Evidence map›Paper›PMID 27957211›Full record

ArticleJournal of atrial fibrillation

CoolLoop® First: A First In Man Study To Test A Novel Circular Cryoablation System In Paroxysmal Atrial Fibrillation.

Markus Stuehlinger, Simon Hoenig, Karin Spuller, Christian Koman, Markus Stoeger, Gerhard Poelzl, Hanno Ulmer, Otmar Pachinger, Clemens Steinwender

Abstract read
In one paragraph

Article in Journal of atrial fibrillation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Markus StuehlingerUniversity Clinic of Internal Medicine III / Cardiology and Angiology, Medical University of Innsbruck, Innsbruck, Austria.
Simon HoenigDepartment of Internal Medicine 1, Linz General Hospital (AKh Linz), Linz, Austria.
Karin SpullerUniversity Clinic of Internal Medicine III / Cardiology and Angiology, Medical University of Innsbruck, Innsbruck, Austria.
Christian KomanUniversity Clinic of Internal Medicine III / Cardiology and Angiology, Medical University of Innsbruck, Innsbruck, Austria.
Markus StoegerUniversity Clinic of Internal Medicine III / Cardiology and Angiology, Medical University of Innsbruck, Innsbruck, Austria.
Gerhard PoelzlUniversity Clinic of Internal Medicine III / Cardiology and Angiology, Medical University of Innsbruck, Innsbruck, Austria.
Hanno UlmerDepartment of Medical Statistics, Informatics and Health Economics, Medical University of Innsbruck, Innsbruck, Austria.
Otmar PachingerUniversity Clinic of Internal Medicine III / Cardiology and Angiology, Medical University of Innsbruck, Innsbruck, Austria.
Clemens SteinwenderUniversity Clinic of Internal Medicine III / Cardiology and Angiology, Medical University of Innsbruck, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPulmonary vein (PV) isolation is the mainstay of catheter treatment of paroxysmal atrial fibrillation (AF). The CoolLoop® cryoablation catheter (AFreeze® GmbH; Innsbruck, Austria) was developed to create wide and complete circular lesions around the PVs. In this study we evaluated feasibility and safety of this novel ablation system in humans.

methods10 patients (6M/4F; 57.6±7.6y) with paroxysmal AF were included in 2 referral centers. The CoolLoop® catheter was positioned at each PV antrum using a steerable transseptal sheath. Subsequently, 2-6 double-freezes over 5min were performed at each vein and PV-isolation was assessed thereafter using a circular mapping catheter. During cryoablation of the right PVs, pacing was used to monitor phrenic nerve function.

resultsThe CoolLoop® catheter could be successfully positioned at each PV. A mean of 5.6±1.8 cryoablations were performed in the LSPV, 5.2±1.6 in the LIPV, 6.3±2.5 in the RSPV and 5.4±1.6 in the RIPV, respectively. Mean procedure time was 251±60min and mean fluoroscopy time was 44.0±13.2min. 6 / 10 LSPV, 6 / 10 LIPV, 5 / 10 RSPV and 6 / 10 RIPV could be isolated exclusively using the novel cryoablation system. One patient developed groin hematoma and a brief episode of ST-elevation due to air embolism was observed in another subject. No other clinical complications occurred during 3 months of follow up.

conclusionsPV-isolation for paroxysmal atrial fibrillation using the CoolLoop® catheter is feasible and appears safe. Clinical long term efficacy still needs to be evaluated and will be compared with established catheters used for AF ablation.

Indexed as

AblationAntrumCryothermiaLeft Atrial AblationPulmonary Vein Isolation

Identifiers

PMID27957211
PMCPMC4955895

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.