{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:08:49Z","timestamp":1762506529043},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,5,15]],"date-time":"2015-05-15T00:00:00Z","timestamp":1431648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>In this observational study, we examine the significance of the left atrial (LA) surface area and compare the clinical usage of the Arctic Front Advance (CBA) versus Arctic Front (CB) cryoballoon with the intent to investigate the impact of each in terms of long\u2010term freedom from atrial fibrillation (AF) for patients with nonvalvular AF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pulmonary vein isolation (PVI) was performed while using a cryoballoon ablation catheter in conjunction with an intraluminal circular diagnostic mapping catheter, Achieve. The consecutive patients ablated with CBA were matched with patients previously ablated with CB, using propensity score matching. The primary endpoint of this observational single\u2010center retrospective study was the first observation of electrocardiogram\u2010documented recurrence of atrial arrhythmias lasting &gt;30 seconds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patient demographic data were similar in the CBA\u2010 and CB\u2010group (N = 188 patients each group). In all patients in the CBA\u2010group and in 95% of the patients in the CB group, acute procedural PVI of all veins was achieved with the single usage of a 28\u2010mm cryoballoon. The one\u2010year freedom from atrial arrhythmias was significantly better in the CBA\u2010 versus the CB\u2010group of patients, 90% versus 64%, respectively. During 15\u2010month clinical follow\u2010up in CBA group, patients with LA area above 23 cm<jats:sup>2<\/jats:sup> were more likely to experience recurrence of AF (23%) than patients with LA area below 23 cm<jats:sup>2<\/jats:sup> (7%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Comparing one\u2010year outcomes, the CBA is superior to the CB with regards to maintenance of normal sinus rhythm. When using the CBA catheter, an enlarged LA is associated with a higher recurrence of arrhythmia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.12637","type":"journal-article","created":{"date-parts":[[2015,4,7]],"date-time":"2015-04-07T13:47:50Z","timestamp":1428414470000},"page":"815-824","source":"Crossref","is-referenced-by-count":15,"title":["The Impact of Left Atrial Surface Area and the Second Generation Cryoballoon on Clinical Outcome of Atrial Fibrillation Cryoablation"],"prefix":"10.1111","volume":"38","author":[{"given":"HARALD","family":"GREISS","sequence":"first","affiliation":[{"name":"Department of Cardiology Kerckhoff Heart and Thorax Center  Bad Nauheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ALEXANDER","family":"BERKOWITSCH","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kerckhoff Heart and Thorax Center  Bad Nauheim 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