Coronary vasospasm complicating atrial fibrillation ablation: a case report and review of the literature
Radiofrequency ablation is one of the alternative treatment strategies in patients with atrial fibrillation. With the increasing number of such ablation procedures being performed it is important for the physicians to be aware of the associated complications. We present a very rare case of severe tr...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Greater Baltimore Medical Center
2020-07-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20009666.2020.1774252 |
| _version_ | 1797966639193391104 |
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| author | Nirmal Guragai Upamanyu Rampal Rahul Vasudev Pragya Bhandari Atul Prakash Hartaj Virk Mahesh Bikkina Shamoon Fayez |
| author_facet | Nirmal Guragai Upamanyu Rampal Rahul Vasudev Pragya Bhandari Atul Prakash Hartaj Virk Mahesh Bikkina Shamoon Fayez |
| author_sort | Nirmal Guragai |
| collection | DOAJ |
| description | Radiofrequency ablation is one of the alternative treatment strategies in patients with atrial fibrillation. With the increasing number of such ablation procedures being performed it is important for the physicians to be aware of the associated complications. We present a very rare case of severe triple coronary vessel spasm during radiofrequency catheter ablation. The procedure was complicated by cardiac arrest secondary to ventricular fibrillation and cardiogenic shock requiring subsequent management with a temporary mechanical circulatory support device. Multi-vessel spasm is a rare and life-threatening complication leading to ventricular fibrillation and cardiac arrest. One should be extra vigilant in monitoring patients during extensive ablations and the procedure should be terminated at the earliest signs of ischemia in order to prevent this rare but fatal complication. |
| first_indexed | 2024-04-11T02:18:34Z |
| format | Article |
| id | doaj.art-aa3cff6d60e94fe489598c17c8ce5852 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T02:18:34Z |
| publishDate | 2020-07-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-aa3cff6d60e94fe489598c17c8ce58522023-01-03T00:29:33ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662020-07-0110434634910.1080/20009666.2020.17742521774252Coronary vasospasm complicating atrial fibrillation ablation: a case report and review of the literatureNirmal Guragai0Upamanyu Rampal1Rahul Vasudev2Pragya Bhandari3Atul Prakash4Hartaj Virk5Mahesh Bikkina6Shamoon Fayez7St Joseph Regional Medical CenterBanner Estrella Medical CenterSt Joseph Regional Medical CenterManipal College of Medical SciencesSt Joseph Regional Medical CenterSt Joseph Regional Medical CenterSt Joseph Regional Medical CenterSt Joseph Regional Medical CenterRadiofrequency ablation is one of the alternative treatment strategies in patients with atrial fibrillation. With the increasing number of such ablation procedures being performed it is important for the physicians to be aware of the associated complications. We present a very rare case of severe triple coronary vessel spasm during radiofrequency catheter ablation. The procedure was complicated by cardiac arrest secondary to ventricular fibrillation and cardiogenic shock requiring subsequent management with a temporary mechanical circulatory support device. Multi-vessel spasm is a rare and life-threatening complication leading to ventricular fibrillation and cardiac arrest. One should be extra vigilant in monitoring patients during extensive ablations and the procedure should be terminated at the earliest signs of ischemia in order to prevent this rare but fatal complication.http://dx.doi.org/10.1080/20009666.2020.1774252coronary vasospasmatrial fibrillationradiofrequency ablationcatheter ablation |
| spellingShingle | Nirmal Guragai Upamanyu Rampal Rahul Vasudev Pragya Bhandari Atul Prakash Hartaj Virk Mahesh Bikkina Shamoon Fayez Coronary vasospasm complicating atrial fibrillation ablation: a case report and review of the literature Journal of Community Hospital Internal Medicine Perspectives coronary vasospasm atrial fibrillation radiofrequency ablation catheter ablation |
| title | Coronary vasospasm complicating atrial fibrillation ablation: a case report and review of the literature |
| title_full | Coronary vasospasm complicating atrial fibrillation ablation: a case report and review of the literature |
| title_fullStr | Coronary vasospasm complicating atrial fibrillation ablation: a case report and review of the literature |
| title_full_unstemmed | Coronary vasospasm complicating atrial fibrillation ablation: a case report and review of the literature |
| title_short | Coronary vasospasm complicating atrial fibrillation ablation: a case report and review of the literature |
| title_sort | coronary vasospasm complicating atrial fibrillation ablation a case report and review of the literature |
| topic | coronary vasospasm atrial fibrillation radiofrequency ablation catheter ablation |
| url | http://dx.doi.org/10.1080/20009666.2020.1774252 |
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