{"id":"https://openalex.org/W2654230833","doi":"https://doi.org/10.1093/ehjci/eux161.035","title":"P1725How to prevent persistent phrenic nerve palsy in the setting of second generation cryoballoon ablation?","display_name":"P1725How to prevent persistent phrenic nerve palsy in the setting of second generation cryoballoon ablation?","publication_year":2017,"publication_date":"2017-06-01","ids":{"openalex":"https://openalex.org/W2654230833","doi":"https://doi.org/10.1093/ehjci/eux161.035","mag":"2654230833"},"language":"en","primary_location":{"id":"doi:10.1093/ehjci/eux161.035","doi":"https://doi.org/10.1093/ehjci/eux161.035","is_oa":false,"landing_page_url":"https://doi.org/10.1093/ehjci/eux161.035","pdf_url":null,"source":{"id":"https://openalex.org/S46732370","display_name":"EP Europace","issn_l":"1099-5129","issn":["1099-5129","1532-2092"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"EP Europace","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046016456","display_name":"Vedran Velagi\u0107","orcid":"https://orcid.org/0000-0001-5425-5840","observed_orcids":["https://orcid.org/0000-0001-5425-5840"]},"institutions":[{"id":"https://openalex.org/I138937732","display_name":"University Hospital Centre Zagreb","ror":"https://ror.org/00r9vb833","country_code":"HR","type":"healthcare","lineage":["https://openalex.org/I138937732"]}],"countries":["HR"],"is_corresponding":false,"raw_author_name":"V. Velagic","raw_affiliation_strings":["University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia","institution_ids":["https://openalex.org/I138937732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017443960","display_name":"Domagoj Kardum","orcid":"https://orcid.org/0000-0001-5202-4061","observed_orcids":["https://orcid.org/0000-0001-5202-4061"]},"institutions":[{"id":"https://openalex.org/I138937732","display_name":"University Hospital Centre Zagreb","ror":"https://ror.org/00r9vb833","country_code":"HR","type":"healthcare","lineage":["https://openalex.org/I138937732"]}],"countries":["HR"],"is_corresponding":false,"raw_author_name":"D. Kardum","raw_affiliation_strings":["University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia","institution_ids":["https://openalex.org/I138937732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043388907","display_name":"Borka Pezo-Nikoli\u0107","orcid":"https://orcid.org/0000-0002-0504-5238","observed_orcids":["https://orcid.org/0000-0002-0504-5238"]},"institutions":[{"id":"https://openalex.org/I138937732","display_name":"University Hospital Centre Zagreb","ror":"https://ror.org/00r9vb833","country_code":"HR","type":"healthcare","lineage":["https://openalex.org/I138937732"]}],"countries":["HR"],"is_corresponding":false,"raw_author_name":"B. Pezo-Nikolic","raw_affiliation_strings":["University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia","institution_ids":["https://openalex.org/I138937732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025866067","display_name":"Mislav Puljevi\u0107","orcid":"https://orcid.org/0000-0003-1477-2581","observed_orcids":["https://orcid.org/0000-0003-1477-2581"]},"institutions":[{"id":"https://openalex.org/I138937732","display_name":"University Hospital Centre Zagreb","ror":"https://ror.org/00r9vb833","country_code":"HR","type":"healthcare","lineage":["https://openalex.org/I138937732"]}],"countries":["HR"],"is_corresponding":false,"raw_author_name":"M. Puljevic","raw_affiliation_strings":["University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia","institution_ids":["https://openalex.org/I138937732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079546999","display_name":"Richard Matasi\u0107","orcid":"https://orcid.org/0000-0003-1289-1704","observed_orcids":["https://orcid.org/0000-0003-1289-1704"]},"institutions":[{"id":"https://openalex.org/I138937732","display_name":"University Hospital Centre Zagreb","ror":"https://ror.org/00r9vb833","country_code":"HR","type":"healthcare","lineage":["https://openalex.org/I138937732"]}],"countries":["HR"],"is_corresponding":false,"raw_author_name":"R. Matasic","raw_affiliation_strings":["University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia","institution_ids":["https://openalex.org/I138937732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014856987","display_name":"Martina Lovri\u0107 Ben\u010di\u0107","orcid":"https://orcid.org/0000-0001-8446-6120","observed_orcids":["https://orcid.org/0000-0001-8446-6120"]},"institutions":[{"id":"https://openalex.org/I138937732","display_name":"University Hospital Centre Zagreb","ror":"https://ror.org/00r9vb833","country_code":"HR","type":"healthcare","lineage":["https://openalex.org/I138937732"]}],"countries":["HR"],"is_corresponding":false,"raw_author_name":"M. Lovric-Bencic","raw_affiliation_strings":["University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia","institution_ids":["https://openalex.org/I138937732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022700193","display_name":"Davor Puljevi\u0107","orcid":"https://orcid.org/0000-0003-3603-2242","observed_orcids":["https://orcid.org/0000-0003-3603-2242"]},"institutions":[{"id":"https://openalex.org/I138937732","display_name":"University Hospital Centre Zagreb","ror":"https://ror.org/00r9vb833","country_code":"HR","type":"healthcare","lineage":["https://openalex.org/I138937732"]}],"countries":["HR"],"is_corresponding":false,"raw_author_name":"D. Puljevic","raw_affiliation_strings":["University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia","institution_ids":["https://openalex.org/I138937732"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5081510830","display_name":"Davor Mili\u010di\u0107","orcid":"https://orcid.org/0000-0001-9101-1570","observed_orcids":["https://orcid.org/0000-0001-9101-1570"]},"institutions":[{"id":"https://openalex.org/I138937732","display_name":"University Hospital Centre Zagreb","ror":"https://ror.org/00r9vb833","country_code":"HR","type":"healthcare","lineage":["https://openalex.org/I138937732"]}],"countries":["HR"],"is_corresponding":false,"raw_author_name":"D. Milicic","raw_affiliation_strings":["University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia","institution_ids":["https://openalex.org/I138937732"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I138937732"],"apc_list":{"value":4344,"currency":"EUR","value_usd":4909},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"suppl_3","first_page":"iii373","last_page":"iii373"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.030700000002980232,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10598","display_name":"Cardiac pacing and defibrillation studies","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/phrenic-nerve-palsy","display_name":"phrenic nerve palsy","score":0.996999979019165},{"id":"https://openalex.org/keywords/cryoballoon-ablation","display_name":"cryoballoon ablation","score":0.9589999914169312},{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.9610000252723694},{"id":"https://openalex.org/keywords/phrenic-nerve-stimulation","display_name":"phrenic nerve stimulation","score":0.8019999861717224},{"id":"https://openalex.org/keywords/procedural-complications","display_name":"procedural complications","score":0.515999972820282},{"id":"https://openalex.org/keywords/paroxysmal-atrial-fibrillation","display_name":"paroxysmal atrial fibrillation","score":0.8199999928474426},{"id":"https://openalex.org/keywords/persistent-atrial-fibrillation","display_name":"persistent atrial fibrillation","score":0.921999990940094},{"id":"https://openalex.org/keywords/fluoroscopy","display_name":"fluoroscopy","score":0.49000000953674316}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9857452511787415},{"id":"https://openalex.org/C2778902805","wikidata":"https://www.wikidata.org/wiki/Q322177","display_name":"Ablation","level":2,"score":0.5697081685066223},{"id":"https://openalex.org/C2777099253","wikidata":"https://www.wikidata.org/wiki/Q737313","display_name":"Phrenic nerve","level":3,"score":0.5235450267791748},{"id":"https://openalex.org/C2778097013","wikidata":"https://www.wikidata.org/wiki/Q68212673","display_name":"Palsy","level":3,"score":0.4335877299308777},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.42437028884887695},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.1946640908718109},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.11163374781608582},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.054372161626815796},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/ehjci/eux161.035","doi":"https://doi.org/10.1093/ehjci/eux161.035","is_oa":false,"landing_page_url":"https://doi.org/10.1093/ehjci/eux161.035","pdf_url":null,"source":{"id":"https://openalex.org/S46732370","display_name":"EP Europace","issn_l":"1099-5129","issn":["1099-5129","1532-2092"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"EP Europace","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Zero hunger","score":0.6299999952316284,"id":"https://metadata.un.org/sdg/2"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W4389568370","https://openalex.org/W3032375762","https://openalex.org/W1995515455","https://openalex.org/W2080531066","https://openalex.org/W2586801360","https://openalex.org/W3108674512","https://openalex.org/W1506200166","https://openalex.org/W1489783725"],"abstract_inverted_index":{"Background/":[0],"Purpose:":[1],"Phrenic":[2],"nerve":[3,42,347,384],"palsy":[4,385,399],"(PNP)":[5],"is":[6,83,350],"an":[7],"important":[8],"complication":[9],"of":[10,18,31,54,80,88,101,113,159,163,165,186,188,201,214,233,265,273,308,331,339,345,366,382],"cryoballoon":[11,391],"(CB)":[12],"technology":[13],"in":[14,45,104,107,152,220,231,280,294,298,317,356,386],"the":[15,46,86,99,110,116,126,148,157,195,202,208,221,236,295,314,357,364],"catheter":[16,361],"ablation":[17,120,392],"atrial":[19],"fibrillation":[20],"(AF).":[21],"The":[22,78,134,321],"most":[23],"common":[24],"methods":[25],"for":[26,75,207,393],"preventing":[27],"PNP":[28,57,76,114,325],"are":[29,369],"fluoroscopy":[30],"spontaneous":[32],"breathing":[33],"and":[34,142,184,190,235,250,328,352,363,371],"compound":[35],"motor":[36],"action":[37],"potential":[38],"monitoring":[39,66,349],"during":[40,58,115,390],"phrenic":[41,346,383],"(PN)":[43],"pacing":[44],"superior":[47],"vena":[48],"cava.":[49],"However,":[50],"up":[51],"to":[52,84,138,175],"24.4%":[53],"patients":[55,97,216,234,260,282,300,389],"experience":[56],"CB":[59,102],"ablation.":[60],"Femoral":[61],"venous":[62,367],"pressure":[63,143,166,196,368],"waveform":[64,144,167,197],"(FVPW)":[65],"has":[67],"been":[68,218],"recently":[69],"described":[70,183],"as":[71,270,288,305],"a":[72,131],"reliable":[73,370],"method":[74,344,377],"prevention.":[77],"aim":[79],"this":[81,89,376],"study":[82,222],"evaluate":[85],"feasibility":[87],"novel":[90,343],"technique.":[91],"Methods:":[92],"We":[93],"have":[94,122,217],"analyzed":[95],"consecutive":[96],"form":[98,264,381],"beginning":[100],"program":[103],"our":[105],"institution":[106],"2015.":[108],"For":[109],"early":[111,240],"detection":[112],"right":[117,127],"pulmonary":[118],"vein":[119,129,359],"we":[121],"paced":[123],"PN":[124,285,309,332],"via":[125,147],"subclavian":[128,358],"with":[130,323],"decapolar":[132],"catheter.":[133],"output":[135],"was":[136,145,173,181,204,229,248,255,278,326,334],"set":[137],"20":[139],"mA/2":[140],"ms":[141],"recorded":[146],"8":[149,259],"French":[150],"introducer":[151],"left":[153,244,252],"femoral":[154],"vein.":[155],"In":[156,373],"case":[158],"more":[160],"than":[161],"50%":[162],"weakening":[164,272],"(impending":[168],"palsy)":[169],"\"double":[170],"stop\"":[171],"technique":[172,180],"used":[174],"prevent":[176,379],"persistent":[177,241,324,380],"PNP.":[178,266],"This":[179,342],"previously":[182],"consisted":[185],"abortion":[187],"freezing":[189],"immediate":[191],"balloon":[192],"deflation.":[193],"Beside":[194],"monitoring,":[198],"manual":[199],"palpation":[200],"abdomen":[203],"performed":[205],"concomitantly":[206],"double":[209],"insurance.":[210],"Results:":[211],"A":[212],"total":[213],"82":[215],"enrolled":[219],"(74.3%":[223],"male,":[224],"55.4\u00b110.6":[225],"years).":[226],"Paroxysmal":[227],"AF":[228],"present":[230,279],"78.6%":[232],"rest":[237],"suffered":[238],"from":[239],"AF.":[242,394],"Mean":[243],"ventricle":[245],"ejection":[246],"fraction":[247],"62.5%\u00b14.9%":[249],"mean":[251],"atrium":[253],"diameter":[254],"40.6\u00b16.2":[256],"mm.":[257],"Overall,":[258],"(9.7%)":[261],"experienced":[262],"some":[263],"Impending":[267,398],"palsy,":[268,286,303],"defined":[269,287,304],">50%":[271],"FVPW":[274],"without":[275],"complete":[276,289,306],"paresis,":[277],"5":[281],"(6.1%).":[283],"Transient":[284],"paresis":[290],"that":[291,311,375],"fully":[292],"recovered":[293],"lab,":[296],"occurred":[297,316],"2":[299],"(2.4%).":[301],"Persistent":[302],"loss":[307],"function":[310,333,348],"persisted":[312],"after":[313,336],"procedure":[315],"1":[318],"patient":[319,322],"(1.2%).":[320],"asymptomatic":[327],"full":[329],"recovery":[330],"documented":[335],"6":[337],"months":[338],"follow-up.":[340],"Conclusion:":[341],"simple":[351],"readily":[353],"available.":[354],"Pacing":[355],"prevents":[360],"dislodgement":[362],"measurements":[365],"reproducible.":[372],"seems":[374],"could":[378],"almost":[387],"all":[388],"Abstract":[395],"P1725":[396],"Figure.":[397]},"counts_by_year":[],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2025-10-10T00:00:00"}