Gastric hypomotility after second-generation cryoballoon ablation-Unrecognized silent nerve injury after cryoballoon ablation.

@article{Miyazaki2017GastricHA,
  title={Gastric hypomotility after second-generation cryoballoon ablation-Unrecognized silent nerve injury after cryoballoon ablation.},
  author={Shinsuke Miyazaki and Hiroaki Nakamura and H. Taniguchi and H. Hachiya and Takamitsu Takagi and M. Igarashi and T. Kajiyama and Tomonori Watanabe and Takashi Niida and K. Hirao and Y. Iesaka},
  journal={Heart rhythm},
  year={2017},
  volume={14 5},
  pages={
          670-677
        }
}
BACKGROUND Few data are available on gastric hypomotility (GH) after cryoballoon pulmonary vein isolation. Also, the use of esophageal temperature monitoring for the prevention of endoscopically detected esophageal lesions (EDELs) is not well established. OBJECTIVE The purpose of this study was to investigate GH and the impact of an esophageal probe on EDELs during second-generation cryoballoon ablation. METHODS One hundred four patients with paroxysmal atrial fibrillation undergoing second… Expand
Gastric Hypomotility After Luminal Esophageal Temperature Guided Second-Generation Cryoballoon Pulmonary Vein Isolation.
TLDR
The incidence of symptomatic GH was expected to be low and confirmed by abdominal radiograph, computed tomography, and gastric endoscopy, according to the latest guidelines and a probability value of P <0.1 indicated statistical significance. Expand
Correlation between asymptomatic gastroesophageal excessive transmural injury after pulmonary vein isolation and a bonus freeze protocol using the second-generation 28-mm cryoballoon for paroxysmal atrial fibrillation.
TLDR
In the patients with a bonus-freeze protocol using the 2G-CB, gastroesophageal ETIs were detected more often than in those with the non-bonus freeze protocol, in contrast, freedom from atrial fibrillation after the 2 G-CB based PVI was comparable when applying either a bonus or non- Bonuses freeze protocol. Expand
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TLDR
The cryoballoon procedure is believed to be relatively safe, but even just a simple 3-min freeze application caused severe hypoperistalsis in the present case, so operators should recognize the risk of such complications and consider a shorter freeze time instead of a fixed 3-minute freeze. Expand
Predicting factors of transmural thermal injury after cryoballoon pulmonary vein isolation
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High incidence of (ultra)low oesophageal temperatures during cryoballoon pulmonary vein isolation for atrial fibrillation
TLDR
Routine OT measurement during PVI cryoballoon therapy is recommended to prevent oesophagus-related complications and no clinically relevant relation was found between low OTs and BMI, age, sex, balloon temperature or application duration. Expand
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TLDR
The potential feasibility of additional LSPV antral cryoapplications following a conventional CB-PVI is suggested and the strategy warrants further study in more patients. Expand
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TLDR
Compared with conventional CBA, simple CBA reduced procedural time and procedural costs while providing comparable outcomes, and was characterized by the minimal procedure required to isolate pulmonary veins. Expand
Real-World Safety Profile of Atrial Fibrillation Ablation Using a Second-Generation Cryoballoon in Japan: Insight From a Large Multicenter Observational Study.
TLDR
This study had a high safety profile of 2nd-CBA despite including the early experience and high rate of adjunctive ablation, and care should be taken for air embolisms during 2 second-C BA. Expand
Complications of Cryoballoon Pulmonary Vein Isolation
TLDR
The important complications that should be noted during a CB procedure, and how to minimise the risk of complications based on the authors' experience are described. Expand
Clinical investigation of esophageal injury from cryoballoon ablation of persistent atrial fibrillation
TLDR
This work sought to thoroughly investigate the esophageal lesions (ELs) and gastric hypomotility (GH) caused by an LAPW isolation using a CB. Expand
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