Catheter entrapment in a pulmonary vein: a unique complication of pulmonary vein isolation.

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State: Public
Version: Final published version
Serval ID
serval:BIB_53329DF0EBCC
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Catheter entrapment in a pulmonary vein: a unique complication of pulmonary vein isolation.
Journal
Chest
Author(s)
Monney P., Pascale P., Fromer M., Pruvot E.
ISSN
1931-3543 (Electronic)
ISSN-L
0012-3692
Publication state
Published
Issued date
2010
Volume
138
Number
2
Pages
422-425
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
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.
Keywords
Atrial Fibrillation/surgery, Catheter Ablation/adverse effects, Catheterization/adverse effects, Female, Humans, Middle Aged, Pulmonary Veins
Pubmed
Web of science
Create date
02/09/2010 11:46
Last modification date
20/08/2019 14:08
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