What is cryoablation, and what is it used to treat?

Written in association with: Dr Jonathan Byrne
Published:
Edited by: Conor Lynch

Cryoablation can be a highly effective treatment option for some when it comes to regulating heart rhythm. In our latest article here below, revered London-based interventional cardiologist, Dr Jonathan Byrne, discusses how and why cryoablation is performed, and reveals how effective it is and whether or not it is safe.

What is cryoablation treatment, and why is it performed?

Cryoablation treatment is generally performed by a cardiologist. It is performed in order to restore normal heart rhythm by disabling heart cells that create an irregular heartbeat.

 

It is a minimally invasive procedure where a thin, flexible tube called a balloon catheter is used to locate and freeze the heart tissue that triggers an irregular heartbeat. Recent studies have found cryoablation to be significantly more effective than medication, and patients generally experience less pain than with radiofrequency ablation.

 

What happens during cryoablation?

As mentioned, it is a minimally invasive procedure where a thin, flexible tube is used to locate and freeze the heart tissue that triggers an irregular heartbeat. The tube is then inserted into a blood vessel, and is then threaded though the body until it reaches the heart.

 

This narrow tube has an inflatable balloon on one end that engages the pulmonary vein. Using advanced imaging techniques, the doctor is able to guide the catheter to the heart.

 

Once the balloon is at the ostium of the pulmonary vein, extreme cold energy flows through the catheter to destroy this small amount of tissue and restore a healthy heart rhythm.

 

How successful is cryoablation for atrial fibrillation, and is it safe?

The success rate of the procedure is generally excellent, but, of course, it depends on many factors. These include the duration of the condition, the presence of valve disease or coronary artery disease, the type of atrial fibrillation (paroxysmal or persistent), as well as the size of the atria.

 

Dr Jonathan Byrne is a highly esteemed London-based interventional cardiologist. Consult with him today and book an appointment with him via his Top Doctors profile

By Dr Jonathan Byrne
Cardiology

Dr Jonathan Byrne is a leading interventional cardiologist who specialises in the treatment of coronary artery disease. He is an expert in the treatment of patients with angina, heart failure, heart rhythm disturbances and high blood pressure. He practises at the Cleveland Clinic, King's Private, OneWelbeck and the Sloane Hospital, all located in London. He also practises at the King's College Hospital NHS Foundation Trust, where he is the Clinical Director of Cardiovascular Services.

Dr Byrne treats patients with valvular heart disease using new treatments which do not require an operation, such as TAVI (transcatheter aortic valve implantation) and MitraClip (percutaneous treatment of the mitral valve).
 
He is also highly experienced in a number of imaging tests for the heart, including transoesophageal echocardiography and cardiac CT scanning.
 
Dr Byrne completed his undergraduate medical training at the University of Bristol, receiving his MB ChB in 1995. He then continued general professional medical training in South East England and London, where he received his MRCP in 1999. He then completed his PHD at the academic department of Cardiology at King’s College Hospital, examining molecular mechanisms underlying left ventricular hypertrophy. Dr Byrne continued his training in interventional cardiology at King’s College Hospital from 2004. He went on to become a Boston Scientific sponsored Interventional Fellow on Vancouver Island, Canada.
 
Since appointment as a consultant in July 2008, Dr Byrne has also been involved in the development of the structural programme at King’s College Hospital, with the use of novel percutaneous techniques to treat aortic and mitral valve disease.
 
He is a member of the British Cardiovascular Intervention Society, the British Cardiovascular Society, the Royal Society of Medicine (Cardiology), the British Heart Valve Association and the Medical Defence Union.
 
When he is not treating patients, Dr Byrne carries out research on different cardiology treatments.

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