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Review
. 2021 Dec;32(4):550-562.
doi: 10.1007/s00399-021-00820-0. Epub 2021 Nov 4.

[Practical guide for safe and efficient cryoballoon ablation for atrial fibrillation : Practical procedure, tips and tricks]

[Article in German]
Julian Chun  1   2 , Tilman Maurer  3 , Andreas Rillig  4 , Stefano Bordignon  5 , Leon Iden  6 , Sonia Busch  7 , Daniel Steven  8 , Roland R Tilz  9 , Dong-In Shin  10   11 , Heidi Estner  12 , Felix Bourier  13 , David Duncker  14 , Philipp Sommer  15 , Nils-Christian Ewertsen  16 , Henning Jansen  17 , Victoria Johnson  18 , Livio Bertagnolli  19 , Till Althoff  20 , Andreas Metzner  4
Affiliations
Review

[Practical guide for safe and efficient cryoballoon ablation for atrial fibrillation : Practical procedure, tips and tricks]

[Article in German]
Julian Chun et al. Herzschrittmacherther Elektrophysiol. 2021 Dec.

Abstract
in English, German

In the current guidelines on treatment of atrial fibrillation, cryoballoon-based catheter ablation of atrial fibrillation is recommended in addition to radiofrequency ablation and has become established as a standard procedure in the clinical routine of many centers for index pulmonary vein isolation. A safe, simplified and often durable pulmonary vein isolation can be achieved by a systematic approach. This review article provides a practical guide for all steps of cryoballoon-based pulmonary vein isolation, including preprocedural preparation and postinterventional follow-up. Both cryoballoon systems currently available on the market are considered.

Die kryoballonbasierte Vorhofflimmerablation wird neben der Hochfrequenzstromablation in den aktuellen Leitlinien zur Vorhofflimmertherapie empfohlen und hat sich in der klinischen Routine vieler Zentren für die Index-Pulmonalvenenisolation als ein Standardverfahren etabliert. Durch ein systematisches Vorgehen kann eine sichere, vereinfachte und oftmals dauerhafte Pulmonalvenenisolation erreicht werden. Dieser Übersichtartikel bietet einen praktischen Leitfaden für alle Arbeitsschritte einer kryoballonbasierten Pulmonalvenenisolation und geht dabei auch auf die präprozedurale Vorbereitung sowie die postinterventionelle Nachsorge ein. Berücksichtigt werden beide aktuell auf dem Markt verfügbaren Kryoballonsysteme.

Keywords: Catheter ablation; Cryoballoon maneuvers; Optimized workflow; Practical guide; Time to Pulmonary vein isolation.

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References

Literatur

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