Procedural considerations
An index CRYO approach may offer several advantages over RF based index
ablation. Compared to RF ablation, Cryoablation is generally considered
a simplistic and more streamlined and standardized approach to AF
ablation, requiring fewer resources23 and an arguably
a less steep learning curve compared to RF ablation. The effectiveness
of this ablation approach in patients with heart failure, may help to
expand access to catheter ablation beyond specialised tertiary centres,
potentially facilitating earlier treatment. Despite the complexity of
patients in this cohort (average CHADS2VASC score of
2.7, and average LVEF of 34%, coronary disease in over a third) –
patients had a significant improvement in ventricular function and heart
failure symptoms5. The shorter more streamlined
approach offered by cryoablation may potentially offer an advantage in
the heart failure population.