Incidence and clinical characteristics of postcardiac injury syndrome complicating cardiac perforation caused by radiofrequency catheter ablation for cardiac arrhythmias
| Autor: | Guozhu Jin, Yang Liu, Ruifu Zhao, Chao Wang, Jinli Wang, Li Lin, Han Xie, Rong Bai, Deli Wan, Qigong Liu |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Pleural effusion medicine.medical_treatment Perforation (oil well) Catheter ablation Pericardial effusion Postoperative Complications Internal medicine medicine Humans Aged Aged 80 and over business.industry Incidence Arrhythmias Cardiac Middle Aged Ablation medicine.disease Surgery Radiography Heart Injuries Etiology Cardiology Catheter Ablation Female Tamponade Cardiology and Cardiovascular Medicine Complication business Follow-Up Studies |
| Zdroj: | International journal of cardiology. 168(4) |
| ISSN: | 1874-1754 |
| Popis: | Background Postcardiac injury syndrome (PCIS) is a complication of a variety of cardiac injuries, of which small heart perforation is the etiology that is often unrecognized. We reported a series of patients with PCIS secondary to cardiac perforation during catheter ablation procedures. Methods and results Out of 1728 radiofrequency catheter ablation procedures, 21 patients (1.2%) were complicated by echo-defined cardiac perforation not requiring surgical intervention. Among them, 6 patients (6/21, 28.6%) were diagnosed with PCIS secondary to cardiac perforation because they also developed pleural effusions (6/6, 100%) and fever (4/6, 66.7%) in addition to pericardial effusion/tamponade. Four patients with PCIS (4/6, 66.7%) and four patients without PCIS (4/15, 26.7%) underwent pericardial drainage but the drainage volume during the first 24h was not significantly different (441.3±343.9mL vs. 182.5±151.3mL, P =0.248). In the 6 PCIS patients, pleural effusion was detected from 3h to 4days (median: 2days) after ablation procedure, predominantly bilateral (66.7%) or left-sided if unilateral. Patients with PCIS were older (64.8±7.3years vs. 45.9±14.8years, P =0.0078), were more likely accompanied by hypertension (66.7% vs. 6.7%, P =0.0114) and had a prolonged hospital stay (34.2±15.8days). Conclusions More than 25% of patients with small cardiac perforation during catheter ablation may develop PCIS which can be masked by pericardial effusion/tamponade. This kind of PCIS is more likely associated with elder or hypertensive patients and is usually characterized by early onset of pleural effusion. |
| Databáze: | OpenAIRE |
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