OP-004 Impact of Right Upper Pulmonary Vein Ostium- Right Pericardiophrenic Artery Distance on Phrenic Nerve Palsy in Patients Undergoing Cryoballoon- based Ablation for Atrial Fibrillation

2015 ◽  
Vol 115 ◽  
pp. S2
Author(s):  
Muhammed Ulvi Yalcin ◽  
Kadri Murat Gurses ◽  
Duygu Kocyigit ◽  
Gamze Turk ◽  
Banu Evranos ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Phrenic Nerve ◽  
Nerve Palsy ◽  
Phrenic Nerve Palsy ◽  
Pulmonary Vein Ostium

scholarly journals Safety and efficacy of cryoballoon-ablation for atrial fibrillation performed at local hospitals: results of the german register on cryoballoon-ablation in local hospitals (REGIONAL)

EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
J Michaelsen ◽  
U Parade ◽  
H Bauerle ◽  
K-D Winter ◽  
U Rauschenbach ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Phrenic Nerve ◽  
Nerve Palsy ◽  
Pulmonary Veins ◽  
Hospital Death ◽  
Cryoballoon Ablation ◽  
Complication Rates ◽  
Community Hospitals ◽  
Phrenic Nerve Palsy ◽  
Safety And Efficacy

Abstract Funding Acknowledgements Type of funding sources: None. OnBehalf REGIONAL Background Pulmonary vein isolation (PVI) using cryoballoon ablation (CBA) has become an established procedure for the treatment of symptomatic paroxysmal and persistent atrial fibrillation (AF). The safety and efficacy of PVI at community hospitals with low to moderate case numbers is unknown. Aim To determine safety and efficacy of PVI using CBA performed at community hospitals with limited annual case numbers. Methods 1004 PVI performed consecutively between 01/2019 and 09/2020 at 20 community hospitals (each <100 PVI using CBA/year) for symptomatic paroxysmal AF (n = 563) or persistentAF (n= 441) were included in this registry. CBA was performed considering local standards. Procedural data, efficacy and complications were determined. Results Mean number of PVI using CBA/year was 59 ± 26. Mean procedure time was 90.1 ± 31.6 min and mean fluoroscopy time was 19.2 ± 11.4 min. Isolation of all pulmonary veins could be achieved in 97.9% of patients, early termination of CBA due to phrenic nerve palsy was the most frequent reason for incomplete isolation. There was no in-hospital death. 2 patients (0.2%) suffered a clinical stroke. Pericardial effusion occurred in 6 patients (0.6%), 2 of them (0.2%) required pericardial drainage. Vascular complications occurred in 24 patients (2.4%), in 2 of these patients (0.2%) vascular surgery was required. In 48 patients (4.8 %) phrenic nerve palsy was noticed which persisted up to hospital discharge in 6 patients (0.6%). Conclusions PVI for paroxysmal or persistent AF using CBA can be performed at community hospitals with high efficacy and low complication rates despite low to moderate annual procedure numbers.

scholarly journals Left‐sided phrenic nerve injury during redo pulmonary vein isolation long after a previous contralateral self‐limiting phrenic nerve palsy

2019 ◽  
Vol 7 (7) ◽  
pp. 1391-1394
Author(s):  
Zsuzsanna Kis ◽  
Anna Maria Elisabeth Noten ◽  
Sip Wijchers ◽  
Rohit Bhagwandien ◽  
Tamas Szili‐Torok
Keyword(s):  
Nerve Injury ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Phrenic Nerve ◽  
Nerve Palsy ◽  
Phrenic Nerve Palsy ◽  
Phrenic Nerve Injury

Cryoablation – how to avoid complications?

2019 ◽  
Vol 2 (51) ◽  
pp. 8-12
Author(s):  
Michał M. Farkowski
Keyword(s):  
Atrial Fibrillation ◽  
Radiofrequency Ablation ◽  
Phrenic Nerve ◽  
Nerve Palsy ◽  
Phrenic Nerve Palsy ◽  
Strict Adherence ◽  
Safety Procedures ◽  
Similar Risk

Cryoballon ablation (CB) of atrial fibrillation represents similar risk but slightly different profile of complications to radiofrequency ablation. Phrenic nerve palsy is the typical complication of CB which can be avoided in most cases by a strict adherence to a couple of simple safety procedures. The article presents review of complications related to CB as well as practical suggestions how to avoid most of them.

scholarly journals Imaging before cryoablation of atrial fibrillation: is phrenic nerve palsy predictable?

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P2322-P2322
Author(s):  
U. Canpolat ◽  
K. Aytemir ◽  
M. Hizal ◽  
T. Hazirolan ◽  
H. Yorgun ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Phrenic Nerve ◽  
Nerve Palsy ◽  
Phrenic Nerve Palsy

scholarly journals Right phrenic nerve palsy following transcatheter radiofrequency current atrial fibrillation ablation: Case report

2019 ◽  
Vol 47 (7) ◽  
pp. 3438-3443
Author(s):  
Gianmarco Abbadessa ◽  
Luigi Lavorgna ◽  
Giovanni Cirillo ◽  
Marinella Clerico ◽  
Vincenzo Todisco ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Radiofrequency Ablation ◽  
Phrenic Nerve ◽  
Nerve Conduction ◽  
Nerve Palsy ◽  
Motor Nerve ◽  
Shortness Of Breath ◽  
Phrenic Nerve Palsy ◽  
Current Case ◽  
The Right

Phrenic nerve palsy (PNP) is a well-known complication of cardiac surgery or jugular/subclavian vein catheterization, presenting with cough, hiccups, dyspnoea/shortness of breath and, in some cases, ventilatory failure. Rarely, PNP is a complication of transcatheter radiofrequency ablation for atrial fibrillation. This report describes the case of a 72-year-old woman with a 2-year history of recurrent paroxysmal atrial fibrillation associated with occasional palpitations and shortness of breath who underwent routine transcatheter radiofrequency ablation. Three days after the procedure, the patient developed shortness of breath and progressive dyspnoea. Motor nerve conduction showed the absence of the right phrenic nerve compound motor action potential compared with the normal left side confirming the diagnosis of a right phrenic nerve palsy. This current case demonstrated the importance of undertaking an electrophysiological evaluation of phrenic nerve conduction after transcatheter radiofrequency ablation in patients presenting with palpitations and shortness of breath even if present a few days after the procedure.

Sign in / Sign up

Export Citation Format

Share Document