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The effect of second-generation cryoablation without electrical mapping in persistent AF using continuous monitoring. | LitMetric

The effect of second-generation cryoablation without electrical mapping in persistent AF using continuous monitoring.

J Interv Card Electrophysiol

Cardiology Research Department, Eastbourne District General Hospital, East Sussex Hospitals NHS Trust, Kings Drive, Eastbourne, BN21 2UD, UK.

Published: March 2021

AI Article Synopsis

Article Abstract

Background: Second-generation cryoballoon ablation is safe and effective in patients with persistent atrial fibrillation (AF). The aim of this study is to report the real long-term AF burden and freedom from AF post-cryoablation using continuous monitoring, and to assess whether intraoperative confirmation of pulmonary vein isolation using electrical mapping is necessary.

Methods: A total of 33 patients (mean age 75.7 ± 5.6 years, 16 men) with persistent AF who underwent second-generation cryoablation without electrical mapping were reviewed. All patients had a cardiac implantable device and were followed up for a mean of 755 ± 170 days.

Results: AF burden significantly decreased from 67.51% ± 34.90% to 18.28% ± 26.65% at 1-year follow-up, and this reduction was maintained at final follow-up (18.26% ± 23.70%, p < 0.001). Continuous monitoring revealed a freedom from AF rate of 33% and 24% at 1-year and full follow-up, respectively. Patients who remained in persistent AF at final follow-up had a trend towards higher pre-ablation AF burden (81.6% ± 29.7% vs 57.3% ± 36.4%, p = 0.08).

Conclusion: Second-generation cryoablation without confirming pulmonary vein isolation using electrical mapping is effective leading to significant reductions in AF burden based on continuous beat-to-beat monitoring at 1-year and long-term follow-up.

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Source
http://dx.doi.org/10.1007/s10840-020-00721-1DOI Listing

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