Use of the cryoballoon to ablate pulmonary vein-dependent left atrial flutter

Pacing Clin Electrophysiol. 2019 Dec;42(12):1589-1593. doi: 10.1111/pace.13826. Epub 2019 Nov 11.

Abstract

New atrial flutter (AFL) that arises after pulmonary vein isolation (PVI) by catheter or surgical ablation can originate from reconnection of a pulmonary vein (PV). Reisolation of PVs with cryoballoon ablation (CBA) for treatment of peri-PV AFL after Maze or PVI has not previously been reported. The present case series describes use of CBA to treat post-PVI and post-Maze PV-dependent AFL. In these cases, CBA was used to reisolate the PVs and terminate AFL without requiring additional lesion sets for treatment of AFL.

Keywords: ablation; atrial flutter; cryoballoon.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Atrial Flutter / surgery*
  • Catheter Ablation / instrumentation*
  • Cryosurgery / instrumentation*
  • Electrocardiography
  • Electrophysiologic Techniques, Cardiac
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pulmonary Veins / surgery*