title: Best practice guide for cryoballoon ablation in atrial fibrillation: The compilation experience of more than 3000 procedures.
abstract: BACKGROUND
  Since the release of the second-generation cryoballoon (CB2; Arctic Front Advance(TM), Medtronic Inc) and its design modifications with improved cooling characteristics, the technique, dosing, and complication profile is significantly different from that of the first-generation cryoballoon. A comprehensive report of CB2 procedural recommendations has not been reported.
  
  
  OBJECTIVE
  The purpose of this study was to review the current best practices from a group of experienced centers to create a user's consensus guide for CB2 ablation.
  
  
  RESULTS
  High-volume operators with a combined experience of more than 3000 CB2 cases were interviewed, and consensus for technical and procedural best practice was established.
  
  
  CONCLUSIONS
  Comprehensive review of the CB2 ablation best practice guide will provide a detailed technique for achieving safer and more effective outcomes for CB2 atrial fibrillation ablation.
authors.affiliation: Banner University Medical Center, Phoenix, Arizona. Electronic address: wilwsu@gmail.com.
authors.forename: Wilber
authors.initials: W
authors.lastname: Su
authors.affiliation: Baylor Heart and Vascular Hospital, Dallas, Texas.
authors.forename: Robert
authors.initials: R
authors.lastname: Kowal
authors.affiliation: Staten Island University Hospital, Staten Island, New York.
authors.forename: Marcin
authors.initials: M
authors.lastname: Kowalski
authors.affiliation: Department of Cardiology, Asklepios-Klinik St. Georg, Hamburg, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Metzner
authors.affiliation: Colorado Heart & Vascular, Denver, Colorado.
authors.forename: J Thomas
authors.initials: JT
authors.lastname: Svinarich
authors.affiliation: Baylor Heart and Vascular Hospital, Dallas, Texas.
authors.forename: Kevin
authors.initials: K
authors.lastname: Wheelan
authors.affiliation: Stanford University, Palo Alto, California.
authors.forename: Paul
authors.initials: P
authors.lastname: Wang
mesh_terms: D001281:Atrial Fibrillation / Q000601:surgery*; D057791:Cardiac Imaging Techniques / Q000379:methods; D017115:Catheter Ablation / Q000379:methods*; D003452:Cryosurgery / Q000379:methods*; D006801:Humans; D011667:Pulmonary Veins / Q000601:surgery; D016896:Treatment Outcome
keywords: Atrial fibrillation; Balloon; Cryoablation; Cryoballoon; Paroxysmal atrial fibrillation; Phrenic nerve; Practice guidelines; Pulmonary vein isolation; Second-generation cryoballoon