Feasibility of single position endoscopic laser balloon ablation for atrial fibrillation: The open 8 approach

2019 ◽  
Vol 30 (3) ◽  
pp. 326-331
Author(s):  
Konstantinos E. Iliodromitis ◽  
Etel Silva ◽  
Tom Potter
Keyword(s):  
Atrial Fibrillation ◽  
Endoscopic Laser ◽  
Balloon Ablation ◽  
Laser Balloon Ablation ◽  
Laser Balloon

scholarly journals First Dutch experience with the endoscopic laser balloon ablation system for the treatment of atrial fibrillation

2014 ◽  
Vol 23 (2) ◽  
pp. 96-99 ◽  
Author(s):  
P. Gal ◽  
J. J. J. Smit ◽  
A. Adiyaman ◽  
A. R. Ramdat Misier ◽  
P. P. H. M. Delnoy ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Endoscopic Laser ◽  
Balloon Ablation ◽  
Dutch Experience ◽  
Laser Balloon Ablation ◽  
Laser Balloon

scholarly journals Maastricht experience with the second generation endoscopic laser balloon ablation system for the atrial fibrillation treatment

2015 ◽  
Vol 23 (7-8) ◽  
pp. 373-378 ◽  
Author(s):  
N. Kumar ◽  
M.M. Abbas ◽  
R.M.A. Ter Bekke ◽  
C.M.M.J.F. de Jong ◽  
R. Choudhury ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Second Generation ◽  
Endoscopic Laser ◽  
Balloon Ablation ◽  
Laser Balloon Ablation ◽  
Laser Balloon

scholarly journals Clinical Applications of Laser Technology: Laser Balloon Ablation in the Management of Atrial Fibrillation

Micromachines ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 188
Author(s):  
Jamario R. Skeete ◽  
Jeanne M. Du-Fay-de-Lavallaz ◽  
David Kenigsberg ◽  
Carlos Macias ◽  
Jeffrey R. Winterfield ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Laser Energy ◽  
Clinical Applications ◽  
Ablation Techniques ◽  
Cryoballoon Ablation ◽  
Laser Technology ◽  
Balloon Ablation ◽  
Established Role ◽  
Laser Balloon Ablation ◽  
Laser Balloon

Catheter-based ablation techniques have a well-established role in atrial fibrillation (AF) management. The prevalence and impact of AF is increasing globally, thus mandating an emphasis on improving ablation techniques through innovation. One key area of ongoing evolution in this field is the use of laser energy to perform pulmonary vein isolation during AF catheter ablation. While laser use is not as widespread as other ablation techniques, such as radiofrequency ablation and cryoballoon ablation, advancements in product design and procedural protocols have demonstrated laser balloon ablation to be equally safe and effective compared to these other modalities. Additionally, strategies to improve procedural efficiency and decrease radiation exposure through low fluoroscopy protocols make this technology an increasingly promising and exciting option.

scholarly journals Vagal Reactions During Laser Balloon Ablation in Patients with Paroxysmal Atrial Fibrillation

2021 ◽  
Author(s):  
Kaoru Okishige ◽  
Tatsuhiko Hirao ◽  
Atsushi Oda ◽  
Takatoshi Shigeta ◽  
Rena A. Nakamura ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Paroxysmal Atrial Fibrillation ◽  
Balloon Ablation ◽  
Laser Balloon Ablation ◽  
Laser Balloon

scholarly journals Real use of a novel automatic motorized laser balloon for the ablation of atrial fibrillation

EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
C Martignani ◽  
M Ziacchi ◽  
G Statuto ◽  
A Spadotto ◽  
A Angeletti ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Control System ◽  
Pulmonary Vein ◽  
Laser Energy ◽  
Pulmonary Veins ◽  
Endoscopic Ablation ◽  
Motor Control System ◽  
Balloon Ablation ◽  
Laser Balloon Ablation ◽  
Laser Balloon

Abstract Funding Acknowledgements Type of funding sources: None. Background Electric isolation of the pulmonary veins (PVs) can successfully treat patients with atrial fibrillation (AF). Isolation of pulmonary veins can be achieved by several methods: radiofrequency, cryoballoon or laser balloon ablation (LBA). The main procedural challenge with either method is to achieve a continuous circumferential lesion at the left atrium-PVs junction, with the persistence of functional gaps. Purpose A novel endoscopic ablation system equipped with a precise motor control system (MCS) has been evaluated. The balloon is used with an endoscope to directly visualize and ablate tissue at the left atrial-PVs junction with laser energy. This system enables uninterrupted, high-speed, circumferential lesion creation under direct control of the physician. The MCS is intended to reduce procedure time and to ensure continuity of ablation lesions. The feasibility of the motorized ablation in terms of extent of applicability along each PV-left atrium junction and time of use of the manual point-by-point mode has been investigated. Methods sixteen consecutive patients (male 68.7%, age 60.9 ± 7.8 years) with paroxysmal or persistent AF who underwent LBA were enrolled in our institution. Exclusion criteria were any contraindication for the procedure including the presence of intracavitary thrombosis and contraindications to general anesthesia or deep sedation. After transseptal puncture, the balloon-based endoscopic ablation system was advanced to each PV ostium, and laser energy were projected onto the target. Results A total of 62 PVs were treated with LBA; in 3 patients there was a redundant right intermediate pulmonary vein; in 4 patients there was a right common ostium and in one a left common ostium. MCS was used for 41 PVs (66.1%): in particular, MCS was used continuously between 180° and 325° degrees (50 to 90% of PV circumference) for 22 PVs (35.5%) and between 326° and 359° degrees (91 to 99% of PV circumference) for 16 veins (25.8%).  In 3 PVs (4.8%) MCS was used for the entire circumference.  During 5.659 (23.6%) seconds out of a total of 23.986 seconds, laser energy delivery occurred in the rapid mode by MCS. No clinical complications, either local or systemic (stroke or TIA, pericardial effusion, pericardial  tamponade, pulmonary vein stenosis, esophageal injury, temporary or permanent phrenic nerve palsy), were observed neither during the use of MSC nor during the use of manual point-by-point mode. Of note, a pinhole rupture of the balloon occurred in the first 2 cases of our series, during the use of MCS, without harm to the patient and requiring only replacement of the LBA. Conclusions In our case series, laser balloon ablation with the help of motor control system appears safe and feasible in most cases for large portions of pulmonary vein circumference, providing considerable time sparing (66.1% of total ablation extent in 23.6% of total ablation time).

scholarly journals 136-15: First Belgian experience with the Endoscopic laser balloon Ablation System for pulmonary vein isolation – 1 year follow-up

EP Europace ◽  
2016 ◽  
Vol 18 (suppl_1) ◽  
pp. i93-i93
Author(s):  
Pieter Koopman ◽  
Jeff Ten Haken ◽  
Philippe Vanduynhoven ◽  
Dagmara Dilling-Boer ◽  
Joris Schurmans ◽  
...  
Keyword(s):  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Endoscopic Laser ◽  
Balloon Ablation ◽  
Laser Balloon Ablation ◽  
Laser Balloon
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