[Transcatheter cryoablation of tachycardia: principles and indications].
Identifieur interne : 000A37 ( PubMed/Curation ); précédent : 000A36; suivant : 000A38[Transcatheter cryoablation of tachycardia: principles and indications].
Auteurs : P. Defaye [France]Source :
- La Revue de medecine interne [ 1768-3122 ] ; 2010.
English descriptors
- KwdEn :
- MESH :
- methods : Catheter Ablation.
- surgery : Tachycardia.
- Cryosurgery, Humans.
Abstract
Cryoablation is used for definitive treatment of arrhythmias by catheter after a 4 min application of a -70 degrees C temperature. There are three main indications of this technique: (1) the treatment for intranodal tachycardia is commonly performed using cryoablation. Success rates are high with no atrio-ventricular block (AVB) risk, (2) the ablation of atrioventricular accessory pathways (Wolf Parkinson-White syndrome), close to His-bundle has a high success rate; the use of a cryo focal catheter avoid AVB risk, (3) the ablation of pulmonary vein potentials with a cryo-balloon in the left atrium for atrial fibrillation. The success rate is high, similar to that achieved with radiofrequency ablation. The cryoballoon procedure is easier to perform because ablation is done in a single step, with a circular application and not point by point. It is well tolerated because it is less painful. There is no risk of pulmonary vein stenosis or esophagus injury. It is less thrombogenic.
DOI: 10.1016/j.revmed.2009.12.011
PubMed: 20627479
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Defaye</name><affiliation wicri:level="1"><nlm:affiliation>Clinique universitaire de cardiologie, CHU Albert-Michallon, BP 217X, 38043 Grenoble cedex 09, France. PDefaye@chu-grenoble.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Clinique universitaire de cardiologie, CHU Albert-Michallon, BP 217X, 38043 Grenoble cedex 09</wicri:regionArea></affiliation></author></analytic><series><title level="j">La Revue de medecine interne</title><idno type="eISSN">1768-3122</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Catheter Ablation (methods)</term><term>Cryosurgery</term><term>Humans</term><term>Tachycardia (surgery)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Catheter Ablation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Tachycardia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cryosurgery</term><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Cryoablation is used for definitive treatment of arrhythmias by catheter after a 4 min application of a -70 degrees C temperature. There are three main indications of this technique: (1) the treatment for intranodal tachycardia is commonly performed using cryoablation. Success rates are high with no atrio-ventricular block (AVB) risk, (2) the ablation of atrioventricular accessory pathways (Wolf Parkinson-White syndrome), close to His-bundle has a high success rate; the use of a cryo focal catheter avoid AVB risk, (3) the ablation of pulmonary vein potentials with a cryo-balloon in the left atrium for atrial fibrillation. The success rate is high, similar to that achieved with radiofrequency ablation. The cryoballoon procedure is easier to perform because ablation is done in a single step, with a circular application and not point by point. It is well tolerated because it is less painful. There is no risk of pulmonary vein stenosis or esophagus injury. It is less thrombogenic.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20627479</PMID><DateCreated><Year>2010</Year><Month>07</Month><Day>16</Day></DateCreated><DateCompleted><Year>2010</Year><Month>11</Month><Day>02</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1768-3122</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>7</Issue><PubDate><Year>2010</Year><Month>Jul</Month></PubDate></JournalIssue><Title>La Revue de medecine interne</Title><ISOAbbreviation>Rev Med Interne</ISOAbbreviation></Journal><ArticleTitle>[Transcatheter cryoablation of tachycardia: principles and indications].</ArticleTitle><Pagination><MedlinePgn>519-22</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.revmed.2009.12.011</ELocationID><Abstract><AbstractText>Cryoablation is used for definitive treatment of arrhythmias by catheter after a 4 min application of a -70 degrees C temperature. There are three main indications of this technique: (1) the treatment for intranodal tachycardia is commonly performed using cryoablation. Success rates are high with no atrio-ventricular block (AVB) risk, (2) the ablation of atrioventricular accessory pathways (Wolf Parkinson-White syndrome), close to His-bundle has a high success rate; the use of a cryo focal catheter avoid AVB risk, (3) the ablation of pulmonary vein potentials with a cryo-balloon in the left atrium for atrial fibrillation. The success rate is high, similar to that achieved with radiofrequency ablation. The cryoballoon procedure is easier to perform because ablation is done in a single step, with a circular application and not point by point. It is well tolerated because it is less painful. There is no risk of pulmonary vein stenosis or esophagus injury. It is less thrombogenic.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Defaye</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Clinique universitaire de cardiologie, CHU Albert-Michallon, BP 217X, 38043 Grenoble cedex 09, France. 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