had a similar procedural efficacy. Balloon nadir temperatures were lower with POLARx, however, the incidence of PNP was similar. |
format |
Article in Journal/Newspaper |
author |
A. (Amira) Assaf R.E. (Rohit) Bhagwandien T. (Tamas) Szili Torok S.C. (Sing) Yap |
spellingShingle |
A. (Amira) Assaf R.E. (Rohit) Bhagwandien T. (Tamas) Szili Torok S.C. (Sing) Yap Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation |
author_facet |
A. (Amira) Assaf R.E. (Rohit) Bhagwandien T. (Tamas) Szili Torok S.C. (Sing) Yap |
author_sort |
A. (Amira) Assaf |
title |
Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation |
title_short |
Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation |
title_full |
Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation |
title_fullStr |
Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation |
title_full_unstemmed |
Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation |
title_sort |
comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation |
publishDate |
2021 |
url |
https://repub.eur.nl/pub/136589 https://doi.org/10.1111/jce.15182 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Journal of Cardiovascular Electrophysiology vol. 32 no. 9, pp. 2424-2431 |
op_relation |
https://repub.eur.nl/pub/136589 doi:10.1111/jce.15182 urn:hdl:1765/136589 |
op_doi |
https://doi.org/10.1111/jce.15182 |
container_title |
Journal of Cardiovascular Electrophysiology |
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32 |
container_issue |
9 |
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2424 |
op_container_end_page |
2431 |
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1800747202159575040 |