Lim HE, Oh IY, Kueffer FJ, van Bragt KA, On YK. Cryoballoon Catheter Ablation in Korean Patients With Paroxysmal and Persistent Atrial Fibrillation: One Year Outcome From the Cryo Global Registry.
Korean Circ J 2022;
52:755-767. [PMID:
36097833 PMCID:
PMC9551230 DOI:
10.4070/kcj.2022.0127]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/28/2022] [Accepted: 07/20/2022] [Indexed: 12/12/2022] Open
Abstract
Catheter ablation using the cryoballoon is a well-established treatment strategy for patients with atrial fibrillation (AF). To our knowledge, the current sub-analysis of the Cryo Global Registry is the first multicenter study describing the outcomes of cryoballoon ablation (CBA) in real-world Korea clinical practice. Overall, 299 patients were enrolled in 3 Korean centers. Safety, efficacy, healthcare utilization, and arrhythmia disease burden outcomes were assessed. This study demonstrated that CBA according to standard-of-care usage in Korea is safe and effective in preventing AF recurrence, repeat ablation, cardiovascular-related hospitalization, and AF-related symptoms at 12 months after the index ablation.
Background and Objectives
Cryoballoon catheter ablation for the treatment of patients with symptomatic atrial fibrillation (AF) has been adopted globally, but there are limited multicenter reports of 12-month outcomes in the Korean patient population. This analysis evaluated the clinical performance and safety of cryoballoon ablation (CBA) according to standard-of-care practices in Korea.
Methods
This evaluation of Korean patients with AF was conducted within the larger Cryo Global Registry, which is a prospective, multicenter, post-market registry. Freedom from a ≥30-second recurrence of atrial arrhythmias (after a 90-day blanking period until 12 months) and procedural safety were examined in subjects treated with CBA at 3 Korean centers.
Results
Overall, 299 patients with AF (60±11 years old, 24.7% female, 50.5% paroxysmal AF) underwent CBA using the Arctic Front Advance cryoballoon. Of those, 298 were followed-up for at least 12 months. Mean procedure-, left atrial dwell- and fluoroscopy time was 76±21 minutes, 56±23 minutes, and 27±23 minutes, respectively. Freedom from AF recurrence at 12 months was 83.9% (95% confidence interval [CI], 76.9–88.9%) in the paroxysmal and 61.6% (95% CI, 53.1–69.0%) in the persistent AF cohort. Rhythm monitoring was performed on average 4.7±1.4 times during the follow-up period. Serious device- or procedure-related adverse events occurred in 2 patients (0.7%). The 12-month Kaplan-Meier estimate of freedom from repeat ablation and cardiovascular-related hospitalization was 93.8% (95% CI, 90.4–96.1%) and 89.7% (95% CI, 85.6–92.7%), respectively.
Conclusions
CBA is an efficient, effective, and safe procedure for the treatment of AF patients when used according to real-world practices in Korea.
Trial Registration
ClinicalTrials.gov Identifier: NCT02752737
Collapse