Acute Complications in Cardiac Electrophysiology Procedures: A Prospective Study in a High-volume Tertiary Heart Center

Background: Several complications can occur during electrophysiology (EP) study and radiofrequency catheter ablation (RFCA). In this study, we aimed to determine the frequency and types of complications following EP study and RF ablation in a tertiary cardiovascular center. Methods: Between Septembe...

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Main Authors: Ali Vasheghani-Farahani, Akbar Shafiee, Mohammadali Akbarzadeh, Negar Bahrololoumi-Bafruee, Abolfath Alizadeh-Diz, Zahra Emkanjoo, Amirfarjam Fazelifar, Hooman Bakhshandeh, Majid Haghjoo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Research in Cardiovascular Medicine
Subjects:
Online Access:http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2018;volume=7;issue=1;spage=20;epage=25;aulast=Vasheghani-Farahani
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spelling doaj-ffedd1e9222a4cf59247400bdc1817152020-11-25T00:10:15ZengWolters Kluwer Medknow PublicationsResearch in Cardiovascular Medicine2251-95722251-95802018-01-0171202510.4103/rcm.rcm_34_17Acute Complications in Cardiac Electrophysiology Procedures: A Prospective Study in a High-volume Tertiary Heart CenterAli Vasheghani-FarahaniAkbar ShafieeMohammadali AkbarzadehNegar Bahrololoumi-BafrueeAbolfath Alizadeh-DizZahra EmkanjooAmirfarjam FazelifarHooman BakhshandehMajid HaghjooBackground: Several complications can occur during electrophysiology (EP) study and radiofrequency catheter ablation (RFCA). In this study, we aimed to determine the frequency and types of complications following EP study and RF ablation in a tertiary cardiovascular center. Methods: Between September 2012 and December 2012, patients undergoing RF ablation and EP studies were prospectively enrolled. Demographic and clinical data of the patients, as well as the underlying arrhythmia and indication for EP study, were recorded. Complications occurring during the procedure and admission period were documented. Results: A total of 382 procedures were performed in 357 patients with the mean age of 47 ± 18 years within the study period. The most common arrhythmia was atrioventricular nodal reentrant tachycardia (26.4%). Major complication happened in 10 (2.6%) procedures while minor complications occurred in 36 (9.4%) procedures. Tamponade was the most common major complication (n = 3 [0.7%]), and pericardial effusion was the most common minor complication (n = 19 [4.9%]). Patients with complication were significantly younger and had a lower ejection fraction (P = 0.003 and P = 0.02, respectively). Conclusion: The complications observed in this study are comparable to previous reports, and EP study and RFCA can be considered as safe procedures.http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2018;volume=7;issue=1;spage=20;epage=25;aulast=Vasheghani-FarahaniCardiac arrhythmiascardiac electrophysiologycomplicationradiofrequency catheter ablation
collection DOAJ
language English
format Article
sources DOAJ
author Ali Vasheghani-Farahani
Akbar Shafiee
Mohammadali Akbarzadeh
Negar Bahrololoumi-Bafruee
Abolfath Alizadeh-Diz
Zahra Emkanjoo
Amirfarjam Fazelifar
Hooman Bakhshandeh
Majid Haghjoo
spellingShingle Ali Vasheghani-Farahani
Akbar Shafiee
Mohammadali Akbarzadeh
Negar Bahrololoumi-Bafruee
Abolfath Alizadeh-Diz
Zahra Emkanjoo
Amirfarjam Fazelifar
Hooman Bakhshandeh
Majid Haghjoo
Acute Complications in Cardiac Electrophysiology Procedures: A Prospective Study in a High-volume Tertiary Heart Center
Research in Cardiovascular Medicine
Cardiac arrhythmias
cardiac electrophysiology
complication
radiofrequency catheter ablation
author_facet Ali Vasheghani-Farahani
Akbar Shafiee
Mohammadali Akbarzadeh
Negar Bahrololoumi-Bafruee
Abolfath Alizadeh-Diz
Zahra Emkanjoo
Amirfarjam Fazelifar
Hooman Bakhshandeh
Majid Haghjoo
author_sort Ali Vasheghani-Farahani
title Acute Complications in Cardiac Electrophysiology Procedures: A Prospective Study in a High-volume Tertiary Heart Center
title_short Acute Complications in Cardiac Electrophysiology Procedures: A Prospective Study in a High-volume Tertiary Heart Center
title_full Acute Complications in Cardiac Electrophysiology Procedures: A Prospective Study in a High-volume Tertiary Heart Center
title_fullStr Acute Complications in Cardiac Electrophysiology Procedures: A Prospective Study in a High-volume Tertiary Heart Center
title_full_unstemmed Acute Complications in Cardiac Electrophysiology Procedures: A Prospective Study in a High-volume Tertiary Heart Center
title_sort acute complications in cardiac electrophysiology procedures: a prospective study in a high-volume tertiary heart center
publisher Wolters Kluwer Medknow Publications
series Research in Cardiovascular Medicine
issn 2251-9572
2251-9580
publishDate 2018-01-01
description Background: Several complications can occur during electrophysiology (EP) study and radiofrequency catheter ablation (RFCA). In this study, we aimed to determine the frequency and types of complications following EP study and RF ablation in a tertiary cardiovascular center. Methods: Between September 2012 and December 2012, patients undergoing RF ablation and EP studies were prospectively enrolled. Demographic and clinical data of the patients, as well as the underlying arrhythmia and indication for EP study, were recorded. Complications occurring during the procedure and admission period were documented. Results: A total of 382 procedures were performed in 357 patients with the mean age of 47 ± 18 years within the study period. The most common arrhythmia was atrioventricular nodal reentrant tachycardia (26.4%). Major complication happened in 10 (2.6%) procedures while minor complications occurred in 36 (9.4%) procedures. Tamponade was the most common major complication (n = 3 [0.7%]), and pericardial effusion was the most common minor complication (n = 19 [4.9%]). Patients with complication were significantly younger and had a lower ejection fraction (P = 0.003 and P = 0.02, respectively). Conclusion: The complications observed in this study are comparable to previous reports, and EP study and RFCA can be considered as safe procedures.
topic Cardiac arrhythmias
cardiac electrophysiology
complication
radiofrequency catheter ablation
url http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2018;volume=7;issue=1;spage=20;epage=25;aulast=Vasheghani-Farahani
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