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Journal ArticleDOI

Phrenic nerve paralysis during cryoballoon ablation for atrial fibrillation: a comparison between the first- and second-generation balloon

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TLDR
More refined phrenic nerve monitoring during right-sided pulmonary vein ablation and less vigorous wedging maneuvers in the pulmonary vein ostia might significantly reduce the occurrence of right PNP with the second-generation cryoballoon ablation Arctic Front Advance.
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This article is published in Heart Rhythm.The article was published on 2013-09-01. It has received 128 citations till now. The article focuses on the topics: Phrenic nerve & Pulmonary vein.

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Citations
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Journal ArticleDOI

One-year clinical outcome after pulmonary vein isolation using the second-generation 28-mm cryoballoon.

TL;DR: The use of second-generation 28-mm cryoballoon for pulmonary vein isolation results in an 80% 1-year success rate and of 8 of 10 patients with arrhythmia recurrence, a second procedure using radiofrequency ablation demonstrated left atrial to pulmonary vein reconduction.
Journal ArticleDOI

Single 3-minute freeze for second-generation cryoballoon ablation: One-year follow-up after pulmonary vein isolation

TL;DR: A single 3-minute freeze is highly effective, determining an atrial tachyarrhythmia freedom of 80.4% at 1-year follow-up, and Routine use of an "insurance freeze" may not be needed.
Journal ArticleDOI

One-year follow-up after single procedure Cryoballoon ablation: a comparison between the first and second generation balloon.

TL;DR: The second generation Cryoballoon Advance was designed with technical modifications resulting in a larger and more uniform zone of freezing on the balloon's surface aiming at procedural outcome improvement in the setting of atrial fibrillation (AF) ablation.
References
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The ‘single big cryoballoon’ technique for acute pulmonary vein isolation in patients with paroxysmal atrial fibrillation: a prospective observational single centre study

TL;DR: Using the single big cryoballoon technique, almost all PVs (98%) could be electrically isolated without LA imaging and may reduce the incidence of PNP as long as distal ablation inside the septal PVs is avoided.
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