Abstract
Pulmonary vein (PV) stenosis remains a feared complication of atrial fibrillation ablation. Little is known about outcomes in patients with severe PV stenosis, especially about repeat ablations. In 10 368 patients undergoing atrial fibrillation ablation (2000-2015), computed tomography scans were obtained 3 to 6 months after ablation. The clinical outcomes in severe PV stenosis were determined. Severe PV stenosis was diagnosed in 52 patients (0.5%). This involved mostly the left superior PV (51% of severely stenosed veins). Percutaneous interventions were performed in 43 patients, and complications occurred in 5: 3 PV ruptures, 1 stroke, and 1 phrenic injury. Over a median follow-up of 25 months, 41 (79%) patients remained arrhythmia free. Repeat ablation was performed in 15 patients (7 from the main series and 8 from prior ablation at other institutions); of whom 10 had PV stents in place. Conduction recovery was noted in all but 2 of the stenosed or stented PVs, and areas with recovery were targeted with antral ablation. Lasso entrapment within stents occurred in 2 patients but eventually freed without complications. After redo ablation, preplanned stenting was performed in 3 patients and computed tomographic scans showed pro...Continue Reading
References
Aug 22, 2001·Journal of Cardiovascular Electrophysiology·W C YuS A Chen
Apr 19, 2003·Circulation·Ritsushi KatoHugh Calkins
Apr 16, 2003·Journal of Cardiovascular Electrophysiology·Helmut PürerfellnerHans Joachim Nesser
Apr 26, 2003·European Heart Journal·Thomas ArentzDietrich Kalusche
Dec 30, 2004·Circulation·Feifan OuyangKarl-Heinz Kuck
Feb 9, 2005·Circulation·Douglas L PackerDavid R Holmes
Apr 27, 2005·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Moussa MansourDavid Keane
Jul 5, 2006·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Mohamed H KanjAndrea Natale
Aug 23, 2006·American Heart Journal·Brian NilssonJesper H Svendsen
Mar 6, 2007·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Lin Y Chen, Win-Kuang Shen
Jun 9, 2007·Heart Rhythm : the Official Journal of the Heart Rhythm Society·UNKNOWN European Heart Rhythm Association (EHRA)Richard J Shemin
Aug 2, 2007·Journal of Cardiovascular Medicine·Francesco BedogniClaudio Tondo
Feb 21, 2008·Journal of Cardiovascular Electrophysiology·Lourdes R PrietoSarah E Worley
May 26, 2009·JACC. Cardiovascular Interventions·David R HolmesDouglas Packer
Dec 9, 2009·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Ayman A HusseinOussama Wazni
Dec 10, 2009·Circulation. Arrhythmia and Electrophysiology·Riccardo CappatoElia Biganzoli
Nov 20, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Tom J R De PotterKarl-Heinz Kuck
Dec 15, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hrvojka Marija ZeljkoJosep Brugada
Apr 16, 2011·Circulation. Arrhythmia and Electrophysiology·Ayman A HusseinOussama Wazni
Apr 5, 2013·Circulation. Arrhythmia and Electrophysiology·Mohamed BassiounyOussama Wazni
Jan 5, 2014·Circulation. Arrhythmia and Electrophysiology·Riccardo ProiettiAndrea Natale
Oct 30, 2016·Circulation·Erin A FenderDouglas L Packer
Citations
Jul 22, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Thomas FinkKarl-Heinz Kuck
Jun 25, 2019·Journal of Cardiovascular Electrophysiology·Katharina SchoeneArash Arya
Oct 4, 2020·Current Cardiology Reports·Patcharapong Suntharos, Lourdes R Prieto
May 13, 2018·Circulation. Arrhythmia and Electrophysiology·Santosh K Padala, Kenneth A Ellenbogen
Apr 24, 2020·BMC Cardiovascular Disorders·Yan-Jie LiBen He
Sep 3, 2020·Circulation. Arrhythmia and Electrophysiology·Brian HowardMark T Stewart
Jul 11, 2018·Circulation. Arrhythmia and Electrophysiology·Peter Schuster