Predictores de pérdida luminal de venas pulmonares tras ablación por radiofrecuencia

Martín-Garre, Susana; Pérez‐Castellano, Nicasio; Quintanilla, Jorge G.; Ferreirós, Joaquı́n; Pérez-Villacastín, Julián

doi:10.1016/j.recesp.2014.12.018

Cited by 8 publications

(2 citation statements)

References 32 publications

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“…Entre los factores de riesgo identificados para el desarrollo de esta complicación se encuentran la edad avanzada y la presencia de un ostium con gran sección transversal; en el aspecto técnico están la mayor duración, la temperatura y la potencia de aplicación de radiofrecuencia con el catéter irrigado 5 .…”

Section: Introductionunclassified

Angioplastia con balón de venas pulmonares por estenosis tras ablación percutánea de fibrilación auricular

Campo-Rivera¹,

Negrete-Salcedo²,

Tenorio-Tascón³

et al. 2022

RCCAR

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Se presenta el caso de un hombre de 31 años, con historia de fibrilación auricular paroxística, a quien se realizó exitosamente una ablación por radiofrecuencia de venas pulmonares guiada por un sistema de mapeo tridimensional EnSite TM . Tres meses después del procedimiento presentó hemoptisis y dolor torácico de características pleuríticas, motivo por el cual se le realizó una angiotomografía computarizada coronaria que evidenció una estenosis grave de la vena pulmonar superior izquierda y una estenosis moderada de la vena inferior izquierda. El paciente fue sometido a angioplastia con balón, con la cual se normalizó la perfusión pulmonar.

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Section: Introductionunclassified

Angioplastia con balón de venas pulmonares por estenosis tras ablación percutánea de fibrilación auricular

Campo-Rivera¹,

Negrete-Salcedo²,

Tenorio-Tascón³

et al. 2022

RCCAR

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“…A prospective observational study with 24 patients with PAF following a cryothermal ablation of 46 pulmonary veins to evaluate for PVS with CTA showed no change of PV diameter of any veins at three months follow-up 43 ,. this diagnosis can be difficult and requires careful evaluation with MCTA, magnetic resonance imaging, transesophageal echocardiography, or venography.Risk factors for the development of PVS include large pulmonary vein ostia, the left inferior pulmonary vein location, and possibly increased age 44. However, it is not clear if routine serial imaging and early intervention in asymptomatic and/or mildly symptomatic patients have any significant implications for disease progression or development of secondary complications, such as pulmonary hypertension (PH) and recurrent pneumonia, since previous reports suggest that progression to symptomatic disease is unlikely in these cases.…”

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confidence: 99%

Pulmonary vein stenosis complicating radiofrequency catheter ablation for atrial fibrillation: A literature review

Edriss

Denega

Test

et al. 2016

Respiratory Medicine

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Radiofrequency catheter ablation has become a widely used intervention in the treatment of atrial fibrillation. Pulmonary vein stenosis (PVS) is one of the most serious complications associated with this procedure; the degree of stenosis ranges from mild (<50%) to complete venous occlusion. The natural history of PVS and the risk of progression of existing PVS are uncertain. Symptomatic and/or severe PVS is a serious medical problem and can be easily misdiagnosed since it is an uncommon and relatively new medical problem, often has low clinical suspicion among clinicians, and has a non-specific presentation that mimics other more common respiratory or cardiac diseases. The estimated incidence varies in literature reports from 0% to 42% of ablation procedures, depending on technical aspects of the procedure and operator skill. Most patients with significant PVS remain asymptomatic or have few symptoms. Symptomatic patients usually present with dyspnea, chest pain, or hemoptysis and are usually treated with balloon angioplasty and/or stent placement. Little is known about the long term effect of PV stenosis/occlusion on the pulmonary circulation and the development of pulmonary hypertension. Evolving technology may reduce the frequency of this complication, but long term studies are needed to understand the effect of therapeutic atrial injury and adverse outcomes. This review summarizes the current literature and outlines an approach to the evaluation and management of these patients.

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Pulmonary vein reconstruction for pulmonary vein stenosis and occlusion after surgical ablation

Hara

Kanemitsu

Hirao

et al. 2021

Gen Thorac Cardiovasc Surg

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Predictores de pérdida luminal de venas pulmonares tras ablación por radiofrecuencia

Cited by 8 publications

References 32 publications

Angioplastia con balón de venas pulmonares por estenosis tras ablación percutánea de fibrilación auricular

Angioplastia con balón de venas pulmonares por estenosis tras ablación percutánea de fibrilación auricular

Pulmonary vein stenosis complicating radiofrequency catheter ablation for atrial fibrillation: A literature review

Pulmonary vein reconstruction for pulmonary vein stenosis and occlusion after surgical ablation

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