Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation

Ankit Jain; Chun Chao Chen; Shih Lin Chang; Yenn Jiang Lin; Li Wei Lo; Yu Feng Hu; Fa Po Chung; Chin Yu Lin; Ting Yung Chang; Ta Chuan Tuan; Tze Fan Chao; Jo Nan Liao; Chih Min Liu; Cheng I. Wu; Chye Gen Chin; Wen Han Cheng; Shin Huei Liu; Ching Yao Chou; Isaiah C. Lugtu; Shih Ann Chen

doi:10.1016/j.ipej.2023.04.001

Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation

Ankit Jain, Chun Chao Chen, Shih Lin Chang, Yenn Jiang Lin, Li Wei Lo, Yu Feng Hu, Fa Po Chung, Chin Yu Lin, Ting Yung Chang, Ta Chuan Tuan, Tze Fan Chao, Jo Nan Liao, Chih Min Liu, Cheng I. Wu, Chye Gen Chin, Wen Han Cheng, Shin Huei Liu, Ching Yao Chou, Isaiah C. Lugtu, Shih Ann Chen

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Background: High-power short-duration (HPSD) and cryoballoon ablation (CBA) has been used for pulmonary vein isolation (PVI). Objective: We aimed to compare the efficacy of PVI between CBA and HPSD ablation in patients with paroxysmal atrial fibrillation (PAF). Methods: We retrospectively analyzed 251 consecutive PAF patients from January 2018 to July 2020. Of them, 124 patients (mean age 57.2 ± 10.1 year) received HPSD and 127 patients (mean age 59.6 ± 9.4 year) received CBA. In HPSD group, the radiofrequency energy was set as 50 W/10 s at anterior wall and 40 W/10 s at posterior wall. In CBA group, 28 mm s generation cryoballoon was used for PVI according the guidelines. Results: There was no significant difference in baseline characteristics between these 2 groups. The time to achieve PVI was significantly shorter in cryoballoon ablation group than in HPSD group (20.6 ± 1.7 min vs 51.8 ± 36.3, P = 0.001). The 6-month overall recurrence for atrial tachyarrhythmias was not significantly different between the two groups (HPSD:14.50% vs CBA:11.0%, P = 0.40). There were different types of recurrent atrial tachyarrhythmia between these 2 groups. Recurrence as atrial flutter was significantly more common in CBA group compared to HPSD group (57.1% vs 12.5%, P = 0.04). Conclusion: In PAF patients, CBA and HPSD had a favourable and comparable outcome. The recurrence pattern was different between CBA and HPSD groups.

Original language	English
Pages (from-to)	110-115
Number of pages	6
Journal	Indian Pacing and Electrophysiology Journal
Volume	23
Issue number	4
DOIs	https://doi.org/10.1016/j.ipej.2023.04.001
Publication status	Published - Jul 1 2023

Keywords

Atrial fibrillation
Cryoballoon ablation
High power short duration ablation
Pulmonary vein isolation
Recurrence

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.ipej.2023.04.001

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Jain, A., Chen, C. C., Chang, S. L., Lin, Y. J., Lo, L. W., Hu, Y. F., Chung, F. P., Lin, C. Y., Chang, T. Y., Tuan, T. C., Chao, T. F., Liao, J. N., Liu, C. M., Wu, C. I., Chin, C. G., Cheng, W. H., Liu, S. H., Chou, C. Y., Lugtu, I. C., & Chen, S. A. (2023). Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation. Indian Pacing and Electrophysiology Journal, 23(4), 110-115. https://doi.org/10.1016/j.ipej.2023.04.001

Jain, A, Chen, CC, Chang, SL, Lin, YJ, Lo, LW, Hu, YF, Chung, FP, Lin, CY, Chang, TY, Tuan, TC, Chao, TF, Liao, JN, Liu, CM, Wu, CI, Chin, CG, Cheng, WH, Liu, SH, Chou, CY, Lugtu, IC & Chen, SA 2023, 'Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation', Indian Pacing and Electrophysiology Journal, vol. 23, no. 4, pp. 110-115. https://doi.org/10.1016/j.ipej.2023.04.001

@article{2fbe8904f9bd44bea76490daf5f95053,

title = "Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation",

abstract = "Background: High-power short-duration (HPSD) and cryoballoon ablation (CBA) has been used for pulmonary vein isolation (PVI). Objective: We aimed to compare the efficacy of PVI between CBA and HPSD ablation in patients with paroxysmal atrial fibrillation (PAF). Methods: We retrospectively analyzed 251 consecutive PAF patients from January 2018 to July 2020. Of them, 124 patients (mean age 57.2 ± 10.1 year) received HPSD and 127 patients (mean age 59.6 ± 9.4 year) received CBA. In HPSD group, the radiofrequency energy was set as 50 W/10 s at anterior wall and 40 W/10 s at posterior wall. In CBA group, 28 mm s generation cryoballoon was used for PVI according the guidelines. Results: There was no significant difference in baseline characteristics between these 2 groups. The time to achieve PVI was significantly shorter in cryoballoon ablation group than in HPSD group (20.6 ± 1.7 min vs 51.8 ± 36.3, P = 0.001). The 6-month overall recurrence for atrial tachyarrhythmias was not significantly different between the two groups (HPSD:14.50% vs CBA:11.0%, P = 0.40). There were different types of recurrent atrial tachyarrhythmia between these 2 groups. Recurrence as atrial flutter was significantly more common in CBA group compared to HPSD group (57.1% vs 12.5%, P = 0.04). Conclusion: In PAF patients, CBA and HPSD had a favourable and comparable outcome. The recurrence pattern was different between CBA and HPSD groups.",

keywords = "Atrial fibrillation, Cryoballoon ablation, High power short duration ablation, Pulmonary vein isolation, Recurrence",

author = "Ankit Jain and Chen, {Chun Chao} and Chang, {Shih Lin} and Lin, {Yenn Jiang} and Lo, {Li Wei} and Hu, {Yu Feng} and Chung, {Fa Po} and Lin, {Chin Yu} and Chang, {Ting Yung} and Tuan, {Ta Chuan} and Chao, {Tze Fan} and Liao, {Jo Nan} and Liu, {Chih Min} and Wu, {Cheng I.} and Chin, {Chye Gen} and Cheng, {Wen Han} and Liu, {Shin Huei} and Chou, {Ching Yao} and Lugtu, {Isaiah C.} and Chen, {Shih Ann}",

note = "Publisher Copyright: {\textcopyright} 2023 Indian Heart Rhythm Society",

year = "2023",

month = jul,

day = "1",

doi = "10.1016/j.ipej.2023.04.001",

language = "English",

volume = "23",

pages = "110--115",

journal = "Indian Pacing and Electrophysiology Journal",

issn = "0972-6292",

publisher = "Indian Pacing and Electrophysiology Group",

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TY - JOUR

T1 - Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation

AU - Jain, Ankit

AU - Chen, Chun Chao

AU - Chang, Shih Lin

AU - Lin, Yenn Jiang

AU - Lo, Li Wei

AU - Hu, Yu Feng

AU - Chung, Fa Po

AU - Lin, Chin Yu

AU - Chang, Ting Yung

AU - Tuan, Ta Chuan

AU - Chao, Tze Fan

AU - Liao, Jo Nan

AU - Liu, Chih Min

AU - Wu, Cheng I.

AU - Chin, Chye Gen

AU - Cheng, Wen Han

AU - Liu, Shin Huei

AU - Chou, Ching Yao

AU - Lugtu, Isaiah C.

AU - Chen, Shih Ann

PY - 2023/7/1

Y1 - 2023/7/1

N2 - Background: High-power short-duration (HPSD) and cryoballoon ablation (CBA) has been used for pulmonary vein isolation (PVI). Objective: We aimed to compare the efficacy of PVI between CBA and HPSD ablation in patients with paroxysmal atrial fibrillation (PAF). Methods: We retrospectively analyzed 251 consecutive PAF patients from January 2018 to July 2020. Of them, 124 patients (mean age 57.2 ± 10.1 year) received HPSD and 127 patients (mean age 59.6 ± 9.4 year) received CBA. In HPSD group, the radiofrequency energy was set as 50 W/10 s at anterior wall and 40 W/10 s at posterior wall. In CBA group, 28 mm s generation cryoballoon was used for PVI according the guidelines. Results: There was no significant difference in baseline characteristics between these 2 groups. The time to achieve PVI was significantly shorter in cryoballoon ablation group than in HPSD group (20.6 ± 1.7 min vs 51.8 ± 36.3, P = 0.001). The 6-month overall recurrence for atrial tachyarrhythmias was not significantly different between the two groups (HPSD:14.50% vs CBA:11.0%, P = 0.40). There were different types of recurrent atrial tachyarrhythmia between these 2 groups. Recurrence as atrial flutter was significantly more common in CBA group compared to HPSD group (57.1% vs 12.5%, P = 0.04). Conclusion: In PAF patients, CBA and HPSD had a favourable and comparable outcome. The recurrence pattern was different between CBA and HPSD groups.

AB - Background: High-power short-duration (HPSD) and cryoballoon ablation (CBA) has been used for pulmonary vein isolation (PVI). Objective: We aimed to compare the efficacy of PVI between CBA and HPSD ablation in patients with paroxysmal atrial fibrillation (PAF). Methods: We retrospectively analyzed 251 consecutive PAF patients from January 2018 to July 2020. Of them, 124 patients (mean age 57.2 ± 10.1 year) received HPSD and 127 patients (mean age 59.6 ± 9.4 year) received CBA. In HPSD group, the radiofrequency energy was set as 50 W/10 s at anterior wall and 40 W/10 s at posterior wall. In CBA group, 28 mm s generation cryoballoon was used for PVI according the guidelines. Results: There was no significant difference in baseline characteristics between these 2 groups. The time to achieve PVI was significantly shorter in cryoballoon ablation group than in HPSD group (20.6 ± 1.7 min vs 51.8 ± 36.3, P = 0.001). The 6-month overall recurrence for atrial tachyarrhythmias was not significantly different between the two groups (HPSD:14.50% vs CBA:11.0%, P = 0.40). There were different types of recurrent atrial tachyarrhythmia between these 2 groups. Recurrence as atrial flutter was significantly more common in CBA group compared to HPSD group (57.1% vs 12.5%, P = 0.04). Conclusion: In PAF patients, CBA and HPSD had a favourable and comparable outcome. The recurrence pattern was different between CBA and HPSD groups.

KW - Atrial fibrillation

KW - Cryoballoon ablation

KW - High power short duration ablation

KW - Pulmonary vein isolation

KW - Recurrence

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JO - Indian Pacing and Electrophysiology Journal

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ER -

Comparison of efficacy of pulmonary vein isolation between cryoballoon ablation and high-power short-duration ablation

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Keywords

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