Cardiac ablation complications: Difference between revisions
| Line 21: | Line 21: | ||
==Management== | ==Management== | ||
*Therapy based on respective complication | |||
*In general, targeted toward reducing recurrence of [[atrial fibrillation]] | |||
**Management of OSA<ref>Fein AS, Shvilkin A, Shah D, Haffajee CI, Das S, Kumar K, Kramer DB, Zimetbaum PJ, Buxton AE, Josephson ME, Anter E. Treatment of obstructive sleep apnea reduces the risk of atrial fibrillation recurrence after catheter ablation. J Am Coll Cardiol. 2013 Jul 23;62(4):300-5. doi: 10.1016/j.jacc.2013.03.052. Epub 2013 Apr 23. PMID: 23623910.</ref> | |||
**Insufficient evidence for use of steroids, colchicine | |||
==Disposition== | ==Disposition== | ||
Revision as of 18:58, 7 December 2022
Background
- Procedure to address complicated arrhythmias (e.g. SVT, afib/flutter, WPW), typically after failing medical management
- Multiple catheters passed through vein/artery into heart, including mapping catheter and ablation catheter, the latter of which heats tissue (often near pulmonary veins) with the abnormal pathway, which is scarred to prevent transmission of abnormal signals.
- Complications include:
- Atrio-esophageal fistula: rare but deadly
- Delayed cardiac tamponade
- Stroke
- Atypical migraine
- Overall rate of major complications ~4% [1]
Clinical Features
Differential Diagnosis
Evaluation
Workup
Diagnosis
Management
- Therapy based on respective complication
- In general, targeted toward reducing recurrence of atrial fibrillation
- Management of OSA[2]
- Insufficient evidence for use of steroids, colchicine
Disposition
External Links
See Also
References
- ↑ Bertaglia E, Stabile G, Pappone A, Themistoclakis S, Tondo C, De Sanctis V, Soldati E, Tritto M, Solimene F, Grimaldi M, Zoppo F, Pandozi C, Augello G, Calò L, Pappone C. Updated national multicenter registry on procedural safety of catheter ablation for atrial fibrillation. J Cardiovasc Electrophysiol. 2013 Oct;24(10):1069-74. doi: 10.1111/jce.12194. Epub 2013 Jun 25. PMID: 23799876.
- ↑ Fein AS, Shvilkin A, Shah D, Haffajee CI, Das S, Kumar K, Kramer DB, Zimetbaum PJ, Buxton AE, Josephson ME, Anter E. Treatment of obstructive sleep apnea reduces the risk of atrial fibrillation recurrence after catheter ablation. J Am Coll Cardiol. 2013 Jul 23;62(4):300-5. doi: 10.1016/j.jacc.2013.03.052. Epub 2013 Apr 23. PMID: 23623910.