Catheter ablation using the third-generation cryoballoon provides an enhanced ability to assess time to pulmonary vein isolation facilitating the ablation strategy: Short- and long-term results of a multicenter study
Why the study?
Does the third-generation cryoballoon improve procedural efficacy and clinical outcomes compared to the second-generation cryoballoon in patients undergoing first-time cryoablation for atrial fibrillation?
Population
355 consecutive patients undergoing first-time cryoablation for atrial fibrillation
Comparison
Third-generation cryoballoon catheter vs Second-generation cryoballoon catheter
Design
Cohort
Follow-up
10 months
Authors
Discussion
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Member takes
Implication
Supports similar safety/efficacy for AFA-ST vs AFA in Cryo-AF; leaves open superiority in randomized trials.
Structured PICO
Does the third-generation cryoballoon improve procedural efficacy and clinical outcomes compared to the second-generation cryoballoon in patients undergoing first-time cryoablation for atrial fibrillation?
P
Population
355 consecutive patients undergoing first-time cryoablation for atrial fibrillation (254/355 [72%] with paroxysmal AF)
I
Intervention
Third-generation cryoballoon catheter (Arctic Front Advance-Short Tip [AFA-ST])
C
Comparator
Second-generation cryoballoon catheter (Arctic Front Advance [AFA])
O
Outcome
Procedural safety and efficacy, and short- and long-term clinical outcomessurrogate
The third-generation cryoballoon (AFA-ST) improves the ability to assess time to pulmonary vein isolation and reduces procedure time compared to the second-generation balloon, with similar safety and long-term efficacy.
Cite This Study
Aryana et al. (2016) studied this question.