Preventing Phrenic Nerve Injury During Second Generation Cryoballoon Ablation

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Clinical experience with a novel electromyographic approach to preventing phrenic nerve injury during cryoballoon ablation in atrial fibrillation.

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Electromyographic monitoring for prevention of phrenic nerve palsy in second-generation cryoballoon procedures.

BACKGROUND Electromyography-guided phrenic nerve (PN) monitoring using a catheter positioned in a hepatic vein can aid in preventing phrenic nerve palsy (PNP) during cryoballoon ablation for atrial fibrillation. We wanted to evaluate the feasibility and efficacy of PN monitoring during procedures using second-generation cryoballoons. METHODS AND RESULTS This study included 140 patients (43 wo...

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Novel electromyographic monitoring technique for prevention of right phrenic nerve palsy during cryoballoon ablation.

BACKGROUND Right phrenic nerve palsy (PNP) is the most frequent complication of cryoballoon ablation. Diaphragmatic electromyography can predict PNP with a comfortable safety margin. Our goal was to evaluate the feasibility, efficacy, and safety of electromyography-guided PN monitoring using a novel hepatic vein approach for prevention of PNP. METHODS AND RESULTS This study includes 57 patien...

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Pulmonary Vein Stenosis After Second-Generation Cryoballoon Ablation.

BACKGROUND Pulmonary vein stenosis (PVST) can occur after first-generation cryoballoon ablation. This study aimed to evaluate the incidence, severity, and characteristics of PVST after second-generation cryoballoon ablation. METHODS In total, 103 patients underwent PV isolation of paroxysmal atrial fibrillation using second-generation cryoballoons with a single big-balloon 3-minute freeze tec...

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Phrenic Nerve Injury After Catheter Ablation of Atrial Fibrillation

UNLABELLED Phrenic Nerve Injury (PNI) has been well studied by cardiac surgeons. More recently it has been recognized as a potential complication of catheter ablation with a prevalence of 0.11 to 0.48 % after atrial fibrillation (AF) ablation. This review will focus on PNI after AF ablation. Anatomical studies have shown a close relationship between the right phrenic nerve and it's proximity to...

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ژورنال

عنوان ژورنال: JACC: Clinical Electrophysiology

سال: 2016

ISSN: 2405-500X

DOI: 10.1016/j.jacep.2016.03.011