Radiofrequency Balloon Devices for Atrial Fibrillation Ablation

Carola Gianni; Qiong Chen; Domenico Della Rocca; Uğur Canpolat; Hüseyin Ayhan; Bryan MacDonald; Sanghamitra Mohanty; Chintan Trivedi; Andrea Natale; Amin Al-Ahmad

doi:10.1016/j.ccep.2019.05.009

Radiofrequency Balloon Devices for Atrial Fibrillation Ablation

Card Electrophysiol Clin. 2019 Sep;11(3):487-493. doi: 10.1016/j.ccep.2019.05.009.

Authors

Affiliations

¹ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA.
² Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA; Department of Cardiopulmonary Function Test, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, China.
³ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA; Arrhythmia and Electrophysiology Unit, Department of Cardiology, Hacettepe University, Ankara, Turkey.
⁴ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA; Department of Cardiology, Faculty of Medicine, Yıldırım Beyazıt University, Ankara, Turkey.
⁵ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA; Dell Medical School, University of Texas, Austin, TX, USA.
⁶ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA; Dell Medical School, University of Texas, Austin, TX, USA; Department of Biomedical Engineering, University of Texas, Austin, TX, USA; Interventional Electrophysiology, Scripps Clinic, La Jolla, CA, USA; MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA; Division of Cardiology, Stanford University, Stanford, CA, USA.
⁷ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA. Electronic address: aalahmadmd@gmail.com.

PMID: 31400873
DOI: 10.1016/j.ccep.2019.05.009

Abstract

Despite technological advancements, radiofrequency catheter ablation for pulmonary vein isolation remains a challenging procedure, as maneuvering the catheter to obtain effective lesions is technically complex and time consuming. For this reason, balloon-based ablation systems have been developed, which can quickly and easily isolate the pulmonary veins (single-shot), with outcomes comparable with point-by-point catheter ablation in the paroxysmal atrial fibrillation population. In this review, we discuss 3 balloon-based devices that use radiofrequency to obtain permanent lesions, a relatively emerging technology that may pose as an alternative option to cryoenergy or laser for single-shot pulmonary vein isolation.

Keywords: Atrial fibrillation; Balloon-based ablation; Pulmonary vein isolation; Radiofrequency.

Publication types

Review

MeSH terms

Atrial Fibrillation / surgery*
Catheter Ablation / instrumentation*
Catheter Ablation / methods
Catheters
Equipment Design
Humans