Early complications of pulmonary vein catheter ablation for atrial fibrillation: A multicenter prospective registry on procedural safety

Emanuele Bertaglia, Franco Zoppo, Claudio Tondo, Andrea Colella, Roberto Mantovan, Gaetano Senatore, Nicola Bottoni, Giovanni Carreras, Leonardo Corò, Pietro Turco, Massimo Mantica, Giuseppe Stabile

Research output: Contribution to journalArticle

Abstract

Background: Data on the procedural safety of pulmonary vein radiofrequency catheter ablation for atrial fibrillation (AF) are as yet scant. Objective: The aims of the present study were to prospectively evaluate the incidence of early complications of pulmonary vein ablation for AF in an unselected population of consecutive patients, and to identify possible predictors. Methods: From April 2005 to October 2006, data from 1,011 consecutive patients who were undergoing radiofrequency catheter ablation for every type of AF in 10 Italian centers were collected. All complications occurring from the admission of the patient up to the 30th day were considered. Results: No procedure-related death was observed. Complications occurred in 40 patients (3.9%): 12 (1.2%) had peripheral vascular complications, 8 (0.8%) had conservatively treated pericardial effusion, 6 (0.6%) had cardiac tamponade (successfully drained), 5 (0.5%) had cerebral embolisms, 4 (0.4%) presented pulmonary vein stenosis >50%, and 5 (0.5%) presented other isolated adverse events. History of coronary artery disease (odds ratio 5,603, 95% confidence interval 1,559 to 20,139, P <.008) characterized patients who presented with hemorrhagic complications. Conclusion: Early complications of pulmonary vein catheter ablation seem to be fewer than in the early years of AF ablation, but still occur in 3.9% of procedures.

Original languageEnglish
Pages (from-to)1265-1271
Number of pages7
JournalHeart Rhythm
Volume4
Issue number10
DOIs
Publication statusPublished - Oct 2007

Keywords

  • Atrial fibrillation
  • Catheter ablation
  • Complications

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Bertaglia, E., Zoppo, F., Tondo, C., Colella, A., Mantovan, R., Senatore, G., Bottoni, N., Carreras, G., Corò, L., Turco, P., Mantica, M., & Stabile, G. (2007). Early complications of pulmonary vein catheter ablation for atrial fibrillation: A multicenter prospective registry on procedural safety. Heart Rhythm, 4(10), 1265-1271. https://doi.org/10.1016/j.hrthm.2007.06.016