scholarly journals Rescue Percutaneous Coronary Intervention for Sinus Node Dysfunction Following Left Atrial Flutter Ablation

2021 ◽  
Author(s):  
Yuichiro Miyazaki ◽  
Nobuhiko Ueda ◽  
Fumiyuki Otsuka ◽  
Koji Miyamoto ◽  
Teruo Noguchi ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Atrial Flutter ◽  
Left Atrial ◽  
Sinus Node ◽  
Coronary Intervention ◽  
Sinus Node Dysfunction ◽  
Percutaneous Coronary ◽  
Atrial Flutter Ablation

scholarly journals Sinus Node Dysfunction due to Occlusion of the Sinus Node Artery during Percutaneous Coronary Intervention

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ofir Koren ◽  
Dante Antonelli ◽  
Ranya Khamaise ◽  
Scot Ehrenberg ◽  
Ehud Rozner ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Medical Treatment ◽  
Sinus Node ◽  
Coronary Intervention ◽  
Sinus Node Dysfunction ◽  
Proximal Segment ◽  
Coronary Syndrome ◽  
Sinus Node Artery ◽  
Percutaneous Coronary

Background. Sinus node artery occlusion (SNO) is a rare complication of percutaneous coronary intervention (PCI). We analyze both the short- and long-term consequences of SNO. Methods. We retrospectively reviewed 1379 consecutive PCI’s involving RCA and Cx arteries performed in our heart institute from 2016 to 2019. Median follow-up was 44 ± 5 months. Results. Among the 4844 PCIs performed during the study period, 284 involved the RCA and the circumflex’s proximal segment. Periprocedural SNO was estimated by angiography observed in 15 patients (5.3%), all originated from RCA. The majority of SNO occurred during urgent and primary PCIs following acute coronary syndrome (ACS). Sinus node dysfunction (SND) appeared in 12 (80%) of patients. Four (26.6%) patients had sinus bradycardia, which resolved spontaneously, and 8 (53.3%) patients had sinus arrest with an escaped nodal rhythm, which mostly responded to medical treatment during the first 24 hours. There was no association between PCI technique and outcome. Three patients (20%) required urgent temporary ventricular pacing. One patient had permanent pacemaker implantation. Pacemaker interrogation during follow-up revealed a recovery of the sinus node function after one month. Conclusion. SNO is rare and seen mostly during angioplasty to the proximal segment of the RCA during ACS. The risk of developing sinus node dysfunction following SNO is high. SND usually appears during the first 24 h of PCI. The majority of SND patients responded to medical treatment, and only in rare cases were permanent pacemakers required.

Left atrial intramural hematoma after percutaneous coronary intervention

2015 ◽  
Vol 86 (3) ◽  
pp. E150-E152 ◽  
Author(s):  
Russell J. Franks ◽  
Anthony de Souza ◽  
Carlo Di Mario
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Left Atrial ◽  
Intramural Hematoma ◽  
Coronary Intervention ◽  
Percutaneous Coronary

scholarly journals Chronic left atrial pseudoaneurysm caused by coronary artery perforation during percutaneous coronary intervention

2018 ◽  
Vol 2018 (5) ◽  
Author(s):  
Natasha Corballis ◽  
Sujay Chadran ◽  
Neil Mangrolia ◽  
Kashif Ashraf ◽  
Toomas Sarev ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Atrial ◽  
Coronary Intervention ◽  
Coronary Artery Perforation ◽  
Percutaneous Coronary

scholarly journals A rare complication of primary percutaneous coronary intervention: Left atrial dissection and hematoma

2016 ◽  
Vol 5 (4) ◽  
pp. 9
Author(s):  
Nihat Ozer ◽  
MFikri Yapici ◽  
ArdaSanli Okmen ◽  
Altug Sagir ◽  
TarikBugra Denizalti ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Primary Percutaneous Coronary Intervention ◽  
Left Atrial ◽  
Rare Complication ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
Left Atrial Dissection
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