Predictors of hemoptysis in the setting of pulmonary vein isolation using the second-generation cryoballoon

Autor:	Xiao-Gang Guo, Gong-Bu Zhou, Jian-Du Yang, Bin Luo, Qi Sun, Jian Ma, Hui-Qiang Wei
Rok vydání:	2018
Předmět:	Male Catheterization Central Venous Hemoptysis medicine.medical_treatment Population 030204 cardiovascular system & hematology Balloon Cryosurgery Pulmonary vein 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Physiology (medical) medicine Humans 030212 general & internal medicine education Aged education.field_of_study business.industry Atrial fibrillation Middle Aged medicine.disease Ablation Treatment Outcome Pulmonary Veins Right Main Bronchus Freeze Technique Female Cardiology and Cardiovascular Medicine Complication Nuclear medicine business Follow-Up Studies
Zdroj:	Journal of Cardiovascular Electrophysiology. 29:958-965
ISSN:	1045-3873
Popis:	Introduction: To assess the predictors of hemoptysis using second-generation cryoballoon (CB). Methods: Thirty patients with hemoptysis after second-generation CB ablation and 60 age-, gender-, and body mass index-matched controls were recruited. Anatomic parameters were obtained from preprocedural cardiac computed tomography (CT). Pulmonary vein isolation was performed with 28-mm balloon using single 3-minute freeze technique. Results: Clinical and procedural characteristics were similar between the groups. A shorter distance between left superior PV (LSPV) and left main bronchus (LMB) was associated with hemoptysis (7.8 +/- 4.3mmvs. 12.5 +/- 3.5 mm, P l 0.001), whereas no significant difference in the distance between right superior PV (RSPV) and right main bronchus (RMB) was found between groups (11.9 +/- 3.5 mm vs. 12.9 +/- 4.6 mm, P = 0.089). Additionally, the mean thickness of the connective tissue interposed between RSPV and RMB was significantly thicker than that between LSPV and LMB in both groups (both P l 0.001). A stepwise logistic multivariate analysis identified only the LMB-LSPV distance as an independent predictor of hemoptysis (odd ratio [OR] 2.676; 95% CI 1.121-4.843, P l 0.001). A cutoff value l= 9.5 mm predicted hemoptysis after CB ablation with 93.8% sensitivity and 75.0% specificity. Conclusion: Hemoptysis is a relatively rare event following second-generation CB ablation. The bronchi location obtained from CT aids in identifying high-risk population for the complication.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6f882247fca522abf78069d32b4aacef https://doi.org/10.1111/jce.13644 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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