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40 views3 pages

Crioablacion

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api-703195004
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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UNIVERSITY OF SANTANDER

SURGICAL PRACTICE OF THE HEART


INSTITUTE

Cryoablation
Teacher:
LIDY HIGUERA
Student:
ANA MARIA BOTHIA
01200022011

SURGICAL INSTRUMENTATION
SEVENTH SEMESTER
2023
Cryoablation
Abstract:
Atrial fibrillation (AF) is the most prevalent arrhythmia (1-2%) in the general population,
increasing the risk of stroke by 5 times and impacting the quality of life while elevating
morbidity and mortality in affected patients. Electrical isolation of the pulmonary veins (PV)
or other trigger foci constitutes a curative treatment for patients with paroxysmal atrial
fibrillation (PAF) who remain symptomatic with medical therapy, aiming to reduce
hospitalizations and potentially improve survival. Radiofrequency (RF) point-by-point PV
isolation has shown significant success in treating PAF but is associated with major
complications such as embolisms, cardiac tamponade, injury to neighboring organs or
structures (esophagus, phrenic nerve, aorta), and PV stenosis. Additionally, the procedure is
complex, time-consuming, and long-term outcomes heavily rely on the operator's
experience in achieving continuous linear lesions.

Recently introduced cryoballoon ablation (CBA) for PAF has demonstrated decreased
procedure and fluoroscopy times, with efficacy comparable to RF. Cold-induced lesions are
less thrombogenic, displaying more defined lesions that enhance catheter stability by
adhering to the contact surface. In terms of safety, CBA did not prove superiority over RF,
even introducing a nearly exclusive complication—phrenic nerve injury, reported with a
prevalence of 11% to 24%, potentially leading to permanent diaphragmatic paralysis.

Link: http://www.scielo.org.ar/scielo.php?pid=S1850-
37482015000500010&script=sci_arttext

Questions:
1. What is a major complication associated with radiofrequency point-by-point PV
isolation?
a) Cardiac tamponade
b) Phrenic nerve injury
c) PV stenosis
d) Embolisms

2. What is a potential advantage of cryoballoon ablation (CBA) over radiofrequency


(RF) in atrial fibrillation treatment?
a) Longer procedure time
b) Greater thrombogenicity
c) Less fluoroscopy use
d) Decreased catheter stability

3. In terms of safety, cryoballoon ablation (CBA) did not show superiority over RF
except for which complication?
a) PV stenosis
b) Cardiac tamponade
c) Aorta injury
d) Phrenic nerve injury

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