2020
DOI: 10.1016/j.jccase.2020.04.006
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Rare pathology leading to a diagnostic challenge: A subarachnoid spinal hematoma after catheter cryoablation for atrial fibrillation

Abstract: Catheter ablation for atrial fibrillation is associated with a low rate of complications, with few reports of intracranial hemorrhage in the literature. Additionally, subarachnoid hemorrhage with spinal hematoma is also an uncommon pathology with less than 200 total cases to date described. A 78-year-old female with hypertension and atrial fibrillation on warfarin presented for catheter cryoablation and experienced periprocedural hypertension. Subsequently, post-procedure, the patient developed severe back pai… Show more

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Cited by 2 publications
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“…In this case, two possible risks for hematoma were that the patient was being administered antiplatelet medications and had undergone a cardiac angiography the day before the onset of the hemorrhage. Although there has been a case report of spinal subarachnoid hemorrhage after catheter ablation in an adult [ 15 ], to our knowledge, this is the first report of spinal subarachnoid hematoma after angiography in infants. Although the mechanism leading to the hemorrhage is unknown, we speculated that ischemia and reperfusion of the Adamkiewicz artery following catheterization may have caused the spinal subarachnoid hematoma.…”
Section: Discussionmentioning
confidence: 99%
“…In this case, two possible risks for hematoma were that the patient was being administered antiplatelet medications and had undergone a cardiac angiography the day before the onset of the hemorrhage. Although there has been a case report of spinal subarachnoid hemorrhage after catheter ablation in an adult [ 15 ], to our knowledge, this is the first report of spinal subarachnoid hematoma after angiography in infants. Although the mechanism leading to the hemorrhage is unknown, we speculated that ischemia and reperfusion of the Adamkiewicz artery following catheterization may have caused the spinal subarachnoid hematoma.…”
Section: Discussionmentioning
confidence: 99%