We reported 3 years ago the use of cryoablation in the treatment of a right atrium myxoma arising from the Koch's triangle. The atrioventricular conduction was successfully preserved. Today, after 3 years follow-up, the patient remains with a conducted sinus rhythm and is free of recurrence. Even if extensive resection of the stack of the myxoma remains the first choice attitude, cryoablation c...

METHODS Ten patients (70% men; median age: 38 years [range: 34 to 45 years]) with drug-refractory premature ventricular contractions or ventricular tachycardia underwent catheter cryoablation. VAs were localized using 3-dimensional (3D) mapping, multidetector computed tomography, and intracardiac echocardiography, with arrhythmia foci being mapped at either the anterolateral PM or posteromedial...

PURPOSE To evaluate percutaneous cryotherapy as a primary treatment option for high-risk prostate cancer patients. PATIENTS AND METHODS From October 2000 to February 2005, 21 high-risk (Gleason e.8 and/or PSA > 10 and/or stage > T2a) prostate cancer patients underwent 24 percutaneous prostate cryoablation procedures. Patients' median age was 70.9, and the average pretreatment PSA was 19.5 ng/...

Radiofrequency ablation (RFA) aiming at the electrical isolation of the pulmonary vein (PV) is more effective in controlling the rhythm than drugs, especially in young individuals with symptomatic paroxysmal atrial fibrillation (AF) without structural heart disease.1-3 Electrical isolation is performed with point-by-point RFA around the PV, constituting a complex and lengthy procedure.2,3 Recen...

Current treatment options for men with early localized prostate cancer are either some form of radical therapy or active surveillance. Radical therapy is usually associated with significant adverse effects that might jeopardize a man's quality of life. Some observers believe that PSA screening has resulted in the over diagnosis and over treatment of prostate cancer. Many men are being diagnosed...

Septal accessory pathways provide the invasive electrophysiologist with serious challenges, particularly in the case of para-Hisian or mid-septal insertion sites. Although radiofrequency energy has demonstrated efficacy in the elimination of accessory AV pathway conduction, it has also been associated with a non-trivial risk of heart block at septal and para-Hisian sites. Because of these conce...

Esophageal cancer has a poor overall prognosis and is frequently diagnosed at a late stage. Conventional treatment for metastatic esophageal cancer involves chemotherapy and radiation. Local disease control plays a significant role in improving survival. Endoscopic spray cryotherapy is a novel modality that involves freezing and thawing to produce local ablation of malignant tissue via ischemic...

Papillary muscles (PMs) were reported to be origin of ventricular arrhythmia (VA). Radiofrequency (RF) ablation was reported to be acutely effective in eliminating VA. However, the recurrence rate is high. Recently, cryoablation guided by intracardiac echocardiography, 3-dimensional mapping system, and image integration was introduced as alternative strategy for this challenging ablation. We pr...

Titre Cryoablation of two accessory pathways in a single session: Appraisal of a direct cryoablation approach in right septal locations Type de publication Article de revue Auteur Alexandre, Joachim [1], Foucault, Anthony [2], Scanu, Patrice [3] Editeur Elsevier Masson Type Article scientifique dans une revue à comité de lecture Année 2011 Langue Anglais Date 2011/11 Numéro 11 Pagination 593 59...

Metastases to bone are common and often cause pain that is difficult to alleviate Cryoablation offers a potential alternative to conventional therapies for palliative pain control, such as external beam radiation or surgery Cryoablation offers advantages over radiofrequency or microwave ablation because: The procedure can be monitored with CT imaging Multiple cryoprobes can be placed in one tre...