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J Am Coll Cardiol, 2008; 51:850-855, doi:10.1016/j.jacc.2007.08.065
© 2008 by the American College of Cardiology Foundation
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Long-Term Follow-Up After Cryothermic Ostial Pulmonary Vein Isolation in Paroxysmal Atrial Fibrillation

Wendel Moreira, MD*,3, Randy Manusama, MD*,3, Carl Timmermans, MD, PhD, FACC*,1, Benoit Ghaye, MD{dagger}, Suzanne Philippens, RN*, Hein J.J. Wellens, MD, PhD, FACC{ddagger},2 and Luz-Maria Rodriguez, MD, PhD, FACC*,*,1

* Department of Cardiology, Academic Hospital Maastricht, Maastricht, the Netherlands
{dagger} Department of Medical Imaging, University Hospital of Liége, Liége, Belgium
{ddagger} Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands.


Figure 1
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Figure 1 AF Initiated by a Trigger in the RSPV

An example of adenosine-induced atrial fibrillation (AF). HRA D = high right atrium distal; LSPV = left superior pulmonary vein; RSPV = right superior pulmonary vein.

 

Figure 2
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Figure 2 Kaplan-Meier Curve Showing the Outcomes of Pulmonary Vein Cryoisolation

After a mean follow-up of 33 ± 15 months, pulmonary vein cryoisolation was effective in 82% of patients. An event was considered a patient who, at any time, reported <50% improvement. The table shows the number of events compared with patients at risk over time. AF = atrial fibrillation.

 




 
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