At St. Bartholomew’s Hospital, London, Arctic Front Advance™ Cryoballoon procedures are performed in a day case model, a weekly Cryo list is performed in a previously unused Interventional Radiology Lab, optimising best use of hospital resources in order to keep waiting lists down.

To further improve procedure efficiency whilst preserving safety, they developed a concise Standard Operation Procedure specifically for the IR lab.

The team performs four Cryoballoon ablation procedures per weekly “cryo list”, with an average procedure duration < 60 minutes. 

Dr Ross Hunter (Electrophysiologist), Dr Malcolm Finlay (Electrophysiologist) and Natasha Bloodworth (Cardiac Physiologist) lead the Arctic Front™ Procedure Optimisation course at St. Bart’s.
Each course leader has extensive Arctic Front Advance™ Cryoballoon experience.

st barts

St. Bartholomew’s Hospital
W Smithfield, London EC1A 7BE, UK


Arrival in the evening before.
Training day: joint transfer to hospital followed by presentations, a minimum 3 live cases and discussions.
Adjourn of the event is at 15:30 local time.


Please contact your local Medtronic representative for dates and further information.


  • 08:00-08:30     Best practices to minimise procedure duration and to manage patient                                     safety and complications post-procedure
  • 08:30-08:40     Change into scrubs
  • 08:40-08:50     Discussion: Managing patient turnover efficiently
  • 08:50-09:50     Live Case 1
                                      Participants to shadow the person in their equivalent role
  • 09:50-10:00     Managing the cryoballoon procedure preparation efficiently
  • 10:00-11:00     Live Case 2
                                      Role shadowing and discussion
  • 11:00-11:10     Discussion: Pitfalls to avoid when seeking to reduce cryoballoon                                                  procedure duration
  • 11:10-11:45     AF ablation outcome data and the implementation of a value-based                                        healthcare approach 
  • 11:45-12:30     Lunch in hospital
  • 12:30-13:00     Q&A
  • 13:00-14:00     Live Case 3
                                      Role shadowing and discussion
  • 14:15-15:00     Discussion: challenges and limitations associated with shorter Arctic                                      Front Advance Cryoballoon procedure times and periprocedural                                                  efficiency 
  • 15:00-15:30     Conclusion & evaluation
  • 15:30                     Adjourn