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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2018-01-01
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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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