Radiofrequency Ablation for Cardiac Arrhythmias Causing Postcardiac Injury Syndrome

Turitto, Gioia; Abordo, Melecio G; Mandawat, Mahendra K.; Togay, V.; El‐Sherif, Nabil

doi:10.1016/s0002-9149(97)00906-5

Cited by 20 publications

(7 citation statements)

References 8 publications

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“…All of these patients were managed successfully with nonsteroidal antiinflammatory agents. In 1 patient there was a subacute reaccumulation of pericardial fluid suggestive of postcardiac injury syndrome/inflammatory pericarditis 25 . However, this patient responded symptomatically to repeat echo‐guided pericardiocentesis with no subsequent effusion recurrence.…”

Section: Discussionmentioning

confidence: 98%

Outcomes After Cardiac Perforation During Radiofrequency Ablation of the Atrium

Bunch

Asirvatham

Friedman

et al. 2005

Cardiovasc electrophysiol

136

118

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Section: Discussionmentioning

confidence: 98%

Outcomes After Cardiac Perforation During Radiofrequency Ablation of the Atrium

Bunch

Asirvatham

Friedman

et al. 2005

Cardiovasc electrophysiol

136

118

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“…Similarly to “Dressler syndrome” and “postcardiac injury syndrome,” late‐onset pericarditis after catheter ablation has been reported . The onset of these conditions can vary from within a few days to a few weeks after procedure.…”

Section: Discussionmentioning

confidence: 97%

Midterm outcomes of catheter ablation for atrial fibrillation in patients with cardiac tamponade

Yui

Sekiguchi

Nogami

et al. 2018

Journal of Arrhythmia

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BackgroundCardiac tamponade is a serious complication of catheter ablation for atrial fibrillation (AF). However, the outcomes of catheter ablation in patients of cardiac tamponade are unknown.MethodsWe performed catheter ablation in 2467 sessions of AF or a recurrence of AF between January 2007 and January 2016. Of these, 29 events in 27 patients (1.18%: 22 men; 64.5 ± 10.4 years; 17 with paroxysmal AF) of cardiac tamponade during or after the procedure were recorded. The clinical characteristics and outcomes of these 29 events were studied in detail.ResultsOf the 19 events where the ablation procedure was completed, seven events developed acute recurrence of AF (36.8%). Of the 10 events with an incomplete procedure, 10 exhibited AF recurrence (100.0%). Direct oral anticoagulants were used in seven events, and clinical outcomes were not significantly different compared to the remaining 21 events that were prescribed warfarin. Pericarditis occurred in 10 events (34.5%) after the procedure, and the incidence rate was lower in patients receiving prophylactic nonsteroidal anti‐inflammatory drugs or steroids (2/15, 13.3% vs 8/14, 57.1%; P = 0.013). Repeated sessions were performed in 12 events (two with a complete initial procedure, 10 with an incomplete initial procedure). Freedom from atrial arrhythmias was observed in 27 events (93.1%, 9 with antiarrhythmic drugs) over midterm follow‐up (3.1 ± 2.6 years).ConclusionAlthough cardiac tamponade caused by catheter ablation led to a high rate of acute AF recurrence and pericarditis, the midterm recurrence rates of AF are unaffected if the procedure can be completed.

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“…The PCIS, or Dressler syndrome, is observed after a broad range of myocardial/pericardial injuries, including RF catheter ablation for various cardiac arrhythmias. 14,15 Clinical manifestations are nonspecific, and symptoms typically occur one to several weeks after the intervention occasionally following a relapsing course. 28 The cause of PCIS is hypothesized to be an autoimmune reaction resulting in the induction of antiheart antibodies.…”

Section: Discussionmentioning

confidence: 99%

“…A postcardiac injury syndrome (PCIS) has been reported, both followManuscript received 18 ing linear radiofrequency (RF) ablation in the LA for AF, 14 as well as after catheter ablation for other arrhythmias. 15 We report on the clinical course of four patients who developed severe pulmonary edema accompanied by a systemic inflammatory response within 12-48 hours after extensive percutanous RF ablation for AF.…”

Section: Introductionmentioning

confidence: 99%