Reversible sinus node injury during circumferential pulmonary vein ablation

Sohns, Christian; Staab, Wieland; O’Neill, Mark; Vollmann, Dirk

doi:10.1007/s00392-016-1016-7

Cited by 4 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5,10,[12][13][14]20 (ii) The lesions to the SNA caused by CPVI. 4,6,10,22 SNA sometimes passes through or close to areas such as superior pulmonary vein antrum, left atrium roof, mitral valve isthmus or junction of right atrium and SVC, which are the typical ablation site during CPVI procedures. 22 (iii) Damages to the surrounding ganglionated plexi (GP) in the left atrium caused by RFCA, 23 which may transiently alter the autonomic nervous activity and induce acute bradycardia.…”

Section: Discussionmentioning

confidence: 99%

“…The possible mechanisms for sinus arrest, sinus bradycardia or prolonged sinus pause after AF termination during or within 3 months after RFCA were as follows: (i) Damage to the sinus node caused by SVC isolation or ablation close to SVC due to anatomical proximity of SVC and sinus node 5,10,12–14,20 . (ii) The lesions to the SNA caused by CPVI 4,6,10,22 . SNA sometimes passes through or close to areas such as superior pulmonary vein antrum, left atrium roof, mitral valve isthmus or junction of right atrium and SVC, which are the typical ablation site during CPVI procedures 22 .…”

Section: Discussionmentioning

confidence: 99%

“…While much progress has been made, some patients require implantation of a temporary or permanent pacemaker due to severe sinus bradycardia, sinus arrest, prolonged sinus pause (PSP) after AF termination or atrioventricular conduction block (AVB), which may occur during or shortly after ablation. [4][5][6][7][8][9] The incidence rate of pacemaker implantation (PMI) varied according to how long the patients were followed up during or after RFCA. The rate was reported to be 0.37% during RFCA, 3.32% within 1 week, 0.56% within 2 months and 5.6% within 1 year after RFCA, respectively.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of pacemaker implantation within three months after catheter ablation of atrial fibrillation

Guo

Chen

Yang

et al. 2023

Pacing Clinical Electrophis

View full text Add to dashboard Cite

Background: It is inevitable for patients to have a temporary or permanent pacemaker implanted during or after radiofrequency catheter ablation (RFCA) for treatment of atrial fibrillation (AF) in some cases. The aim of our study was to evaluate the incidence of pacemaker implantation (PMI) during or within 3 months of RFCA for AF and to identify the risk factors that were associated with PMI. Methods:We performed a retrospective analysis of consecutive AF patients who underwent RFCA between August 2018 and October 2020 at our center. The incidence of PMI within 3 months during or after RFCA were assessed. A multivariate logistic regression model was performed to identify predictors of PMI.Results: One thousand and five patients (mean age, 60.2 ± 10.3 years; 37.6% women) were included in this analysis. PVI was performed in all patients. A total of 23 (2.3%) patients had a pacemaker implanted within 3 months during or after ablation. Multivariable logistic regression analysis revealed that older age (OR: 1.08 [95% CI 1.03-1.13], p = .003), female sex (OR: 3.08 [95% CI 1.28-7.45], p = .012), paroxysmal AF (OR: 4.71 [95% CI 1.09-20.45], p = .038) and repeated ablation (OR: 2.78 [95% CI 1.04-7.40], p = .041) were the independent predictors for PMI. Conclusions:Older age, female sex, paroxysmal AF and repeated ablation were identified as predictive risk factors for PMI after RFCA in patients with AF. A "watch and wait" strategy could be taken for patients with temporary PMI after ablation, especially for those with prolonged sinus pause after AF termination.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predictors of pacemaker implantation within three months after catheter ablation of atrial fibrillation

Guo

Chen

Yang

et al. 2023

Pacing Clinical Electrophis

View full text Add to dashboard Cite

show abstract

“…From a clinical perspective, an accurate understanding of the SAN's anatomy may help physicians improve current procedures or develop new techniques for targeting the conduction system. A number of sinuatrial node dysfunctions (SADs) attributable to atrial ablation (Killu et al, ), circumferential pulmonary vein ablation (Sohns et al, ), and stereotactic ablative radiation therapy for lung tumors (Qian et al, ) have been reported. Therefore, our new teaching method might help in an improved understanding so that such complications are avoided.…”

Section: Discussionmentioning

confidence: 99%

A novel method with which to visualize the human sinuatrial node: Application for a better understanding of the gross anatomy of this part of the conduction system

et al. 2019

View full text Add to dashboard Cite

For various clinical/surgical procedures, it is important to accurately understand the location of the sinuatrial node (SAN). Therefore, this study's goal was to develop a new and simple method to visualize the SAN in human hearts. A total of 16 formalin-fixed human hearts were used in the study. After the epicardium was removed, the fat tissue on the myocardium's surface was brushed and removed in a solution of 40 C water with a surfactant to show the SAN's location. Once the structure considered to be the SAN was observed, histological observation was conducted with Masson's trichrome staining to confirm its identity. The working myocardium, SAN branch of the coronary artery, and the structure believed to be the SAN were observed in all specimens. Histological analysis confirmed this structure to be the SAN. We believe that the method described herein might contribute to a better understanding of the SAN's morphologic features and serve as an improved teaching aide. Clin. Anat. 33:232-236, 2020.

show abstract

The incidence, indications and predictors of acute pacemaker implantation after ablation of persistent atrial fibrillation

et al. 2018

View full text Add to dashboard Cite

Reversible sinus node injury during circumferential pulmonary vein ablation

Cited by 4 publications

References 5 publications

Predictors of pacemaker implantation within three months after catheter ablation of atrial fibrillation

Predictors of pacemaker implantation within three months after catheter ablation of atrial fibrillation

A novel method with which to visualize the human sinuatrial node: Application for a better understanding of the gross anatomy of this part of the conduction system

The incidence, indications and predictors of acute pacemaker implantation after ablation of persistent atrial fibrillation

Contact Info

Product

Resources

About