{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:14:44Z","timestamp":1760145284504,"version":"build-2065373602"},"reference-count":38,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T00:00:00Z","timestamp":1672876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Revista Portuguesa de Cardiologia"],"published-print":{"date-parts":[[2023,4]]},"DOI":"10.1016\/j.repc.2022.02.012","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T11:31:49Z","timestamp":1673263909000},"page":"363-370","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical outcome of a single procedure cryoballoon ablation for the treatment of atrial fibrillation: A real-world multicenter experience in Portugal"],"prefix":"10.1016","volume":"42","author":[{"given":"Pedro","family":"Silva Cunha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo","family":"Fonseca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9rgio","family":"Laranjo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Montenegro S\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Tereno Valente","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilherme","family":"Portugal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena","family":"Gon\u00e7alves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Nogueira da Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00eds","family":"Brand\u00e3o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rio","family":"Martins Oliveira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o","family":"Primo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.repc.2022.02.012_bib0195","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1093\/eurheartj\/ehaa612","volume":"42","author":"Hindricks","year":"2021","journal-title":"Eur Heart J"},{"key":"10.1016\/j.repc.2022.02.012_bib0200","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.1161\/01.CIR.0000157153.30978.67","article-title":"Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation","volume":"111","author":"Cappato","year":"2005","journal-title":"Circulation"},{"key":"10.1016\/j.repc.2022.02.012_bib0205","doi-asserted-by":"crossref","first-page":"1902","DOI":"10.1016\/j.jacc.2005.07.046","article-title":"Efficacy and safety of circumferential pulmonary vein isolation using a novel cryothermal balloon ablation system","volume":"46","author":"Sarabanda","year":"2005","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0210","doi-asserted-by":"crossref","first-page":"2045","DOI":"10.1161\/01.CIR.0000058706.82623.A1","article-title":"Lower incidence of thrombus formation with cryo energy versus radiofrequency catheter ablation","volume":"107","author":"Khairy","year":"2003","journal-title":"Circulation"},{"key":"10.1016\/j.repc.2022.02.012_bib0215","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1111\/jce.12695","article-title":"Acute and long-term outcomes of catheter ablation of atrial fibrillation using the second-generation cryoballoon versus open-irrigated radiofrequency: a multicenter experience","volume":"26","author":"Aryana","year":"2015","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0220","doi-asserted-by":"crossref","first-page":"2235","DOI":"10.1056\/NEJMoa1602014","article-title":"Cryoballoon or radiofrequency ablation for paroxysmal atrial fibrillation (FIRE AND ICE)","volume":"374","author":"Kuck","year":"2016","journal-title":"N Engl J Med"},{"key":"10.1016\/j.repc.2022.02.012_bib0225","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.ijcard.2014.06.038","article-title":"Long-term comparison of cryoballoon and radiofrequency ablation of paroxysmal atrial fibrillation: a propensity score-matched analysis","volume":"176","author":"Knecht","year":"2014","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0230","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1093\/europace\/eut104","article-title":"Ablation of atrial fibrillation with cryoballoon or duty-cycled radiofrequency pulmonary vein ablation catheter: a randomized controlled study comparing the clinical outcome and safety; the AF-COR study","volume":"15","author":"Malmborg","year":"2013","journal-title":"Europace"},{"key":"10.1016\/j.repc.2022.02.012_bib0235","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1161\/CIRCULATIONAHA.115.016871","article-title":"Cryoballoon versus open irrigated radiofrequency ablation in patients with paroxysmal atrial fibrillation the prospective, randomized, controlled, noninferiority FreezeAF study","volume":"132","author":"Luik","year":"2015","journal-title":"Circulation"},{"key":"10.1016\/j.repc.2022.02.012_bib0240","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1016\/j.hrthm.2011.03.050","article-title":"Efficacy, and safety of cryoballoon ablation for atrial fibrillation: a systematic review of published studies","volume":"8","author":"Andrade","year":"2011","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.repc.2022.02.012_bib0245","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.repc.2020.05.012","article-title":"Registo Nacional de Eletrofisiologia Card\u00edaca 2017-2018","volume":"40","author":"Cortez-Dias","year":"2021","journal-title":"Rev Port Cardiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0250","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1016\/j.jacc.2005.08.077","article-title":"Prediction of cardiovascular outcomes with left atrial size: is volume superior to area or diameter?","volume":"47","author":"Tsang","year":"2006","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0255","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/S0972-6292(16)30479-X","article-title":"Cryoballoon ablation for atrial fibrillation","volume":"12","author":"Andrade","year":"2012","journal-title":"Indian Pacing Electrophysiol J"},{"key":"10.1016\/j.repc.2022.02.012_bib0260","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1161\/CIRCEP.115.002725","article-title":"Impact of freezing time and balloon size on the thermodynamics and isolation efficacy during pulmonary vein isolation using the second-generation cryoballoon","volume":"8","author":"Takami","year":"2015","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0265","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1161\/CIRCEP.111.966226","article-title":"Randomized ablation strategies for the treatment of persistent atrial fibrillation: RASTA study","volume":"5","author":"Dixit","year":"2012","journal-title":"Circ Arrhythmia Electrophysiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0270","first-page":"48","article-title":"Results from a multicentre comparison of cryoballoon vs. radiofrequency ablation for paroxysmal atrial fibrillation: is cryoablation more reproducible?","volume":"19","author":"Providencia","year":"2017","journal-title":"EP Europace"},{"key":"10.1016\/j.repc.2022.02.012_bib0275","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1016\/j.jacep.2018.07.007","article-title":"Single-procedure outcomes and quality-of-life improvement 12 months post-cryoballoon ablation in persistent atrial fibrillation: results from the multicenter CRYO4PERSISTENT AF Trial","volume":"4","author":"Boveda","year":"2018","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0280","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1016\/j.repc.2019.05.013","article-title":"Medium- and long-term outcome after a single second-generation cryoballoon ablation in patients with paroxysmal and persistent atrial fibrillation","volume":"38","author":"Ruiz","year":"2019","journal-title":"Rev Port Cardiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0285","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1093\/europace\/euz313","article-title":"Cryoablation for persistent and longstanding persistent atrial fibrillation: results from a multicentre European registry","volume":"22","author":"Sawhney","year":"2020","journal-title":"Europace"},{"key":"10.1016\/j.repc.2022.02.012_bib0290","doi-asserted-by":"crossref","first-page":"1952","DOI":"10.1093\/europace\/eux378","article-title":"Safety profile of near-zero fluoroscopy atrial fibrillation ablation with non-fluoroscopic catheter visualization: experience from 1000 consecutive procedures","volume":"20","author":"Sommer","year":"2018","journal-title":"Europace"},{"key":"10.1016\/j.repc.2022.02.012_bib0295","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1002\/joa3.12448","article-title":"Zero-fluoroscopy catheter ablation for atrial fibrillation: a transitional period experience","volume":"36","author":"Cha","year":"2020","journal-title":"J Arrhythm"},{"key":"10.1016\/j.repc.2022.02.012_bib0300","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1161\/CIRCEP.112.973651","article-title":"Catheter cryoablation: biology and clinical uses","volume":"6","author":"Andrade","year":"2013","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0305","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1093\/europace\/euw330","article-title":"Cryoablation vs. radiofrequency ablation for treatment of paroxysmal atrial fibrillation: a systematic review and meta-analysis","volume":"19","author":"Chen","year":"2017","journal-title":"Europace"},{"key":"10.1016\/j.repc.2022.02.012_bib0310","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1016\/j.hrthm.2015.12.007","article-title":"German ablation registry: cryoballoon vs. radiofrequency ablation in paroxysmal atrial fibrillation \u2013 one-year outcome data","volume":"13","author":"Schmidt","year":"2016","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.repc.2022.02.012_bib0315","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1016\/j.hrthm.2020.05.028","article-title":"Biophysical properties, efficacy, and lesion characteristics of a new linear cryoablation catheter in a canine model","volume":"17","author":"Suzuki","year":"2020","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.repc.2022.02.012_bib0320","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.1111\/jce.15142","article-title":"Ultralow temperature cryoablation using near-critical nitrogen for cavotricuspid isthmus-ablation, first-in-human results","volume":"32","author":"Klaver","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0325","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1161\/CIRCRESAHA.120.316402","article-title":"Emerging technologies for pulmonary vein isolation","volume":"127","author":"Ramirez","year":"2020","journal-title":"Circ Res"},{"key":"10.1016\/j.repc.2022.02.012_bib0330","first-page":"1314","article-title":"Comparison of phrenic nerve injury during atrial fibrillation ablation between different modalities pathophysiology, and management","volume":"8","author":"Parikh","year":"2015","journal-title":"J Atr Fibrillation"},{"key":"10.1016\/j.repc.2022.02.012_bib0335","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1111\/j.1540-8167.2010.01944.x","article-title":"Cryoballoon ablation of atrial fibrillation","volume":"21","author":"Kuck","year":"2010","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0340","first-page":"1","article-title":"Phrenic nerve injury after catheter ablation of atrial fibrillation","volume":"7","author":"Sacher","year":"2007","journal-title":"Indian Pacing Electrophysiol J"},{"key":"10.1016\/j.repc.2022.02.012_bib0345","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/j.hrthm.2011.01.031","article-title":"Diaphragmatic electromyography during cryoballoon ablation: a novel concept in the prevention of phrenic nerve palsy","volume":"8","author":"Franceschi","year":"2011","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.repc.2022.02.012_bib0350","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1111\/jce.12671","article-title":"Prospective evaluation of bilateral diaphragmatic electromyograms during cryoballoon ablation of atrial fibrillation","volume":"26","author":"Miyazaki","year":"2015","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0355","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.hrthm.2013.11.015","article-title":"Recordings of diaphragmatic electromyograms during cryoballoon ablation for atrial fibrillation accurately predict phrenic nerve injury","volume":"11","author":"Lakhani","year":"2014","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.repc.2022.02.012_bib0360","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.jjcc.2010.07.006","article-title":"Left atrial volume index as a predictor for the occurrence of atrial fibrillation after ablation of typical atrial flutter","volume":"56","author":"Lee","year":"2010","journal-title":"J Cardiol"},{"key":"10.1016\/j.repc.2022.02.012_bib0365","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1093\/europace\/eux013","article-title":"Left atrial volume predicts atrial fibrillation recurrence after radiofrequency ablation: a meta-analysis","volume":"20","author":"Njoku","year":"2018","journal-title":"Europace"},{"key":"10.1016\/j.repc.2022.02.012_bib0370","doi-asserted-by":"crossref","first-page":"211","DOI":"10.2147\/JBM.S81551","article-title":"Predictors of atrial fibrillation recurrence after cryoballoon ablation","volume":"6","author":"Aksu","year":"2015","journal-title":"J Blood Med"},{"key":"10.1016\/j.repc.2022.02.012_bib0375","first-page":"482","article-title":"Prediction of recurrence after cryoballoon ablation therapy in patients with paroxysmal atrial fibrillation","volume":"16","author":"Gerede","year":"2016","journal-title":"Anat J Cardiol"},{"issue":"Issue suppl_4","key":"10.1016\/j.repc.2022.02.012_bib0380","first-page":"iv59","article-title":"Predictors of atrial fibrillation recurrence following cryoablation for paroxysmal atrial fibrillation","volume":"20","author":"Patel","year":"2018","journal-title":"EP Europace"}],"container-title":["Revista Portuguesa de Cardiologia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0870255123000471?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0870255123000471?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:12:21Z","timestamp":1760109141000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0870255123000471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["S0870255123000471"],"URL":"https:\/\/doi.org\/10.1016\/j.repc.2022.02.012","relation":{},"ISSN":["0870-2551"],"issn-type":[{"type":"print","value":"0870-2551"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical outcome of a single procedure cryoballoon ablation for the treatment of atrial fibrillation: A real-world multicenter experience in Portugal","name":"articletitle","label":"Article Title"},{"value":"Revista Portuguesa de Cardiologia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.repc.2022.02.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}]}}