Remaining of contrast dye ice cap during PVI by cryoballoon ablation; a case report

Abstract Pulmonary vein isolation (PVI) with cryoballoon (CB) ablation technology is widely used to treat drug-resistant atrial fibrillation (AF). During CB ablation, there is a possibility of forming an ice cap of contrast-color on top of the balloon. If automatic balloon deflate occurs before the...

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Main Authors: Ahmad Yamini Sharif, Entezar Mehrabi Nasab
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-024-03332-3
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author Ahmad Yamini Sharif
Entezar Mehrabi Nasab
author_facet Ahmad Yamini Sharif
Entezar Mehrabi Nasab
author_sort Ahmad Yamini Sharif
collection DOAJ
description Abstract Pulmonary vein isolation (PVI) with cryoballoon (CB) ablation technology is widely used to treat drug-resistant atrial fibrillation (AF). During CB ablation, there is a possibility of forming an ice cap of contrast-color on top of the balloon. If automatic balloon deflate occurs before the ice cap dissolves, embolization to the systemic circulation is possible. This case report describes the remaining of a contrast-colored ice cap to the systemic circulation in the left superior pulmonary vein (LSPV) and the remaining contrast-colored ice cap throughout the balloon deflate and its gradual melting a few seconds after the balloon deflate in the right superior pulmonary vein (RSPV). Additionally, a strategy for its prevention is presented.
format Article
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institution Kabale University
issn 1749-8090
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series Journal of Cardiothoracic Surgery
spelling doaj-art-026aa6c9c9ad469880954b52c536a6c72025-01-26T12:51:58ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011410.1186/s13019-024-03332-3Remaining of contrast dye ice cap during PVI by cryoballoon ablation; a case reportAhmad Yamini Sharif0Entezar Mehrabi Nasab1Department of Cardiology, School of Medicine, Tehran Heart Center, Tehran University of Medical SciencesDepartment of Cardiology, School of Medicine, Tehran Heart Center, Tehran University of Medical SciencesAbstract Pulmonary vein isolation (PVI) with cryoballoon (CB) ablation technology is widely used to treat drug-resistant atrial fibrillation (AF). During CB ablation, there is a possibility of forming an ice cap of contrast-color on top of the balloon. If automatic balloon deflate occurs before the ice cap dissolves, embolization to the systemic circulation is possible. This case report describes the remaining of a contrast-colored ice cap to the systemic circulation in the left superior pulmonary vein (LSPV) and the remaining contrast-colored ice cap throughout the balloon deflate and its gradual melting a few seconds after the balloon deflate in the right superior pulmonary vein (RSPV). Additionally, a strategy for its prevention is presented.https://doi.org/10.1186/s13019-024-03332-3Pulmonary vein isolationCryoballoon ablation
spellingShingle Ahmad Yamini Sharif
Entezar Mehrabi Nasab
Remaining of contrast dye ice cap during PVI by cryoballoon ablation; a case report
Journal of Cardiothoracic Surgery
Pulmonary vein isolation
Cryoballoon ablation
title Remaining of contrast dye ice cap during PVI by cryoballoon ablation; a case report
title_full Remaining of contrast dye ice cap during PVI by cryoballoon ablation; a case report
title_fullStr Remaining of contrast dye ice cap during PVI by cryoballoon ablation; a case report
title_full_unstemmed Remaining of contrast dye ice cap during PVI by cryoballoon ablation; a case report
title_short Remaining of contrast dye ice cap during PVI by cryoballoon ablation; a case report
title_sort remaining of contrast dye ice cap during pvi by cryoballoon ablation a case report
topic Pulmonary vein isolation
Cryoballoon ablation
url https://doi.org/10.1186/s13019-024-03332-3
work_keys_str_mv AT ahmadyaminisharif remainingofcontrastdyeicecapduringpvibycryoballoonablationacasereport
AT entezarmehrabinasab remainingofcontrastdyeicecapduringpvibycryoballoonablationacasereport