title: Left atrial substrate ablation in addition to pulmonary vein isolation in paroxysmal atrial fibrillation using a large 28-mm cryoballoon.
abstract: We report a case of successful isolation of all pulmonary veins (PV) for symptomatic paroxysmal atrial fibrillation using a 23-mm cryoballoon with continued paroxysmal atrial fibrillation during a 3-month follow-up. Left atrial-to-PV-junction ablation was then performed 3 months after the first procedure using a larger 28-mm balloon despite unrecovered isolation of all four PV, thereby curing symptomatic atrial fibrillation in this case.
authors.affiliation: Department of Cardiovascular Medicine, Hannover Medical School, Hannover, Germany. hanno_oswald@gmx.de
authors.forename: Hanno
authors.initials: H
authors.lastname: Oswald
authors.forename: Ajmal
authors.initials: A
authors.lastname: Gardiwal
authors.forename: Ulrich
authors.initials: U
authors.lastname: Lüsebrink
authors.forename: Gunnar
authors.initials: G
authors.lastname: Klein
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000601:surgery*; D018780:Body Surface Potential Mapping; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D003452:Cryosurgery / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D006325:Heart Atria / Q000601:surgery*; D006329:Heart Conduction System / Q000601:surgery*; D006801:Humans; D008297:Male; D011667:Pulmonary Veins / Q000601:surgery*; D016896:Treatment Outcome