{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T21:57:10Z","timestamp":1780351030199,"version":"3.54.1"},"reference-count":70,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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","heartrhythmjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart Rhythm"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.hrthm.2025.04.002","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T04:42:30Z","timestamp":1744173750000},"page":"603-612","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Best practices IV in cryoballoon ablation of atrial fibrillation: Important clinical and practical differences for new compliant and size-adjustable cryoballoon systems"],"prefix":"10.1016","volume":"23","author":[{"given":"Wilber","family":"Su","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3106-7318","authenticated-orcid":false,"given":"Rong","family":"Bai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian-Battista","family":"Chierchia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sing-Chien","family":"Yap","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Tondo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Schilling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Makati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emrie D.","family":"Tomaiko-Clark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason G.","family":"Andrade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.hrthm.2025.04.002_bib1","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1161\/CIR.0000000000001193","article-title":"2023 ACC\/AHA\/ACCP\/HRS guideline for the diagnosis and management of atrial fibrillation: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"149","author":"Joglar","year":"2024","journal-title":"Circulation"},{"issue":"7","key":"10.1016\/j.hrthm.2025.04.002_bib2","doi-asserted-by":"crossref","first-page":"1658","DOI":"10.1016\/j.hrthm.2015.03.021","article-title":"Best practice guide for cryoballoon ablation in atrial fibrillation: the compilation experience of more than 3000 procedures","volume":"12","author":"Su","year":"2015","journal-title":"Heart Rhythm"},{"issue":"3","key":"10.1016\/j.hrthm.2025.04.002_bib3","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1136\/heartjnl-2022-321027","article-title":"Prevalence and determinants of atrial fibrillation progression in paroxysmal atrial fibrillation","volume":"109","author":"Nguyen","year":"2022","journal-title":"Heart"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib4","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1056\/NEJMoa2212540","article-title":"Progression of atrial fibrillation after cryoablation or drug therapy","volume":"388","author":"Andrade","year":"2023","journal-title":"N Engl J Med"},{"issue":"4","key":"10.1016\/j.hrthm.2025.04.002_bib5","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1056\/NEJMoa2029554","article-title":"Cryoballoon ablation as initial therapy for atrial fibrillation","volume":"384","author":"Wazni","year":"2021","journal-title":"N Engl J Med"},{"issue":"38","key":"10.1016\/j.hrthm.2025.04.002_bib6","doi-asserted-by":"crossref","first-page":"2858","DOI":"10.1093\/eurheartj\/ehw285","article-title":"Cryoballoon or radiofrequency ablation for symptomatic paroxysmal atrial fibrillation: reintervention, rehospitalization, and quality-of-life outcomes in the FIRE AND ICE trial","volume":"37","author":"Kuck","year":"2016","journal-title":"Eur Heart J"},{"issue":"9","key":"10.1016\/j.hrthm.2025.04.002_bib7","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 perspective of experienced users","volume":"15","author":"Su","year":"2018","journal-title":"Heart Rhythm"},{"issue":"8","key":"10.1016\/j.hrthm.2025.04.002_bib8","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1016\/j.hrthm.2021.04.020","article-title":"Segmental nonocclusive cryoballoon ablation of pulmonary veins and extrapulmonary vein structures: best practices III","volume":"18","author":"Aryana","year":"2021","journal-title":"Heart Rhythm"},{"issue":"3","key":"10.1016\/j.hrthm.2025.04.002_bib9","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1111\/pace.14910","article-title":"Incidence of cryoballoon expansion dislodgement during pulmonary vein isolation-an underappreciated frequent cause of incomplete isolation","volume":"47","author":"Liao","year":"2024","journal-title":"Pacing Clin Electrophysiol"},{"issue":"4","key":"10.1016\/j.hrthm.2025.04.002_bib10","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1007\/s12170-021-00668-6","article-title":"Methods to optimize cryoballoon ablation for atrial fibrillation to minimize risk of adverse outcomes and arrhythmia recurrences","volume":"15","author":"Andrade","year":"2021","journal-title":"Curr Cardiovasc Risk Rep"},{"issue":"1","key":"10.1016\/j.hrthm.2025.04.002_bib11","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.hroo.2020.02.004","article-title":"Cryoablation for atrial fibrillation","volume":"1","author":"Andrade","year":"2020","journal-title":"Heart Rhythm O2"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib12","first-page":"e70004","article-title":"Comparison of balloon compliance between nordica and arctic front advance cryoballoon","volume":"41","author":"Bai","year":"2025","journal-title":"J Arrhythmia"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib13","doi-asserted-by":"crossref","first-page":"2065","DOI":"10.4022\/jafib.2065","article-title":"Clinical impact of the cryoballoon temperature and occlusion status on the success of pulmonary vein isolation","volume":"11","author":"Nishimura","year":"2018","journal-title":"J Atr Fibrillation"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib14","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.hrthm.2014.11.012","article-title":"Quantification of the cryoablation zone demarcated by pre- and postprocedural electroanatomic mapping in patients with atrial fibrillation using the 28-mm second-generation cryoballoon","volume":"12","author":"Kenigsberg","year":"2015","journal-title":"Heart Rhythm"},{"issue":"3","key":"10.1016\/j.hrthm.2025.04.002_bib15","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.hrthm.2007.11.006","article-title":"Balloon catheter ablation to treat paroxysmal atrial fibrillation: what is the level of pulmonary venous isolation?","volume":"5","author":"Reddy","year":"2008","journal-title":"Heart Rhythm"},{"issue":"8","key":"10.1016\/j.hrthm.2025.04.002_bib16","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1111\/pace.12660","article-title":"Effect of pulmonary vein anatomy and pulmonary vein diameters on outcome of cryoballoon catheter ablation for atrial fibrillation","volume":"38","author":"G\u00fcler","year":"2015","journal-title":"Pacing Clin Electrophysiol"},{"issue":"9","key":"10.1016\/j.hrthm.2025.04.002_bib17","doi-asserted-by":"crossref","DOI":"10.1590\/1414-431x20198446","article-title":"Pulmonary vein parameters are similar or better predictors than left atrial diameter for paroxysmal atrial fibrillation after cryoablation","volume":"52","author":"Li","year":"2019","journal-title":"Braz J Med Biol Res"},{"key":"10.1016\/j.hrthm.2025.04.002_bib18","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2022.985182","article-title":"Ultra-high-resolution assessment of lesion extension after cryoballoon ablation for pulmonary vein isolation","volume":"9","author":"Spera","year":"2022","journal-title":"Front Cardiovasc Med"},{"issue":"5","key":"10.1016\/j.hrthm.2025.04.002_bib19","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.115.003879","article-title":"Quantitative analysis of the isolation area during the chronic phase after a 28-mm second-generation cryoballoon ablation demarcated by high-resolution electroanatomic mapping","volume":"9","author":"Miyazaki","year":"2016","journal-title":"Circ Arrhythm Electrophysiol"},{"issue":"11","key":"10.1016\/j.hrthm.2025.04.002_bib20","doi-asserted-by":"crossref","first-page":"2360","DOI":"10.1016\/j.hrthm.2024.05.047","article-title":"Quantifying pulmonary vein antrum contact area with novel dual-sized cryoballoon to optimize pulmonary vein isolation","volume":"21","author":"Liao","year":"2024","journal-title":"Heart Rhythm"},{"issue":"8","key":"10.1016\/j.hrthm.2025.04.002_bib21","doi-asserted-by":"crossref","first-page":"2262","DOI":"10.3390\/jcm13082262","article-title":"Pulmonary vein isolation with a novel size-adjustable cryo-balloon catheter: a tailored ablation protocol","volume":"13","author":"Teumer","year":"2024","journal-title":"J Clin Med"},{"issue":"5","key":"10.1016\/j.hrthm.2025.04.002_bib22","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1046\/j.1540-8167.2004.03503.x","article-title":"Efficacy and safety of segmental ostial versus circumferential extra-ostial pulmonary vein isolation for atrial fibrillation","volume":"15","author":"Mansour","year":"2004","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"12","key":"10.1016\/j.hrthm.2025.04.002_bib23","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1016\/j.hrthm.2006.08.025","article-title":"Effects of circumferential or segmental pulmonary vein ablation for paroxysmal atrial fibrillation on cardiac autonomic function","volume":"3","author":"Bauer","year":"2006","journal-title":"Heart Rhythm"},{"issue":"3","key":"10.1016\/j.hrthm.2025.04.002_bib24","doi-asserted-by":"crossref","first-page":"162","DOI":"10.2459\/JCM.0b013e328341d023","article-title":"Anatomical extent of pulmonary vein isolation after cryoballoon ablation for atrial fibrillation: comparison between the 23- and 28-mm balloons","volume":"12","author":"Chierchia","year":"2011","journal-title":"J Cardiovasc Med"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib25","first-page":"e70004","article-title":"Cooling performance of a new cryoablation system in comparison to the arctic front cryoballoon","volume":"41","author":"Bai","year":"2025","journal-title":"J Arrhythmia"},{"issue":"1","key":"10.1016\/j.hrthm.2025.04.002_bib26","doi-asserted-by":"crossref","DOI":"10.1136\/openhrt-2021-001724","article-title":"Characteristics of anatomical difficulty for cryoballoon ablation: insights from CT","volume":"9","author":"Hayashi","year":"2022","journal-title":"Open Heart"},{"key":"10.1016\/j.hrthm.2025.04.002_bib27","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2021.683315","article-title":"Safety and efficacy using the second-generation cryoballoon in patients with atrial fibrillation and a common ostium of inferior pulmonary veins","volume":"8","author":"Xie","year":"2021","journal-title":"Front Cardiovasc Med"},{"issue":"4","key":"10.1016\/j.hrthm.2025.04.002_bib28","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1111\/jce.16220","article-title":"One-year outcomes of pulmonary vein isolation with a novel cryoballoon: primary results of the FROZEN AF trial","volume":"35","author":"Ellenbogen","year":"2024","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.04.002_bib29","article-title":"Novel cryoballoon technology for atrial fibrillation ablation: impact of pulmonary vein variant anatomy, cooling characteristics, and 1-year outcome from the CHARISMA registry","author":"Schiavone","year":"2024","journal-title":"Heart Rhythm"},{"issue":"10","key":"10.1016\/j.hrthm.2025.04.002_bib30","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1111\/jce.13047","article-title":"Cryoballoon versus radiofrequency catheter ablation in atrial fibrillation: a meta-analysis","volume":"27","author":"Cardoso","year":"2016","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib31","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1111\/jce.12296","article-title":"Histopathology of cryoballoon ablation-induced phrenic nerve injury","volume":"25","author":"Andrade","year":"2014","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"4","key":"10.1016\/j.hrthm.2025.04.002_bib32","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1161\/CIRCEP.113.001238","article-title":"Clinical experience with a novel electromyographic approach to preventing phrenic nerve injury during cryoballoon ablation in atrial fibrillation","volume":"7","author":"Mond\u00e9sert","year":"2014","journal-title":"Circ Arrhythm Electrophysiol"},{"issue":"12","key":"10.1016\/j.hrthm.2025.04.002_bib33","doi-asserted-by":"crossref","first-page":"1917","DOI":"10.1093\/europace\/euac148","article-title":"Novel cryoballoon ablation system for pulmonary vein isolation: multicenter assessment of efficacy and safety-ANTARCTICA study","volume":"24","author":"Heeger","year":"2022","journal-title":"Europace"},{"issue":"7 Pt 1","key":"10.1016\/j.hrthm.2025.04.002_bib34","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1016\/j.jacep.2024.03.021","article-title":"PolarX vs arctic front for cryoballoon ablation of paroxysmal AF: the randomized COMPARE CRYO study","volume":"10","author":"Reichlin","year":"2024","journal-title":"JACC Clin Electrophysiol"},{"issue":"7 Pt 1","key":"10.1016\/j.hrthm.2025.04.002_bib35","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1016\/j.jacep.2024.04.015","article-title":"PolarX vs arctic front advance cryoballoon: young pretender or worthy successor?","volume":"10","author":"Gupta","year":"2024","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.04.002_bib36","article-title":"Reduction of iatrogenic atrial septal defects with an anterior and inferior transseptal puncture site when operating the cryoballoon ablation catheter","volume":"100","author":"Rich","year":"2015","journal-title":"J Vis Exp JoVE"},{"issue":"5","key":"10.1016\/j.hrthm.2025.04.002_bib37","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1093\/europace\/eux214","article-title":"Pulmonary vein laceration during cryoballoon ablation for the treatment of atrial fibrillation","volume":"20","author":"Nakahara","year":"2018","journal-title":"Europace"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib38","first-page":"e70004","article-title":"Improvement in the design of delivery sheath facilitates cryoballoon manipulability: comparison between Nordica & arctic front cryoablation systems","volume":"41","author":"Bai","year":"2025","journal-title":"J Arrhythmia"},{"issue":"5","key":"10.1016\/j.hrthm.2025.04.002_bib39","doi-asserted-by":"crossref","DOI":"10.1016\/j.hrthm.2024.03.1622","article-title":"Impact of ablation energy on mortality after esophageal fistula and injury complicating atrial fibrillation ablation procedures: results from a worldwide FDA database\u2014the POTTER-AF 2 study","volume":"21","author":"Tilz","year":"2024","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2025.04.002_bib40","article-title":"Underreporting of complications following AF ablation: comparison of the manufacturer and user facility device experience FDA database and a voluntary invitation-based registry: the POTTER-AF 3 study","author":"Tilz","year":"2024","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2025.04.002_bib41","article-title":"Initial clinical experience with the novel POLARx FIT cryoballoon system for pulmonary vein isolation in patients with atrial fibrillation","volume":"50","author":"Fukunaga","year":"2024","journal-title":"IJC Heart Vasc"},{"issue":"1","key":"10.1016\/j.hrthm.2025.04.002_bib42","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s00392-024-02398-2","article-title":"Comparison of Arctic Front Advance Pro and POLARx cryoballoons for ablation therapy of atrial fibrillation: an intraprocedural analysis","volume":"114","author":"Knappe","year":"2025","journal-title":"Clin Res Cardiol"},{"issue":"9","key":"10.1016\/j.hrthm.2025.04.002_bib43","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euad248","article-title":"Novel or established cryoballoon ablation system for pulmonary vein isolation: the prospective ICE-AGE-1 study","volume":"25","author":"Heeger","year":"2023","journal-title":"Europace"},{"issue":"8","key":"10.1016\/j.hrthm.2025.04.002_bib44","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1253\/circj.CJ-21-0094","article-title":"Novel cryoballoon ablation system for single shot pulmonary vein isolation\u2014the prospective ICE-AGE-X study","volume":"85","author":"Tilz","year":"2021","journal-title":"Circ J"},{"issue":"1","key":"10.1016\/j.hrthm.2025.04.002_bib45","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1111\/jce.15288","article-title":"The established and the challenger: a direct comparison of current cryoballoon technologies for pulmonary vein isolation","volume":"33","author":"Moser","year":"2022","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"5","key":"10.1016\/j.hrthm.2025.04.002_bib46","doi-asserted-by":"crossref","DOI":"10.1016\/j.hrthm.2022.03.796","article-title":"Single sensor versus multi-sensor esophageal monitoring: what are we missing?","volume":"19","author":"Babb","year":"2022","journal-title":"Heart Rhythm"},{"issue":"3","key":"10.1016\/j.hrthm.2025.04.002_bib47","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1111\/jce.14915","article-title":"Comparison of procedural efficacy and biophysical parameters between two competing cryoballoon technologies for pulmonary vein isolation: Insights from an initial multicenter experience","volume":"32","author":"Yap","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib48","first-page":"e70004","article-title":"Refrigerant escapement in case of cryoballoon rupture between nordica and arctic front cryoballoon","volume":"41","author":"Bai","year":"2025","journal-title":"J Arrhythmia"},{"issue":"4","key":"10.1016\/j.hrthm.2025.04.002_bib49","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1111\/jce.14951","article-title":"First experience of POLARxTM versus Arctic Front AdvanceTM: an early technology comparison","volume":"32","author":"Creta","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.04.002_bib50","article-title":"Comparison of the acute outcome of two cryoballoon technologies for pulmonary vein isolation: an updated systematic review and meta-analysis","volume":"42","author":"Assaf","year":"2022","journal-title":"Int J Cardiol Heart Vasc"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib51","doi-asserted-by":"crossref","DOI":"10.1136\/openhrt-2023-002426","article-title":"Difference in tissue temperature change between two cryoballoons","volume":"10","author":"Hayashi","year":"2023","journal-title":"Open Heart"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib52","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1007\/s10840-021-01035-6","article-title":"Technical and procedural comparison of two different cryoballoon ablation systems in patients with atrial fibrillation","volume":"64","author":"Knecht","year":"2022","journal-title":"J Interv Card Electrophysiol"},{"issue":"4","key":"10.1016\/j.hrthm.2025.04.002_bib53","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1007\/s10840-022-01411-w","article-title":"Evaluation of the direction and extent of ice formation during cryoballoon ablation: an experimental study","volume":"66","author":"Mizutani","year":"2023","journal-title":"J Interv Card Electrophysiol"},{"issue":"3","key":"10.1016\/j.hrthm.2025.04.002_bib54","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1093\/europace\/euad005","article-title":"Outcomes after cryoballoon ablation of paroxysmal atrial fibrillation with the PolarX or the Arctic Front Advance Pro: a prospective multicentre experience","volume":"25","author":"Tanese","year":"2023","journal-title":"Europace"},{"issue":"11","key":"10.1016\/j.hrthm.2025.04.002_bib55","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euad286","article-title":"Atrial fibrillation cryoablation is an effective day case treatment: the UK PolarX vs. Arctic Front Advance experience","volume":"25","author":"Honarbakhsh","year":"2023","journal-title":"Europace"},{"issue":"2","key":"10.1016\/j.hrthm.2025.04.002_bib56","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/j.hrthm.2015.10.033","article-title":"Ablation of atrial fibrillation","volume":"13","author":"Aryana","year":"2016","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2025.04.002_bib57","article-title":"Durability of pulmonary vein isolation following cryoballoon ablation: lessons from a large series of repeat ablation procedures","volume":"40","author":"Mugnai","year":"2022","journal-title":"Int J Cardiol Heart Vasc"},{"issue":"9","key":"10.1016\/j.hrthm.2025.04.002_bib58","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1093\/europace\/euac100","article-title":"PolarX Cryoballoon metrics predicting successful pulmonary vein isolation: targets for ablation of atrial fibrillation","volume":"24","author":"Honarbakhsh","year":"2022","journal-title":"Europace"},{"issue":"4","key":"10.1016\/j.hrthm.2025.04.002_bib59","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1111\/jce.15861","article-title":"Acute procedural efficacy and safety of a novel cryoballoon for the treatment of paroxysmal atrial fibrillation: results from the POLAR ICE study","volume":"34","author":"Martin","year":"2023","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"3","key":"10.1016\/j.hrthm.2025.04.002_bib60","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.hrcr.2020.11.019","article-title":"Minimal dose of cryoballoon ablation leading to atrioesophageal fistula formation","volume":"7","author":"Su","year":"2021","journal-title":"HeartRhythm Case Rep"},{"issue":"4","key":"10.1016\/j.hrthm.2025.04.002_bib61","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1161\/CIRCEP.113.000228","article-title":"Increased incidence of esophageal thermal lesions using the second-generation 28-mm cryoballoon","volume":"6","author":"Metzner","year":"2013","journal-title":"Circ Arrhythm Electrophysiol"},{"issue":"1","key":"10.1016\/j.hrthm.2025.04.002_bib62","first-page":"16","article-title":"News from the cold chamber: clinical experiences of POLARx versus Arctic Front Advance for single-shot pulmonary vein isolation","volume":"9","author":"Guckel","year":"2022","journal-title":"J Cardiovasc Dev Dis"},{"issue":"1","key":"10.1016\/j.hrthm.2025.04.002_bib63","article-title":"Procedural safety and efficacy for pulmonary vein isolation with the novel PolarxTM Cryoablation System: a propensity score matched comparison with the Arctic FrontTM cryoballoon in the setting of paroxysmal atrial fibrillation","volume":"14","author":"Mojica","year":"2021","journal-title":"J Atr Fibrillation"},{"issue":"8","key":"10.1016\/j.hrthm.2025.04.002_bib64","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1093\/europace\/euab018","article-title":"Acute safety, efficacy, and advantages of a novel cryoballoon ablation system for pulmonary vein isolation in patients with paroxysmal atrial fibrillation: initial clinical experience","volume":"23","author":"Anic","year":"2021","journal-title":"Europace"},{"issue":"3","key":"10.1016\/j.hrthm.2025.04.002_bib65","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1111\/jce.14930","article-title":"Cryoballoon atrial fibrillation ablation: single-center safety and efficacy data using a novel cryoballoon technology compared to a historical balloon platform","volume":"32","author":"Kochi","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"18","key":"10.1016\/j.hrthm.2025.04.002_bib66","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1056\/NEJMoa2307291","article-title":"Pulsed field or conventional thermal ablation for paroxysmal atrial fibrillation","volume":"389","author":"Reddy","year":"2023","journal-title":"N Engl J Med"},{"issue":"19","key":"10.1016\/j.hrthm.2025.04.002_bib67","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1161\/CIRCULATIONAHA.123.063988","article-title":"Pulsed field ablation for the treatment of atrial fibrillation: PULSED AF pivotal trial","volume":"147","author":"Verma","year":"2023","journal-title":"Circulation"},{"issue":"5","key":"10.1016\/j.hrthm.2025.04.002_bib68","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/j.jacep.2021.02.014","article-title":"Pulsed field ablation of paroxysmal atrial fibrillation: 1-year outcomes of IMPULSE, PEFCAT, and PEFCAT II","volume":"7","author":"Reddy","year":"2021","journal-title":"JACC Clin Electrophysiol"},{"issue":"3","key":"10.1016\/j.hrthm.2025.04.002_bib69","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1007\/s10840-023-01608-7","article-title":"Pulmonary vein isolation durability and lesion regression in patients with recurrent arrhythmia after pulsed-field ablation","volume":"67","author":"Kueffer","year":"2024","journal-title":"J Interv Card Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.04.002_bib70","article-title":"Coronary spasm due to pulsed field ablation: a state-of-the-art review","author":"Ramirez","year":"2024","journal-title":"Pacing Clin Electrophysiol"}],"container-title":["Heart Rhythm"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527125023094?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527125023094?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T07:35:15Z","timestamp":1780126515000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1547527125023094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":70,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S1547527125023094"],"URL":"https:\/\/doi.org\/10.1016\/j.hrthm.2025.04.002","relation":{},"ISSN":["1547-5271"],"issn-type":[{"value":"1547-5271","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Best practices IV in cryoballoon ablation of atrial fibrillation: Important clinical and practical differences for new compliant and size-adjustable cryoballoon systems","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrthm.2025.04.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Heart Rhythm Society. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}