Literature DB >> 34950352

Reversible Mechanical Atrioventricular Block Caused By A Steerable Introducer Sheath During Transseptal Catheterization.

Gregory P Siroky1,2, Devendra Bisht1,2, Hieu Huynh1, Mena Yacoub1, Shawn Lee1, Seth Keller1, Ranjit Suri1.   

Abstract

A 62-year-old woman presents for pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation. During transseptal catheterization (TSC) the patient sustained mechanical injury to the atrioventricular node (AVN) with consequent complete heart block (CHB). Injury to the AVN and CHB recovered after approximately forty minutes. The patient subsequently underwent a successful PVI with the remainder of the hospital stay uneventful. We present a case of reversible injury to the AVN caused by a steerable introducer sheath during TSC and discuss the mechanisms of injury as well as potential measures to avoid such a complication in the future.

Entities:  

Keywords:  Mechanical Atriventricular Block; Steerable Sheath; Transseptal Puncture

Year:  2021        PMID： 34950352      PMCID： PMC8691279          DOI： 10.4022/jafib.20200469

Source DB:  PubMed          Journal:  J Atr Fibrillation        ISSN： 1941-6911


  9 in total

1.  Atrioventricular conduction disturbance during pulmonary vein isolation using the second-generation cryoballoon - Vagal impact of cryoballoon ablation.

Authors:  Shinsuke Miyazaki; Takatsugu Kajiyama; Tomonori Watanabe; Masahiro Hada; Kazuya Yamao; Hiroaki Nakamura; Hitoshi Hachiya; Hiroshi Tada; Kenzo Hirao; Yoshito Iesaka
Journal:  Int J Cardiol       Date:  2018-08-15       Impact factor: 4.164

2.  Transient complete atrioventricular block following radiofrequency ablation of left free wall accessory pathway.

Authors:  B Singh; D Sudan; U Kaul
Journal:  J Interv Card Electrophysiol       Date:  1998-09       Impact factor: 1.900

3.  Transient complete heart block during radiofrequency ablation of a left lateral bypass tract.

Authors:  N J Stamato; S L Eddy; D J Whiting
Journal:  Pacing Clin Electrophysiol       Date:  1996-09       Impact factor: 1.976

Review 4.  Transseptal Techniques for Emerging Structural Heart Interventions.

Authors:  Mohamad Alkhouli; Charanjit S Rihal; David R Holmes
Journal:  JACC Cardiovasc Interv       Date:  2016-12-26       Impact factor: 11.195

5.  Catheter-induced intra-Hisian and intrafascicular block during recording of His bundle electrograms.

Authors:  L B Jacobson; M Scheinman
Journal:  Circulation       Date:  1974-03       Impact factor: 29.690

6.  The impact of steerable sheaths on unblinded contact force during catheter ablation for atrial fibrillation.

Authors:  Marc W Deyell; Glen Wen; Zachary Laksman; Matthew T Bennett; Santabhanu Chakrabarti; John A Yeung-Lai-Wah; Andrew D Krahn; Jason G Andrade
Journal:  J Interv Card Electrophysiol       Date:  2019-01-30       Impact factor: 1.900

7.  Randomized, Controlled Trial of the Safety and Effectiveness of a Contact Force-Sensing Irrigated Catheter for Ablation of Paroxysmal Atrial Fibrillation: Results of the TactiCath Contact Force Ablation Catheter Study for Atrial Fibrillation (TOCCASTAR) Study.

Authors:  Vivek Y Reddy; Srinivas R Dukkipati; Petr Neuzil; Andrea Natale; Jean-Paul Albenque; Josef Kautzner; Dipen Shah; Gregory Michaud; Marcus Wharton; David Harari; Srijoy Mahapatra; Hendrik Lambert; Moussa Mansour
Journal:  Circulation       Date:  2015-08-10       Impact factor: 29.690

8.  Reversible mechanical atrioventricular block during cryoablation for paroxysmal atrial fibrillation with a 28 mm balloon.

Authors:  Joël Fedida; Nicolas Badenco; Estelle Gandjbakhch; Xavier Waintraub; Françoise Hidden-Lucet; Guillaume Duthoit
Journal:  HeartRhythm Case Rep       Date:  2018-09-28

9.  Transient complete heart block following catheter ablation of a left lateral accessory pathway.

Authors:  Franz Schweis; Gordon Ho; David E Krummen; Kurt Hoffmayer; Ulrika Birgersdotter-Green; Gregory Feld
Journal:  J Arrhythm       Date:  2018-11-03
  9 in total

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