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Your search keyword '"Stroker, Erwin"' showing total 3 results
Start Over Author "Stroker, Erwin" Topic cryoballoon ablation
3 results on '"Stroker, Erwin"'

1. Safety and long-term efficacy of cryoballoon ablation for atrial fibrillation in octogenarians: a multicenter experience

Author

Cecchini, Federico, Mugnai, Giacomo, Iacopino, Saverio, Abugattas, Juan Pablo, Adriaenssens, Bert, Al-Housari, Maysam, Almorad, Alexandre, Bala, Gezim, Bisignani, Antonio, de Asmundis, Carlo, De Greef, Yves, Maj, Riccardo, Osòrio, Thiago G., Pannone, Luigi, Schwagten, Bruno, Sieira, Juan, Sorgente, Antonio, Stroker, Erwin, Wolf, Michael, and Chierchia, Gian-Battista

Published
2022
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2. Single 3-minute versus Double 4-minute Freeze Strategy for Second-Generation Cryoballoon Ablation

Author

Ciconte, Giuseppe, Sieira-Moret, Juan, Hacioglu, Ebru, Mugnai, Giacomo, Di Giovanni, Giacomo, Velagic, Vedran, Saitoh, Yukio, Conte, Giulio, Irfan, Ghazala, Baltogiannis, Giannis, Hunuk, Burak, Stroker, Erwin, Brugada, Pedro, de Asmundis, Carlo, Chierchia, Jean-Baptiste, Faculty of Medicine and Pharmacy, Cardio-vascular diseases, and Clinical sciences

Subjects
Medicine(all), cryoballoon ablation, Phrenic nerve injury, Second-generation cryoballoon, paroxysmal atrial fibrillation, Pulmonary vein isolation, single freeze
Abstract

INTRODUCTION: . Second-generation cryoballoon (CB-Adv) ablation is highly effective in achieving pulmonary vein isolation (PVI) with promising mid-term clinical outcome. However, the ideal freezing strategy is still under debate. To assess the efficacy of a single 3-minutes approach compared to the conventional 4-minutes plus bonus application using CB-Adv. METHODS AND RESULTS: . One-hundred and sixty patients (67% male; mean age 58.0 ± 13.3 years) underwent PVI using CB-Adv for paroxysmal atrial fibrillation (PAF). Among 160 patients, 80 received a single 3-minutes approach (3-mns group), while the remaining 80 conventional 4-minutes plus bonus-freeze (4-mns group). Mean procedure and fluoroscopy times were 90.6 ± 15.8 and 18.3 ± 6.9 in the 4-mns Group, 75.2 ± 17.1 and 13.5 ± 8.7 in the 3-mns Group (p< 0.001, respectively). First-freeze isolation rate was 91.6% in the 4- vs 90.6% in the 3-mns group (p = 0.78). Persistent phrenic nerve palsy (PNP) occurred in 6/80 (3.5%) in the 4-mns group and 4/80 in the 3-mns group (p = 0.75). The overall freedom from ATas 2-years after the procedure was 78.1% (125/160): 77.5% (62/80 patients) in the 3-mns and 78.8% (63/80 patients) in the 4-mns Group (p = 0.82). In multivariate analysis, time to PVI and nadir temperature independently predicted ATa recurrences (p< 0.001). CONCLUSIONS: . CB-Adv ablation for PAF is highly effective resulting in 78% 2-year freedom from arrhythmic recurrences. A "single 3-minutes strategy" showed equal efficacy as compared to the conventional 4-minutes plus bonus freeze approach at 2-year follow-up, providing shorter procedure and fluoroscopy time. Nadir temperature and time to PVI were predictors of arrhythmic recurrences. "Bonus-freeze" strategy might be unnecessary. This article is protected by copyright. All rights reserved.

Published
2016

3. Single 3-Minute versus Double 4-Minute Freeze Strategy for Second-Generation Cryoballoon Ablation: A Single-Center Experience.

Author

CICONTE, GIUSEPPE, SIEIRA‐MORET, JUAN, HACIOGLU, EBRU, MUGNAI, GIACOMO, GIOVANNI, GIACOMO, VELAGIC, VEDRAN, SAITOH, YUKIO, CONTE, GIULIO, IRFAN, GHAZALA, BALTOGIANNIS, GIANNIS, HUNUK, BURAK, STROKER, ERWIN, BRUGADA, PEDRO, ASMUNDIS, CARLO, and CHIERCHIA, GIAN‐BATTISTA

Subjects
AMBULATORY electrocardiography, ATRIAL fibrillation, CHI-squared test, COMPUTED tomography, CONFIDENCE intervals, CRYOSURGERY, ECHOCARDIOGRAPHY, FISHER exact test, STATISTICAL hypothesis testing, T-test (Statistics), TRANSESOPHAGEAL echocardiography, PROPORTIONAL hazards models, RETROSPECTIVE studies, RECEIVER operating characteristic curves, DATA analysis software, DESCRIPTIVE statistics, KAPLAN-Meier estimator
Abstract

Single 3 vs. Double 4 Strategy in CB ablation Introduction Second-generation cryoballoon (CB-Adv) ablation is highly effective in achieving pulmonary vein isolation (PVI) with promising mid-term clinical outcome. However, the ideal freezing strategy is still under debate. The aim of this study was to assess the efficacy of a single 3-minute approach compared to the conventional 4-minute plus bonus application using CB-Adv. Methods and Results One hundred and sixty patients (67% male; mean age 58.0 ± 13.3 years) underwent PVI using CB-Adv for paroxysmal atrial fibrillation (PAF). Among 160 patients, 80 received a single 3-minute approach (3-mns group), while the remaining 80 conventional 4-minute plus bonus-freeze (4-mns group). Mean procedure and fluoroscopy times were 90.6 ± 15.8 and 18.3 ± 6.9 in the 4-mns group, 75.2 ± 17.1 and 13.5 ± 8.7 in the 3-mns group (P < 0.001, respectively). First-freeze isolation rate was 91.6% in the 4- versus 90.6% in the 3-mns group (P = 0.78). Persistent phrenic nerve palsy (PNP) occurred in 6/80 (3.5%) in the 4-mns group and 4/80 in the 3-mns group (P = 0.75). The overall freedom from ATas 2 years after the procedure was 78.1% (125/160): 77.5% (62/80 patients) in the 3-mns and 78.8% (63/80 patients) in the 4-mns group (P = 0.82). In multivariate analysis, time to PVI and nadir temperature independently predicted ATa recurrences (P < 0.001). Conclusions CB-Adv ablation for PAF is highly effective, resulting in 78% 2-year freedom from arrhythmic recurrences. A 'single 3-minute strategy' showed equal efficacy as compared to the conventional 4-minute plus bonus freeze approach at 2-year follow-up, providing shorter procedure and fluoroscopy time. Nadir temperature and time to PVI were predictors of arrhythmic recurrences. 'Bonus-freeze' strategy might be unnecessary. [ABSTRACT FROM AUTHOR]

Published
2016
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