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两种用于单次肺静脉隔离的竞争性冷冻球囊技术:新型系统的首次经验

Two competing cryoballoon technologies for single shot pulmonary vein isolation: first experiences with the novel system.

作者信息

Imnadze Guram, Fink Thomas, El Hamriti Mustapha, Bergau Leonard, Braun Martin, Khalaph Moneeb, Sciacca Vanessa, Isgandarova Khuraman, Guckel Denise, Sohns Christian, Sommer Philipp

机构信息

Clinic for Electrophysiology, Herz- und Diabeteszentrum NRW, Ruhr-University Bochum, 32545 Bad Oeynhausen, NRW, Germany.

出版信息

Rev Cardiovasc Med. 2022 Apr 1;23(4):118. doi: 10.31083/j.rcm2304118. eCollection 2022 Apr.

DOI:10.31083/j.rcm2304118
PMID:39076243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11274054/
Abstract

Following its introduction into clinical practice, the cryoballoon (CB) has proved to be an alternative for pulmonary vein isolation (PVI) in patients with paroxysmal and persistent atrial fibrillation (AF). In comparison with the standard radiofrequency procedure, the CB method results in a shorter procedure time and learning curve as well as a higher degree of reproducibility. A new cryoballoon (NCB) was recently introduced on the market. In this review, we addressed the following questions: Is the new system technically similar to the previous one? Is there a difference in terms of periprocedural parameters? Are acute success and complication rates similar? Is the learning curve different?

摘要

自引入临床实践以来,冷冻球囊(CB)已被证明是阵发性和持续性心房颤动(AF)患者肺静脉隔离(PVI)的一种替代方法。与标准射频手术相比,CB方法可缩短手术时间和学习曲线,并具有更高的可重复性。一种新型冷冻球囊(NCB)最近已投放市场。在本综述中,我们探讨了以下问题:新系统在技术上是否与之前的系统相似?围手术期参数方面是否存在差异?急性成功率和并发症发生率是否相似?学习曲线是否不同?

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14ef/11274054/d6344e200994/2153-8174-23-4-118-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14ef/11274054/d6344e200994/2153-8174-23-4-118-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14ef/11274054/d6344e200994/2153-8174-23-4-118-g1.jpg

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本文引用的文献

1
The established and the challenger: A direct comparison of current cryoballoon technologies for pulmonary vein isolation.既定技术与挑战者:当前用于肺静脉隔离的冷冻球囊技术的直接比较。
J Cardiovasc Electrophysiol. 2022 Jan;33(1):48-54. doi: 10.1111/jce.15288. Epub 2021 Nov 18.
2
Technical and procedural comparison of two different cryoballoon ablation systems in patients with atrial fibrillation.两种不同冷冻球囊消融系统在房颤患者中的技术和程序比较。
J Interv Card Electrophysiol. 2022 Aug;64(2):409-416. doi: 10.1007/s10840-021-01035-6. Epub 2021 Jul 28.
3
Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation: A systematic review and meta-analysis.
两种用于肺静脉隔离的冷冻球囊技术在手术疗效、球囊最低温度及膈神经麻痹发生率方面的比较:一项系统评价与荟萃分析。
J Cardiovasc Electrophysiol. 2021 Sep;32(9):2424-2431. doi: 10.1111/jce.15182. Epub 2021 Jul 26.
4
Novel Cryoballoon Ablation System for Single Shot Pulmonary Vein Isolation - The Prospective ICE-AGE-X Study.新型冷冻球囊消融系统单次肺静脉隔离术 - 前瞻性 ICE-AGE-X 研究。
Circ J. 2021 Jul 21;85(8):1296-1304. doi: 10.1253/circj.CJ-21-0094. Epub 2021 Apr 13.
5
A second cryoballoon system-New and improved?第二代冷冻球囊系统——更新与改进?
J Cardiovasc Electrophysiol. 2021 Apr;32(4):931-932. doi: 10.1111/jce.14953. Epub 2021 Mar 4.
6
First experience of POLARx™ versus Arctic Front Advance™: An early technology comparison.POLARx™ 与 Arctic Front Advance™ 的首次体验:早期技术比较。
J Cardiovasc Electrophysiol. 2021 Apr;32(4):925-930. doi: 10.1111/jce.14951. Epub 2021 Mar 4.
7
Cryoballoon atrial fibrillation ablation: Single-center safety and efficacy data using a novel cryoballoon technology compared to a historical balloon platform.冷冻球囊房颤消融术:与历史球囊平台相比,新型冷冻球囊技术的单中心安全性和有效性数据。
J Cardiovasc Electrophysiol. 2021 Mar;32(3):588-594. doi: 10.1111/jce.14930. Epub 2021 Feb 10.
8
Comparison of procedural efficacy and biophysical parameters between two competing cryoballoon technologies for pulmonary vein isolation: Insights from an initial multicenter experience.两种竞争的冷冻球囊技术在肺静脉隔离中的程序效果和生物物理参数比较:来自初步多中心经验的见解。
J Cardiovasc Electrophysiol. 2021 Mar;32(3):580-587. doi: 10.1111/jce.14915. Epub 2021 Feb 1.
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Heart Rhythm. 2020 Nov;17(11):1841-1847. doi: 10.1016/j.hrthm.2020.06.020. Epub 2020 Jun 24.
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Am J Cardiol. 2020 Mar 15;125(6):901-906. doi: 10.1016/j.amjcard.2019.12.037. Epub 2019 Dec 30.