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Acute fatal pulmonary vein occlusion after catheter ablation of atrial fibrillation

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Acute fatal pulmonary vein occlusion after catheter ablation of atrial fibrillation. / Nilsson, Brian; Chen, Xu; Pehrson, Steen; Jensen, Helle Lone; Søndergaard, Lars; Helvind, Morten; Andersen, Lars Willy; Svendsen, Jesper Hastrup.

I: Journal of Interventional Cardiac Electrophysiology, Bind 11, Nr. 2, 2004, s. 127-30.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Nilsson, B, Chen, X, Pehrson, S, Jensen, HL, Søndergaard, L, Helvind, M, Andersen, LW & Svendsen, JH 2004, 'Acute fatal pulmonary vein occlusion after catheter ablation of atrial fibrillation', Journal of Interventional Cardiac Electrophysiology, bind 11, nr. 2, s. 127-30. https://doi.org/10.1023/B:JICE.0000042350.16930.cb

APA

Nilsson, B., Chen, X., Pehrson, S., Jensen, H. L., Søndergaard, L., Helvind, M., ... Svendsen, J. H. (2004). Acute fatal pulmonary vein occlusion after catheter ablation of atrial fibrillation. Journal of Interventional Cardiac Electrophysiology, 11(2), 127-30. https://doi.org/10.1023/B:JICE.0000042350.16930.cb

Vancouver

Nilsson B, Chen X, Pehrson S, Jensen HL, Søndergaard L, Helvind M o.a. Acute fatal pulmonary vein occlusion after catheter ablation of atrial fibrillation. Journal of Interventional Cardiac Electrophysiology. 2004;11(2):127-30. https://doi.org/10.1023/B:JICE.0000042350.16930.cb

Author

Nilsson, Brian ; Chen, Xu ; Pehrson, Steen ; Jensen, Helle Lone ; Søndergaard, Lars ; Helvind, Morten ; Andersen, Lars Willy ; Svendsen, Jesper Hastrup. / Acute fatal pulmonary vein occlusion after catheter ablation of atrial fibrillation. I: Journal of Interventional Cardiac Electrophysiology. 2004 ; Bind 11, Nr. 2. s. 127-30.

Bibtex

@article{834b7720a30111df928f000ea68e967b,
title = "Acute fatal pulmonary vein occlusion after catheter ablation of atrial fibrillation",
abstract = "BACKGROUND: In treatment of atrial fibrillation (AF) catheter radiofrequency isolation of the pulmonary veins (PVs) has proved to be highly successful. There have been several case reports regarding PV stenosis, however none of these have reported a fatal outcome. METHODS AND RESULTS: A 31-year-old man was referred to us for treatment of complications related to catheter ablation. According to the documentation from the hospital, the patient underwent segmental ostial PV isolation for treatment of AF. A few hours after the procedure, the patient developed dyspnoea, hemoptysis, and a high fever. The patient was first diagnosed as having pneumonia but five days later transesophageal echocardiography and pulmonal angiography revealed total occlusion of the left superior and inferior PVs. When we received the patient he underwent open-heart surgery, which showed thrombi in the orifices of the left sided PVs protruding into the left atrium. In each of the left sided PVs severe stenosis was seen in the bifurcation area. Thrombus material was removed followed by placement of two stents in each of the left sided pulmonary veins at the first bifurcations. However, the patient died 14 days after the ablation procedure. Selective autopsy of the left lung revealed diffuse alveolar damage, disseminated intravascular coagulation, multiple thrombi formation, and haemorrhagic infarctions. CONCLUSIONS: PV stenosis may occur very early after the ablation procedure. Delayed diagnosis can be fatal. The early stenosis may result in thrombus formation in the left atrium and PVs and in this case surgery should be considered.",
author = "Brian Nilsson and Xu Chen and Steen Pehrson and Jensen, {Helle Lone} and Lars S{\o}ndergaard and Morten Helvind and Andersen, {Lars Willy} and Svendsen, {Jesper Hastrup}",
note = "Keywords: Adult; Atrial Fibrillation; Catheter Ablation; Echocardiography, Transesophageal; Electrocardiography; Fatal Outcome; Humans; Male; Pulmonary Veins; Pulmonary Veno-Occlusive Disease; Stents; Tomography, X-Ray Computed",
year = "2004",
doi = "10.1023/B:JICE.0000042350.16930.cb",
language = "English",
volume = "11",
pages = "127--30",
journal = "Journal of Interventional Cardiac Electrophysiology",
issn = "1383-875X",
publisher = "Springer",
number = "2",

}

RIS

TY - JOUR

T1 - Acute fatal pulmonary vein occlusion after catheter ablation of atrial fibrillation

AU - Nilsson, Brian

AU - Chen, Xu

AU - Pehrson, Steen

AU - Jensen, Helle Lone

AU - Søndergaard, Lars

AU - Helvind, Morten

AU - Andersen, Lars Willy

AU - Svendsen, Jesper Hastrup

N1 - Keywords: Adult; Atrial Fibrillation; Catheter Ablation; Echocardiography, Transesophageal; Electrocardiography; Fatal Outcome; Humans; Male; Pulmonary Veins; Pulmonary Veno-Occlusive Disease; Stents; Tomography, X-Ray Computed

PY - 2004

Y1 - 2004

N2 - BACKGROUND: In treatment of atrial fibrillation (AF) catheter radiofrequency isolation of the pulmonary veins (PVs) has proved to be highly successful. There have been several case reports regarding PV stenosis, however none of these have reported a fatal outcome. METHODS AND RESULTS: A 31-year-old man was referred to us for treatment of complications related to catheter ablation. According to the documentation from the hospital, the patient underwent segmental ostial PV isolation for treatment of AF. A few hours after the procedure, the patient developed dyspnoea, hemoptysis, and a high fever. The patient was first diagnosed as having pneumonia but five days later transesophageal echocardiography and pulmonal angiography revealed total occlusion of the left superior and inferior PVs. When we received the patient he underwent open-heart surgery, which showed thrombi in the orifices of the left sided PVs protruding into the left atrium. In each of the left sided PVs severe stenosis was seen in the bifurcation area. Thrombus material was removed followed by placement of two stents in each of the left sided pulmonary veins at the first bifurcations. However, the patient died 14 days after the ablation procedure. Selective autopsy of the left lung revealed diffuse alveolar damage, disseminated intravascular coagulation, multiple thrombi formation, and haemorrhagic infarctions. CONCLUSIONS: PV stenosis may occur very early after the ablation procedure. Delayed diagnosis can be fatal. The early stenosis may result in thrombus formation in the left atrium and PVs and in this case surgery should be considered.

AB - BACKGROUND: In treatment of atrial fibrillation (AF) catheter radiofrequency isolation of the pulmonary veins (PVs) has proved to be highly successful. There have been several case reports regarding PV stenosis, however none of these have reported a fatal outcome. METHODS AND RESULTS: A 31-year-old man was referred to us for treatment of complications related to catheter ablation. According to the documentation from the hospital, the patient underwent segmental ostial PV isolation for treatment of AF. A few hours after the procedure, the patient developed dyspnoea, hemoptysis, and a high fever. The patient was first diagnosed as having pneumonia but five days later transesophageal echocardiography and pulmonal angiography revealed total occlusion of the left superior and inferior PVs. When we received the patient he underwent open-heart surgery, which showed thrombi in the orifices of the left sided PVs protruding into the left atrium. In each of the left sided PVs severe stenosis was seen in the bifurcation area. Thrombus material was removed followed by placement of two stents in each of the left sided pulmonary veins at the first bifurcations. However, the patient died 14 days after the ablation procedure. Selective autopsy of the left lung revealed diffuse alveolar damage, disseminated intravascular coagulation, multiple thrombi formation, and haemorrhagic infarctions. CONCLUSIONS: PV stenosis may occur very early after the ablation procedure. Delayed diagnosis can be fatal. The early stenosis may result in thrombus formation in the left atrium and PVs and in this case surgery should be considered.

U2 - 10.1023/B:JICE.0000042350.16930.cb

DO - 10.1023/B:JICE.0000042350.16930.cb

M3 - Journal article

C2 - 15383775

VL - 11

SP - 127

EP - 130

JO - Journal of Interventional Cardiac Electrophysiology

JF - Journal of Interventional Cardiac Electrophysiology

SN - 1383-875X

IS - 2

ER -

ID: 21259020