Japan ablation registry: cryoablation in atrioventricular nodal reentrant tachycardia (“JARCANRET study”): results from large multicenter retrospective investigation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-07-31

AUTHORS

Kaoru Okishige, Ken Okumura, Takuo Tsurugi, Akihiko Yotsukura, Tadafumi Nanbu, Hirotaka Sugiura, Akiko Sanada, Yusuke Kondo, Masahiro Takano, Takehiko Keida, Masaki Fujita, Hiroki Kamiya, Kunihiko Tsuchiya, Kazumasa Adachi, Yukinori Katoh, Kenichi Hiroshima, Kei Yamamoto, Keiichi Ashikaga, Tadashi Hoshiyama, Tetsuo Sasano, Kenzo Hirao

ABSTRACT

PurposeCryoenergy has been demonstrated to be a safe alternative to radiofrequency ablation for catheter ablation of atrioventricular nodal reentrant tachycardia (AVNRT). This study aimed to evaluate the safety and efficacy of cryoablation in patients with AVNRT.MethodsA multicenter retrospective study was performed. Two hundred eighty-three consecutive patients with AVNRT underwent cryoablation. Cryomapping at − 30 °C and − 80 °C was performed to predict cryoablation outcome and ascertain antegrade conduction. Cryoenergy was delivered subsequently at the same spot (cryoablation at − 80 °C) for 240 s.ResultsAblation procedure was acutely successful in 281 out of 283 patients (99.3%). Of note, 22 patients (10.1%) had transient AV block during the cryoablation, but no injurious effects on AV conduction were provoked during cryomapping. During a follow-up period of 367 ± 35 days, the recurrence rate was 3.9% (11 out of 281). There were no significant differences among the patients with a complete elimination of slow pathway conduction, AH jump without an echo beat, and AH jump with a single echo beat, in terms of the long-term recurrence of AVNRT.ConclusionsCryoablation of AVNRT appears to be effective both acutely and during the long-term with a minimal risk of unwanted injuries to the conduction system. It seems to be important to monitor the antegrade conduction during cryoenergy applications, even when cryomapping demonstrates a safe location for cryoablation. The recurrence rate of AVNRT did not differ according to the properties of the residual slow pathway conduction. More... »

PAGES

289-297

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10840-019-00585-0

DOI

http://dx.doi.org/10.1007/s10840-019-00585-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1120009312

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31367961


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17 schema:description PurposeCryoenergy has been demonstrated to be a safe alternative to radiofrequency ablation for catheter ablation of atrioventricular nodal reentrant tachycardia (AVNRT). This study aimed to evaluate the safety and efficacy of cryoablation in patients with AVNRT.MethodsA multicenter retrospective study was performed. Two hundred eighty-three consecutive patients with AVNRT underwent cryoablation. Cryomapping at − 30 °C and − 80 °C was performed to predict cryoablation outcome and ascertain antegrade conduction. Cryoenergy was delivered subsequently at the same spot (cryoablation at − 80 °C) for 240 s.ResultsAblation procedure was acutely successful in 281 out of 283 patients (99.3%). Of note, 22 patients (10.1%) had transient AV block during the cryoablation, but no injurious effects on AV conduction were provoked during cryomapping. During a follow-up period of 367 ± 35 days, the recurrence rate was 3.9% (11 out of 281). There were no significant differences among the patients with a complete elimination of slow pathway conduction, AH jump without an echo beat, and AH jump with a single echo beat, in terms of the long-term recurrence of AVNRT.ConclusionsCryoablation of AVNRT appears to be effective both acutely and during the long-term with a minimal risk of unwanted injuries to the conduction system. It seems to be important to monitor the antegrade conduction during cryoenergy applications, even when cryomapping demonstrates a safe location for cryoablation. The recurrence rate of AVNRT did not differ according to the properties of the residual slow pathway conduction.
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23 schema:keywords AH
24 AH jump
25 AV block
26 AV conduction
27 ConclusionsCryoablation
28 MethodsA multicenter retrospective study
29 ablation
30 alternative
31 antegrade conduction
32 applications
33 atrioventricular nodal reentrant tachycardia
34 beats
35 block
36 catheter ablation
37 complete elimination
38 conduction
39 conduction system
40 consecutive patients
41 cryoablation
42 cryoablation outcome
43 cryoenergy
44 cryoenergy application
45 days
46 differences
47 echo beats
48 effect
49 efficacy
50 efficacy of cryoablation
51 elimination
52 injurious effects
53 injury
54 investigation
55 jump
56 location
57 long-term recurrence
58 minimal risk
59 multicenter retrospective investigation
60 multicenter retrospective study
61 nodal reentrant tachycardia
62 note
63 outcomes
64 pathway conduction
65 patients
66 period
67 procedure
68 properties
69 radiofrequency ablation
70 rate
71 recurrence
72 recurrence rate
73 reentrant tachycardia
74 residual slow pathway conduction
75 results
76 retrospective investigation
77 retrospective study
78 risk
79 safe alternative
80 safe location
81 safety
82 same spot
83 significant differences
84 single echo beats
85 slow pathway conduction
86 spots
87 study
88 system
89 tachycardia
90 terms
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92 underwent cryoablation
93 unwanted injuries
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