Prevention of venous thrombosis after electrophysiology procedures: a survey of national practice

In-Hospital Pulmonary Arterial Embolism after Catheter Ablation of Over 45,000 Cardiac Arrhythmias: Individualized Case Analysis of Multicentric Data

“…If patients with SVT or AFlu were on oral anticoagulation prior to the procedure, most centers included in our analysis paused it before the procedure. These results are in coherence with results from the survey by Burstein et al 33 with >50% of the centers suspended oral anticoagulation before ablation. But as prospective trials in this regard are still missing and overall data are scarce, a significant variability in peri-procedural prevention strategies among centers could be observed.…”

“…Interestingly, even though PE after CA remains a rare but important complication, current guidelines do not give recommendations for uniform periprocedural anticoagulation management, DVT prophylaxis, or duration of bed rest. 41 This uncertainty regarding optimal periprocedural patient care is reflected in our data and in the survey by Burstein et al, 33 with all centers included in our analysis routinely prescribing in-hospital thromboembolic prophylaxis after ablation compared with only 18% of the centers in the survey by Burstein et al 33 In addition, all centers included in our analysis prescribed at least 6 hours of bed rest after removing inguinal sheaths with inguinal compression dressing being placed for this duration. This is also in contrast to the survey by Burstein et al 33 with only 23.5% of the included centers placing compression dressings after the procedure.…”

“…Several reports regarding major complications after CA of cardiac arrhythmias have been published. 2,23,25,28,31,32 A recent review 22 as well as an online-survey by Burstein et al 33 concluded that PE is a rare complication after CA. This observation is also further consolidated by the most recent randomized controlled trials reporting on incidences of PE as low as 0 to 2% after CA for AF 34 or VT. 35 Data regarding ablation for AFlu is scarce; Steinbeck et al, 36 for example, reported that incidences of PE after CTI were too low for analysis.…”

A Case Report: Multifocal Necrotizing Encephalitis and Myocarditis after BNT162b2 mRNA Vaccination against COVID-19

“…In the current case, ventricular dilatation and hypertrophy were present but seem rather related to manifest signs of chronic hypertension. In contrast, myocardial inflammatory reactions had been well-linked to gene-based COVID-19 vaccinations in numerous cases [ 9 , 35 , 36 , 37 ]. In one case, the spike protein of SARS-CoV-2 could also be demonstrated by immunohistochemistry in the heart of vaccinated individuals [ 28 ].…”

An intervention study of a combined intervention of positioning and hand massage in patients undergoing radiofrequency catheter ablation

“…To prevent RFCA complications, patients should be immobilized during the procedure; thereafter, both the femoral vein puncture sites should be hemostated using hand compression, a haemostatic device and a blood vessel closure device for 5–30 min (Kim, 2016; Mohanty et al, 2019; Sciarretta et al, 2015). Thereafter, the patient should take absolute bed rest (ABR) while maintaining immobility with the compression dressing for 4 hr; ABR should be continued for at least 1 hr while monitoring complications, such as bleeding and hematoma, after removing the compression dressing (Burstein et al, 2018; Kim, 2016; Mohanty et al, 2019). At this time, patients who have undergone RFCA reportedly complain of back pain or discomfort (Dörschner et al, 2017; Kim, 2016; Yun & Cho, 2011) due to reduction in the movement of the spine and lumbar spine and increase in muscle tension and fatigue because of the prolonged immobile posture (Mohammady et al, 2014).…”