Catheter entrapment in a pulmonary vein: a unique complication of pulmonary vein isolation.
Détails
Télécharger: BIB_53329DF0EBCC.P001.pdf (905.36 [Ko])
Etat: Public
Version: Final published version
Etat: Public
Version: Final published version
ID Serval
serval:BIB_53329DF0EBCC
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Catheter entrapment in a pulmonary vein: a unique complication of pulmonary vein isolation.
Périodique
Chest
ISSN
1931-3543 (Electronic)
ISSN-L
0012-3692
Statut éditorial
Publié
Date de publication
2010
Volume
138
Numéro
2
Pages
422-425
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Ablation strategies for the treatment of atrial fibrillation (AF) are associated with several potential complications. During electro-anatomic mapping of the left atrium (LA) before ablation, the ablation catheter was entrapped in the right inferior pulmonary vein (RIPV). After multiple unsuccessful gentle tractions, stronger maneuvers with rotation of the catheter slowly allowed its retrieval. Examination of the catheter showed a thin, translucent membrane covering its tip, suggesting complete stripping of a vein branch. Occlusion of the superior branch of the RIPV was confirmed by LA angiogram. During the following days, no pericardial effusion was noted, but the patient complained of light chest pain and mild hemoptysis, spontaneously resolving within 48 h. This case shows that catheter entrapment and mechanical disruption of a PV branch can be a rare potential complication of AF ablation. In this case, the outcome was spontaneously favorable and symptoms only included transient mild hemoptysis.
Mots-clé
Atrial Fibrillation/surgery, Catheter Ablation/adverse effects, Catheterization/adverse effects, Female, Humans, Middle Aged, Pulmonary Veins
Pubmed
Web of science
Création de la notice
02/09/2010 11:46
Dernière modification de la notice
20/08/2019 14:08