Efficacy and safety in patients treated with a novel radiofrequency balloon: a two centres experience from the AURORA collaboration Article Swipe
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· 2023
· Open Access
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· DOI: https://doi.org/10.1093/europace/euad106
Aims A novel irrigated radiofrequency (RF) balloon (RFB) for pulmonary vein (PV) isolation (PVI) was released in selected centres. We pooled the procedural data on efficacy and safety of RFB-PVI from two high volume German centres. Methods and results Consecutive patients with RFB procedures were enrolled. A 3D electroanatomical left atrial map guided the RFB navigation. Every RF delivery lasted 60 s, and duration was automatically reduced to 20 s for electrodes facing the posterior wall. Procedural data and post-procedural endoscopy data (<48 h) were analysed. Data from 140 patients were collected (57% male, 67 ± 11 years, 57% paroxysmal atrial fibrillation). There were 547 PVs identified, and 99.1% could be isolated using solely the RFB. Single-shot PVI was recorded in 330/547 (60%) PVs. Median time to isolation during the first application was 10 s (IQR 8–13). A total of 2.1 ± 1.8 applications per PV were delivered, with the left superior PV requiring more application compared to other PVs. Median procedure and fluoroscopy time were 77 min (61–99) and 13 min (10–17), respectively. Major safety events were recorded only in the first 25 cases at each centre and included 1/140(0.7%) cardiac tamponade, 1/140(0.7%) phrenic nerve palsy, and 2/140 strokes (1.4%). An oesophageal temperature rise was recorded in 81/547 (15%) PVs, and endoscopy detected oesophageal lesions in 7/85 (8%) patients undergoing endoscopy. Conclusion The RFB showed a high efficacy allowing for fast PVI procedures, and 60% of PVs could be isolated at the first application. Most safety events were recorded during the learning phase. An oesophageal temperature monitoring is suggested: oesophageal lesions were detected in 8% of patients.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/europace/euad106
- https://academic.oup.com/europace/article-pdf/25/5/euad106/50487665/euad106.pdf
- OA Status
- hybrid
- Cited By
- 16
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4367307769
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4367307769Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/europace/euad106Digital Object Identifier
- Title
-
Efficacy and safety in patients treated with a novel radiofrequency balloon: a two centres experience from the AURORA collaborationWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-04-28Full publication date if available
- Authors
-
Stefano Bordignon, Ilaria My, Shota Tohoku, Andreas Rillig, David Schaack, Shaojie Chen, Bruno Reißmann, Lukas Urbanek, Jun Hirokami, Tolga Han Efe, Ramin Ebrahimi, Mahi Butt, Feifan Ouyang, K. R. Julian Chun, Andreas Metzner, Boris SchmidtList of authors in order
- Landing page
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https://doi.org/10.1093/europace/euad106Publisher landing page
- PDF URL
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https://academic.oup.com/europace/article-pdf/25/5/euad106/50487665/euad106.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/europace/article-pdf/25/5/euad106/50487665/euad106.pdfDirect OA link when available
- Concepts
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Medicine, Pulmonary vein, Fluoroscopy, Balloon, Atrial fibrillation, Tamponade, Surgery, CardiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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16Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 5, 2023: 7Per-year citation counts (last 5 years)
- References (count)
-
22Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.2.1 | 141 |
| abstract_inverted_index.547 | 105 |
| abstract_inverted_index.57% | 99 |
| abstract_inverted_index.60% | 236 |
| abstract_inverted_index.PVI | 118, 233 |
| abstract_inverted_index.PVs | 106, 238 |
| abstract_inverted_index.RFB | 43, 55, 225 |
| abstract_inverted_index.The | 224 |
| abstract_inverted_index.and | 27, 38, 63, 79, 108, 163, 170, 189, 198, 212, 235 |
| abstract_inverted_index.for | 9, 71, 231 |
| abstract_inverted_index.map | 52 |
| abstract_inverted_index.min | 168, 172 |
| abstract_inverted_index.per | 145 |
| abstract_inverted_index.the | 22, 54, 74, 115, 130, 150, 182, 243, 252 |
| abstract_inverted_index.two | 32 |
| abstract_inverted_index.was | 15, 65, 119, 133, 206 |
| abstract_inverted_index.(57% | 93 |
| abstract_inverted_index.(8%) | 219 |
| abstract_inverted_index.(IQR | 136 |
| abstract_inverted_index.(PV) | 12 |
| abstract_inverted_index.(RF) | 6 |
| abstract_inverted_index.7/85 | 218 |
| abstract_inverted_index.Aims | 1 |
| abstract_inverted_index.Data | 87 |
| abstract_inverted_index.Most | 246 |
| abstract_inverted_index.PVs, | 211 |
| abstract_inverted_index.PVs. | 124, 160 |
| abstract_inverted_index.RFB. | 116 |
| abstract_inverted_index.data | 24, 78, 82 |
| abstract_inverted_index.each | 187 |
| abstract_inverted_index.fast | 232 |
| abstract_inverted_index.from | 31, 88 |
| abstract_inverted_index.high | 33, 228 |
| abstract_inverted_index.left | 50, 151 |
| abstract_inverted_index.more | 155 |
| abstract_inverted_index.only | 180 |
| abstract_inverted_index.rise | 205 |
| abstract_inverted_index.time | 126, 165 |
| abstract_inverted_index.vein | 11 |
| abstract_inverted_index.were | 45, 85, 91, 104, 147, 166, 178, 249, 263 |
| abstract_inverted_index.with | 42, 149 |
| abstract_inverted_index.(15%) | 210 |
| abstract_inverted_index.(60%) | 123 |
| abstract_inverted_index.(PVI) | 14 |
| abstract_inverted_index.(RFB) | 8 |
| abstract_inverted_index.2/140 | 199 |
| abstract_inverted_index.99.1% | 109 |
| abstract_inverted_index.Every | 57 |
| abstract_inverted_index.Major | 175 |
| abstract_inverted_index.There | 103 |
| abstract_inverted_index.cases | 185 |
| abstract_inverted_index.could | 110, 239 |
| abstract_inverted_index.first | 131, 183, 244 |
| abstract_inverted_index.male, | 94 |
| abstract_inverted_index.nerve | 196 |
| abstract_inverted_index.novel | 3 |
| abstract_inverted_index.other | 159 |
| abstract_inverted_index.total | 139 |
| abstract_inverted_index.using | 113 |
| abstract_inverted_index.wall. | 76 |
| abstract_inverted_index.81/547 | 209 |
| abstract_inverted_index.German | 35 |
| abstract_inverted_index.Median | 125, 161 |
| abstract_inverted_index.atrial | 51, 101 |
| abstract_inverted_index.centre | 188 |
| abstract_inverted_index.during | 129, 251 |
| abstract_inverted_index.events | 177, 248 |
| abstract_inverted_index.facing | 73 |
| abstract_inverted_index.guided | 53 |
| abstract_inverted_index.lasted | 60 |
| abstract_inverted_index.palsy, | 197 |
| abstract_inverted_index.phase. | 254 |
| abstract_inverted_index.pooled | 21 |
| abstract_inverted_index.safety | 28, 176, 247 |
| abstract_inverted_index.showed | 226 |
| abstract_inverted_index.solely | 114 |
| abstract_inverted_index.volume | 34 |
| abstract_inverted_index.years, | 98 |
| abstract_inverted_index.(1.4%). | 201 |
| abstract_inverted_index.330/547 | 122 |
| abstract_inverted_index.Methods | 37 |
| abstract_inverted_index.RFB-PVI | 30 |
| abstract_inverted_index.balloon | 7 |
| abstract_inverted_index.cardiac | 192 |
| abstract_inverted_index.lesions | 216, 262 |
| abstract_inverted_index.phrenic | 195 |
| abstract_inverted_index.reduced | 67 |
| abstract_inverted_index.results | 39 |
| abstract_inverted_index.strokes | 200 |
| abstract_inverted_index.8–13). | 137 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.allowing | 230 |
| abstract_inverted_index.centres. | 19, 36 |
| abstract_inverted_index.compared | 157 |
| abstract_inverted_index.delivery | 59 |
| abstract_inverted_index.detected | 214, 264 |
| abstract_inverted_index.duration | 64 |
| abstract_inverted_index.efficacy | 26, 229 |
| abstract_inverted_index.included | 190 |
| abstract_inverted_index.isolated | 112, 241 |
| abstract_inverted_index.learning | 253 |
| abstract_inverted_index.patients | 41, 90, 220 |
| abstract_inverted_index.recorded | 120, 179, 207, 250 |
| abstract_inverted_index.released | 16 |
| abstract_inverted_index.selected | 18 |
| abstract_inverted_index.superior | 152 |
| abstract_inverted_index.(61–99) | 169 |
| abstract_inverted_index.analysed. | 86 |
| abstract_inverted_index.collected | 92 |
| abstract_inverted_index.endoscopy | 81, 213 |
| abstract_inverted_index.enrolled. | 46 |
| abstract_inverted_index.irrigated | 4 |
| abstract_inverted_index.isolation | 13, 128 |
| abstract_inverted_index.patients. | 268 |
| abstract_inverted_index.posterior | 75 |
| abstract_inverted_index.procedure | 162 |
| abstract_inverted_index.pulmonary | 10 |
| abstract_inverted_index.requiring | 154 |
| abstract_inverted_index.(10–17), | 173 |
| abstract_inverted_index.Conclusion | 223 |
| abstract_inverted_index.Procedural | 77 |
| abstract_inverted_index.delivered, | 148 |
| abstract_inverted_index.electrodes | 72 |
| abstract_inverted_index.endoscopy. | 222 |
| abstract_inverted_index.monitoring | 258 |
| abstract_inverted_index.paroxysmal | 100 |
| abstract_inverted_index.procedural | 23 |
| abstract_inverted_index.procedures | 44 |
| abstract_inverted_index.suggested: | 260 |
| abstract_inverted_index.tamponade, | 193 |
| abstract_inverted_index.undergoing | 221 |
| abstract_inverted_index.(&lt;48 | 83 |
| abstract_inverted_index.1/140(0.7%) | 191, 194 |
| abstract_inverted_index.Consecutive | 40 |
| abstract_inverted_index.Single-shot | 117 |
| abstract_inverted_index.application | 132, 156 |
| abstract_inverted_index.fluoroscopy | 164 |
| abstract_inverted_index.identified, | 107 |
| abstract_inverted_index.navigation. | 56 |
| abstract_inverted_index.oesophageal | 203, 215, 256, 261 |
| abstract_inverted_index.procedures, | 234 |
| abstract_inverted_index.temperature | 204, 257 |
| abstract_inverted_index.application. | 245 |
| abstract_inverted_index.applications | 144 |
| abstract_inverted_index.automatically | 66 |
| abstract_inverted_index.respectively. | 174 |
| abstract_inverted_index.fibrillation). | 102 |
| abstract_inverted_index.radiofrequency | 5 |
| abstract_inverted_index.post-procedural | 80 |
| abstract_inverted_index.electroanatomical | 49 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 97 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 16 |
| citation_normalized_percentile.value | 0.94985544 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |