Cryoablation Versus Radiofrequency Energy for the Ablation of Atrioventricular Nodal Reentrant Tachycardia (the CYRANO Study)

DOI Web Site 被引用文献2件
  • Isabel Deisenhofer
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Bernhard Zrenner
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Yue-hui Yin
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Heinz-Friedrich Pitschner
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Malte Kuniss
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Georg Großmann
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Sascha Stiller
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Armin Luik
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Christian Veltmann
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Julia Frank
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Julia Linner
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Heidi L. Estner
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Andreas Pflaumer
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Jinjin Wu
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Christian von Bary
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Ekrem Ücer
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Tilko Reents
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Stylianos Tzeis
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Stephanie Fichtner
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Susanne Kathan
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Martin R. Karch
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Clemens Jilek
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Sonia Ammar
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Christof Kolb
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Zeng-Chang Liu
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Bernhard Haller
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Claus Schmitt
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
  • Gabriele Hessling
    From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...

書誌事項

タイトル別名
  • Results From a Large Multicenter Prospective Randomized Trial

抄録

<jats:sec> <jats:title>Background—</jats:title> <jats:p>Cryoablation has emerged as an alternative to radiofrequency catheter ablation (RFCA) for the treatment of atrioventricular (AV) nodal reentrant tachycardia (AVNRT). The purpose of this prospective randomized study was to test whether cryoablation is as effective as RFCA during both short-term and long-term follow-up with a lower risk of permanent AV block.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods and Results—</jats:title> <jats:p> A total of 509 patients underwent slow pathway cryoablation (n=251) or RFCA (n=258). The primary end point was immediate ablation failure, permanent AV block, and AVNRT recurrence during a 6-month follow-up. Secondary end points included procedural parameters, device functionality, and pain perception. Significantly more patients in the cryoablation group than the RFCA group reached the primary end point (12.6% versus 6.3%; <jats:italic>P</jats:italic> =0.018). Whereas immediate ablation success (96.8% versus 98.4%) and occurrence of permanent AV block (0% versus 0.4%) did not differ, AVNRT recurrence was significantly more frequent in the cryoablation group (9.4% versus 4.4%; <jats:italic>P</jats:italic> =0.029). In the cryoablation group, procedure duration was longer (138±54 versus 123±48 minutes; <jats:italic>P</jats:italic> =0.0012) and more device problems occurred (13 versus 2 patients; <jats:italic>P</jats:italic> =0.033). Pain perception was lower in the cryoablation group ( <jats:italic>P</jats:italic> <0.001). </jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions—</jats:title> <jats:p>Cryoablation for AVNRT is as effective as RFCA over the short term but is associated with a higher recurrence rate at the 6-month follow-up. The risk of permanent AV block does not differ significantly between cryoablation and RFCA. The potential benefits of cryoenergy relative to ablation safety and pain perception are counterbalanced by longer procedure times, more device problems, and a high recurrence rate.</jats:p> </jats:sec> <jats:sec> <jats:title>Clinical Trial Registration—</jats:title> <jats:p> URL: <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov">http://www.clinicaltrials.gov</jats:ext-link> . Unique identifier: NCT00196222. </jats:p> </jats:sec>

収録刊行物

  • Circulation

    Circulation 122 (22), 2239-2245, 2010-11-30

    Ovid Technologies (Wolters Kluwer Health)

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