In-Hospital Pulmonary Arterial Embolism after Catheter Ablation of over 45,000 Cardiac Arrhythmias: Individualized Case Analysis of Multicentric Data
Thrombosis and Haemostasis, ISSN: 0340-6245, Vol: 124, Issue: 9, Page: 861-869
2024
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Most Recent News
Study Data from University Hospital Munster Update Knowledge of Atrial Fibrillation (In-Hospital Pulmonary Arterial Embolism after Catheter Ablation of Over 45,000 Cardiac Arrhythmias: Individualized Case Analysis of Multicentric Data)
2024 APR 17 (NewsRx) -- By a News Reporter-Staff News Editor at NewsRx Cardiovascular Daily -- A new study on atrial fibrillation is now available.
Article Description
Objective and Background Data on incidence of in-hospital pulmonary embolisms (PE) after catheter ablation (CA) are scarce. To gain further insights, we sought to provide new findings through case-based analyses of administrative data. Methods Incidences of PE after CA of supraventricular tachycardias (SVT), atrial fibrillation (AF), atrial flutter (AFlu), and ventricular tachycardias (VT) in three German tertiary centers between 2005 and 2020 were determined and coded by the G-DRG (German Diagnosis Related Groups System) and OPS (German Operation and Procedure Classification) systems. An administrative search was performed with a consecutive case-based analysis. Results Overall, 47,344 ablations were analyzed (10,037 SVT; 28,048 AF; 6,252 AFlu; 3,007 VT). PE occurred in 14 (0.03%) predominantly female (n = 9; 64.3%) patients with amean age of 55.3±16.9 years, bodymass index 26.2±5.1 kg/m2, and left ventricular ejection fraction of 56±13.6%. PE incidences were 0.05% (n = 5) for SVT, 0.02% (n = 5) for AF, and 0.13% (n = 4) for VT ablations. No patient suffered PE after AFlu ablation. Five patients (35.7%) with PE after CA had no prior indication for oral anticoagulation (OAC). Preprocedural international normalized ratio in PE patients was 1.2±0.5. Most patients with PE following CA presented with symptoms the day after the procedure (n = 9) after intraprocedural heparin application of 12,943.2±5,415.5 IU. PE treatment included anticoagulation with either phenprocoumon (n = 5) or non-vitamin Kdependent OAC (n = 9). Two patients with PE died after VT/AF ablation, respectively. The remaining patients were discharged without sequels.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85189686407&origin=inward; http://dx.doi.org/10.1055/s-0044-1785519; http://www.ncbi.nlm.nih.gov/pubmed/38555641; http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1785519; https://dx.doi.org/10.1055/s-0044-1785519; https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0044-1785519
Georg Thieme Verlag KG
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