Complications of Cryoballoon Pulmonary Vein Isolation

Author:

Miyazaki Shinsuke1,Tada Hiroshi1

Affiliation:

1. Department of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan

Abstract

Since the cryoballoon (CB) was introduced into clinical practice, more than 400,000 patients have undergone a pulmonary vein (PV) isolation with a CB throughout the world. Although the efficacy of the first-generation CB was limited, the recently introduced secondgeneration CB has achieved a greater uniformity in cooling, which has facilitated a shorter time to PV isolation, shorter procedural times, higher rates of freedom from atrial fibrillation and low rates of PV reconnections. Currently, a single short freeze strategy with a single 28 mm balloon has become the standard technique based on the balance of procedural efficacy and safety. However, enhanced cooling characteristics may also result in a greater potential for collateral damage to non-cardiac structures. Knowledge about the potential complications is essential when performing the procedure. In this article, we describe the important complications that should be noted during a CB procedure, and how to minimise the risk of complications based on our experience.

Publisher

Radcliffe Group Ltd

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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