Cryoballoon ablation using the sheath-in-sheath technique in a patient with a tortuous common iliac vein.

Yuhei Kasai Takayuki Kitai Junji MoritaKizuku IitsukaTakuya HaraguchiMasanaga TsujimotoTakuya OkadaYumetsugu MunakataJungo KasaiTsutomu Fujita

Published in: Clinical case reports (2024)

The sheath-in-sheath technique, utilizing a 15Fr cryoballoon delivery sheath inserted into a 25 cm 16Fr sheath, effectively navigates tortuous iliac veins during cryoballoon ablation for atrial fibrillation, ensuring safe delivery and maintaining essential device performance without complications.

Keyphrases

atrial fibrillation
catheter ablation
radiofrequency ablation
left atrial appendage
left atrial
heart failure
direct oral anticoagulants
case report
risk factors
acute coronary syndrome
left ventricular