Coronary vasospasm complicating atrial fibrillation ablation: a case report and review of the literature.

作者: Nirmal Guragai , Upamanyu Rampal , Rahul Vasudev , Pragya Bhandari , Atul Prakash

DOI: 10.1080/20009666.2020.1774252

关键词:

摘要: Radiofrequency ablation is one of the alternative treatment strategies in patients with atrial fibrillation. With increasing number such procedures being performed it important for physicians to be aware associated complications. We present a very rare case severe triple coronary vessel spasm during radiofrequency catheter ablation. The procedure was complicated by cardiac arrest secondary ventricular fibrillation and cardiogenic shock requiring subsequent management temporary mechanical circulatory support device. Multi-vessel life-threatening complication leading arrest. One should extra vigilant monitoring extensive ablations terminated at earliest signs ischemia order prevent this but fatal complication.

参考文章(13)
Shoei K. Stephen Huang, Bao H. Le, James N. Black, Transient ST-Segment Elevation during Transseptal Catheterization for Atrial Fibrillation Ablation Texas Heart Institute Journal. ,vol. 37, pp. 717- 721 ,(2010)
Oluwaseun Davies, Olumide Ajayeoba, Damian Kurian, Coronary artery spasm: An often overlooked diagnosis Nigerian medical journal : journal of the Nigeria Medical Association. ,vol. 55, pp. 356- 358 ,(2014) , 10.4103/0300-1652.137231
Keiichi Hishikari, Taishi Kuwahara, Atsushi Takahashi, Mitsuaki Isobe, Severe coronary artery spasm during radiofrequency ablation for atrial fibrillation. International Journal of Cardiology. ,vol. 172, ,(2014) , 10.1016/J.IJCARD.2014.01.090
Kevin A. Michael, Damian P. Redfearn, Christopher S. Simpson, Adrian Baranchuk, An unusual complication of a pulmonary vein isolation Journal of Interventional Cardiac Electrophysiology. ,vol. 25, pp. 203- 205 ,(2009) , 10.1007/S10840-008-9357-4
Heiko Lehrmann, Clemens Potocnik, Thomas Comberg, Wolfgang Peck, Alaa Salama, Jens Schneider, Chan-il Park, Amir S. Jadidi, Reinhold Weber, Thomas Arentz, Near-fatal coronary artery spasm during cryoballoon pulmonary vein isolation: an unreported complication. Circulation-arrhythmia and Electrophysiology. ,vol. 7, pp. 1273- 1274 ,(2014) , 10.1161/CIRCEP.114.001788
Adam Castaño, Thomas Crawford, Masatoshi Yamazaki, Uma Mahesh R. Avula, Jérôme Kalifa, Coronary artery pathophysiology after radiofrequency catheter ablation: review and perspectives. Heart Rhythm. ,vol. 8, pp. 1975- 1980 ,(2011) , 10.1016/J.HRTHM.2011.07.006
SHINSUKE MIYAZAKI, NOBORU ICHIHARA, TAKAMITSU TAKAGI, YOSHITO IESAKA, Coronary Artery Spasm During Cryothermal Cavotricuspid Isthmus Ablation. Journal of Cardiovascular Electrophysiology. ,vol. 26, pp. 1019- 1020 ,(2015) , 10.1111/JCE.12657
Ming-Jui Hung, Patrick Hu, Ming-Yow Hung, Coronary Artery Spasm: Review and Update International Journal of Medical Sciences. ,vol. 11, pp. 1161- 1171 ,(2014) , 10.7150/IJMS.9623
Tomonori Watanabe, Hitoshi Hachiya, Shinsuke Miyazaki, Hiroaki Nakamura, Hiroshi Taniguchi, Yoshito Iesaka, Recurrent and late-onset coronary spasms after cryoballoon ablation procedure in a patient with atrial fibrillation. Heartrhythm Case Reports. ,vol. 2, pp. 421- 424 ,(2016) , 10.1016/J.HRCR.2016.05.008