Circular mapping catheter entrapment in the mitral valve apparatus: A previously unrecognized complication of focal atrial fibrillation ablation

被引：35

作者：

Wu, RC

Brinker, JA

Yuh, DD

Berger, RD

Calkins, HG

机构：

[1] Johns Hopkins Univ, Dept Med, Div Cardiol, Baltimore, MD 21218 USA

[2] Johns Hopkins Univ, Div Electrophysiol, Baltimore, MD 21218 USA

[3] Johns Hopkins Univ, Dept Surg, Div Cardiothorac Surg, Baltimore, MD 21218 USA

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 2002年 / 13卷 / 08期

关键词：

atrial fibrillation; electrophysiologic study; mapping; mitral valve; pulmonary vein isolation; radiofrequency catheter ablation/adverse effect/instrumentation;

D O I：

10.1046/j.1540-8167.2002.00819.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Circular Mapping Catheter Entrapment in MV Apparatus. Radiofrequency catheter ablation of focal atrial fibrillation triggers within the pulmonary veins is a rapidly developing therapy that relies on both recent technologies and evolving techniques. We describe the entrapment of a circular mapping catheter within the mitral valve apparatus after transseptal catheterization and mapping of the left atrium and pulmonary veins. The occurrence of this previously unreported complication stresses the need for continual monitoring and reporting of adverse effects from new devices and procedures to better inform patients and physicians of the benefits and risks of electrophysiologic interventions.

引用

页码：819 / 821

页数：3

共 13 条

[1]

*BIOS WEBST, 2001, INSTR US BIOS WEBST, P3

[2]

Chen SA, 1996, AM J CARDIOL, V77, P41

[3] Initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins - Electrophysiological characteristics, pharmacological responses, and effects of radiofrequency ablation [J].

Chen, SA ;

Hsieh, MH ;

Tai, CT ;

Tsai, CF ;

Prakash, VS ;

Yu, WC ;

Hsu, TL ;

Ding, YA ;

Chang, MS .

CIRCULATION, 1999, 100 (18) :1879-1886

[4] CATHETER ENTRAPMENT IN THE MITRAL-VALVE APPARATUS DURING RADIOFREQUENCY ABLATION [J].

CONTI, JB ;

GEISER, E ;

CURTIS, AB .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1994, 17 (10) :1681-1685

[5] ACC/AHA/ESC guidelines for the management of patients with atrial fibrillation:: Executive summary -: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to Develop Guidelines for the Management of Patients with Atrial Fibrillation) [J].

Fuster, V ;

Rydén, LE ;

Asinger, RW ;

Cannom, DS ;

Crijns, HJ ;

Frye, RL ;

Halperin, JL ;

Kay, GN ;

Klein, WW ;

Lévy, S ;

McNamara, RL ;

Prystowsky, EN ;

Wann, LS ;

Wyse, DG ;

Gibbons, RJ ;

Antman, EM ;

Alpert, JS ;

Faxon, DP ;

Fuster, V ;

Gregoratos, G ;

Hiratzka, LF ;

Jacobs, AK ;

Russell, RO ;

Smith, SC ;

Klein, WW ;

Alonso-Garcia, A ;

Blomström-Lundqvist, C ;

De Backer, G ;

Flather, M ;

Hradec, J ;

Oto, A ;

Parkhomenko, A ;

Silber, S ;

Torbicki, A .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 38 (04) :1231-1265

[6] Clinical outcome after radiofrequency catheter ablation of focal atrial fibrillation triggers [J].

Gerstenfeld, EP ;

Guerra, P ;

Sparks, PB ;

Hattori, K ;

Lesh, MD .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2001, 12 (08) :900-908

[7] Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci [J].

Haïssaguerre, M ;

Jaïs, P ;

Shah, DC ;

Garrigue, S ;

Takahashi, A ;

Lavergne, T ;

Hocini, M ;

Peng, JT ;

Roudaut, R ;

Clementy, J .

CIRCULATION, 2000, 101 (12) :1409-1417

[8] Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins [J].

Haïssaguerre, M ;

Jaïs, P ;

Shah, DC ;

Takahashi, A ;

Hocini, M ;

Quiniou, G ;

Garrigue, S ;

Le Mouroux, A ;

Le Métayer, P ;

Clémenty, J .

NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (10) :659-666

[9] Electrophysiological breakthroughs from the left atrium to the pulmonary veins [J].

Haïssaguerre, M ;

Shah, DC ;

Jaïs, P ;

Hocini, M ;

Yamane, T ;

Deisenhofer, I ;

Chauvin, M ;

Garrigue, S ;

Clémenty, J .

CIRCULATION, 2000, 102 (20) :2463-2465

[10] Catheter entrapment in the mitral valve apparatus requiring surgical removal: An unusual complication of radiofrequency ablation [J].

Mandawat, MK ;

Turitto, G ;

El-Sherif, N .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1998, 21 (04) :772-773

← 1 2 →