{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T23:06:05Z","timestamp":1770332765365,"version":"3.49.0"},"reference-count":30,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartlungcirc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart, Lung and Circulation"],"published-print":{"date-parts":[[2022,4]]},"DOI":"10.1016\/j.hlc.2021.10.003","type":"journal-article","created":{"date-parts":[[2021,11,6]],"date-time":"2021-11-06T17:09:00Z","timestamp":1636218540000},"page":"530-536","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["New Minimally Invasive and Tailor-Made Strategy for Cryoballoon Ablation in Patients With Paroxysmal Atrial Fibrillation"],"prefix":"10.1016","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0962-9115","authenticated-orcid":false,"given":"Takayuki","family":"Nakano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4867-1749","authenticated-orcid":false,"given":"Kazuyoshi","family":"Suenari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Okada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohei","family":"Hyodo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunsuke","family":"Tomomori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadanao","family":"Higaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuniomi","family":"Oi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5477-5069","authenticated-orcid":false,"given":"Kazuoki","family":"Dai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoharu","family":"Kawase","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuharu","family":"Nakama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Nishioka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaya","family":"Otsuka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiko","family":"Masaoka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuo","family":"Shiode","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukiko","family":"Nakano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.hlc.2021.10.003_bib1","doi-asserted-by":"crossref","first-page":"2071","DOI":"10.1161\/CIR.0000000000000040","article-title":"2014 AHA\/ACC\/HRS guideline for the management of patients with atrial fibrillation: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society","volume":"130","author":"January","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.hlc.2021.10.003_bib2","doi-asserted-by":"crossref","first-page":"2893","DOI":"10.1093\/eurheartj\/ehw210","article-title":"2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS","volume":"37","author":"Kirchhof","year":"2016","journal-title":"Eur Heart J"},{"key":"10.1016\/j.hlc.2021.10.003_bib3","first-page":"1100","article-title":"Cryoballoon or radiofrequency ablation for atrial fibrillation","volume":"375","author":"Kuck","year":"2016","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.hlc.2021.10.003_bib4","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1016\/j.hrthm.2013.07.005","article-title":"Phrenic nerve paralysis during cryoballoon ablation\u00a0for atrial fibrillation: a comparison between the first- and second-generation balloon","volume":"10","author":"Casado-Arroyo","year":"2013","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hlc.2021.10.003_bib5","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1093\/europace\/euu320","article-title":"Incidence and characteristics of phrenic nerve palsy following pulmonary vein isolation with the second-generation as compared with the first-generation cryoballoon in 360 consecutive patients","volume":"17","author":"Furnkranz","year":"2015","journal-title":"Europace"},{"key":"10.1016\/j.hlc.2021.10.003_bib6","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1111\/j.1540-8167.2010.01739.x","article-title":"Esophageal endoscopy results after pulmonary vein isolation using the single big cryoballoon technique","volume":"21","author":"Furnkranz","year":"2010","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hlc.2021.10.003_bib7","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/j.hrthm.2013.02.021","article-title":"Luminal esophageal temperature predicts esophageal lesions after second-generation cryoballoon pulmonary vein isolation","volume":"10","author":"Furnkranz","year":"2013","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hlc.2021.10.003_bib8","doi-asserted-by":"crossref","first-page":"18","DOI":"10.15420\/aer.2017.32.1","article-title":"How to prevent, detect and manage complications caused by cryoballoon ablation of atrial fibrillation","volume":"7","author":"Kulkarni","year":"2018","journal-title":"Arrhythm Electrophysiol Rev"},{"key":"10.1016\/j.hlc.2021.10.003_bib9","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/j.hrthm.2017.01.028","article-title":"Gastric hypomotility after second-generation cryoballoon ablation: unrecognized silent nerve injury after cryoballoon ablation","volume":"14","author":"Miyazaki","year":"2017","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hlc.2021.10.003_bib10","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1111\/j.1540-8167.2012.02315.x","article-title":"Two versus one repeat freeze-thaw cycle(s) after cryoballoon pulmonary vein isolation: the alster extra pilot study","volume":"23","author":"Chun","year":"2012","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hlc.2021.10.003_bib11","doi-asserted-by":"crossref","first-page":"e006989","DOI":"10.1161\/CIRCEP.118.006989","article-title":"Multicenter study of the validity of additional freeze cycles for cryoballoon ablation in patients with paroxysmal atrial fibrillation: the AD-Balloon Study","volume":"12","author":"Miyamoto","year":"2019","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hlc.2021.10.003_bib12","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.hrthm.2014.12.026","article-title":"Single 3-minute freeze for second-generation cryoballoon ablation: one-year follow-up after pulmonary vein isolation","volume":"12","author":"Ciconte","year":"2015","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hlc.2021.10.003_bib13","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1111\/jce.12986","article-title":"Single 3-minute versus double 4-minute freeze strategy for second-generation cryoballoon ablation: a single-center experience","volume":"27","author":"Ciconte","year":"2016","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hlc.2021.10.003_bib14","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1093\/europace\/euv024","article-title":"One-year clinical success of a 'no-bonus' freeze protocol using the second-generation 28 mm cryoballoon for pulmonary vein isolation","volume":"17","author":"Wissner","year":"2015","journal-title":"Europace"},{"key":"10.1016\/j.hlc.2021.10.003_bib15","doi-asserted-by":"crossref","first-page":"1779","DOI":"10.1161\/CIRCULATIONAHA.119.042622","article-title":"Cryoballoon or radiofrequency ablation for atrial fibrillation assessed by continuous monitoring: a randomized clinical trial","volume":"140","author":"Andrade","year":"2019","journal-title":"Circulation"},{"key":"10.1016\/j.hlc.2021.10.003_bib16","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.jacep.2019.03.012","article-title":"Impact of cryoballoon freeze duration on long-term durability of pulmonary vein isolation: ICE Re-Map Study","volume":"5","author":"Chen","year":"2019","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hlc.2021.10.003_bib17","doi-asserted-by":"crossref","first-page":"518","DOI":"10.2459\/JCM.0000000000000493","article-title":"Learning curve using the second-generation cryoballoon ablation","volume":"18","author":"Velagi\u0107","year":"2017","journal-title":"J\u00a0Cardiovasc Med (Hagerstown)"},{"key":"10.1016\/j.hlc.2021.10.003_bib18","doi-asserted-by":"crossref","first-page":"4760","DOI":"10.1093\/eurheartj\/ehz745.1136","article-title":"New minimally invasive and tailor-made strategy for cryoballoon ablation in patients with paroxysmal atrial fibrillation","volume":"40","author":"Nakano","year":"2019","journal-title":"Eur Heart J"},{"key":"10.1016\/j.hlc.2021.10.003_bib19","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1253\/circrep.CR-19-0125","article-title":"Cryoballoon\u00a0ablation for patients with paroxysmal atrial fibrillation","volume":"2","author":"Suenari","year":"2020","journal-title":"Circ Rep"},{"key":"10.1016\/j.hlc.2021.10.003_bib20","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1111\/jce.14485","article-title":"Comparison of touch-up ablation rate and pulmonary vein isolation durability between hot balloon and cryoballoon","volume":"31","author":"Hojo","year":"2020","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hlc.2021.10.003_bib21","doi-asserted-by":"crossref","first-page":"e275","DOI":"10.1016\/j.hrthm.2017.05.012","article-title":"2017 HRS\/EHRA\/ECAS\/APHRS\/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation","volume":"14","author":"Calkins","year":"2017","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hlc.2021.10.003_bib22","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1161\/CIRCEP.115.002966","article-title":"On the quest for the best freeze: predictors of late pulmonary vein reconnections after second-generation cryoballoon ablation","volume":"8","author":"Ciconte","year":"2015","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hlc.2021.10.003_bib23","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.jacc.2013.03.073","article-title":"Subtle post-procedural cognitive dysfunction after atrial fibrillation ablation","volume":"62","author":"Medi","year":"2013","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.hlc.2021.10.003_bib24","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1253\/circj.CJ-16-1161","article-title":"Particular morphology of inferior pulmonary veins and difficulty of cryoballoon ablation in patients with paroxysmal atrial fibrillation","volume":"81","author":"Yasuoka","year":"2017","journal-title":"Circ J"},{"key":"10.1016\/j.hlc.2021.10.003_bib25","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1016\/j.hrthm.2013.06.014","article-title":"Balloon warming time is the strongest predictor of late pulmonary vein electrical reconnection following cryoballoon ablation for atrial fibrillation","volume":"10","author":"Ghosh","year":"2013","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hlc.2021.10.003_bib26","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/j.hrthm.2015.10.033","article-title":"Procedural and biophysical indicators of durable pulmonary vein isolation during cryoballoon ablation of atrial fibrillation","volume":"13","author":"Aryana","year":"2016","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hlc.2021.10.003_bib27","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1093\/europace\/euv224","article-title":"Electrophysiological findings following pulmonary vein isolation using radiofrequency catheter guided by contact-force and second-generation cryoballoon: lessons from repeat ablation procedures","volume":"18","author":"Ciconte","year":"2016","journal-title":"Europace"},{"key":"10.1016\/j.hlc.2021.10.003_bib28","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s10840-018-0346-y","article-title":"Dosing of the second-generation cryoballoon using acute time-to-pulmonary vein isolation as an indicator of durable ablation in a canine model","volume":"53","author":"Su","year":"2018","journal-title":"J\u00a0Interv Card Electrophysiol"},{"key":"10.1016\/j.hlc.2021.10.003_bib29","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1016\/j.hrthm.2018.04.021","article-title":"Cryoballoon Best Practices II: practical guide to procedural monitoring and dosing during atrial fibrillation ablation from the\u00a0perspective of experienced users","volume":"15","author":"Su","year":"2018","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hlc.2021.10.003_bib30","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.ijcard.2018.07.051","article-title":"Center experience does not influence long-term outcome and peri-procedural complications after cryoballoon ablation of paroxysmal atrial fibrillation: data on 860 patients from the real-world multicentre observational project","volume":"272","author":"Landolina","year":"2018","journal-title":"Int J Cardiol"}],"container-title":["Heart, Lung and Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1443950621012853?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1443950621012853?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T18:05:24Z","timestamp":1761415524000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1443950621012853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["S1443950621012853"],"URL":"https:\/\/doi.org\/10.1016\/j.hlc.2021.10.003","relation":{},"ISSN":["1443-9506"],"issn-type":[{"value":"1443-9506","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"New Minimally Invasive and Tailor-Made Strategy for Cryoballoon Ablation in Patients With Paroxysmal Atrial Fibrillation","name":"articletitle","label":"Article Title"},{"value":"Heart, Lung and Circulation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hlc.2021.10.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}