TY  - JOUR
AU  - Mujović, Neboja
AU  - Marinković, Milan
AU  - Marković, Nebojša
AU  - Kocijanić, Aleksandar
AU  - Kovaević, Vladan
AU  - Simić, Dragan
AU  - Ristić, Arsen
AU  - Stanković, Goran
AU  - Miličić, Biljana
AU  - Putnik, Svetozar
AU  - Vujisic-Tešić, Bosiljka D.
AU  - Potpara, Tatjana S.
PY  - 2016
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2072
AB  - Cardiac tamponade (CT) is a life-threatening complication of radiofrequency ablation (RFA). The course and outcome of CT in low-to-medium volume electrophysiology centers are underreported. We analyzed the incidence, management and outcomes of CT in 1500 consecutive RFAs performed in our center during 2011-2016. Of 1500 RFAs performed in 1352 patients (age 55 years, interquartile range: 41-63), 569 were left-sided procedures (n = 406 with transseptal access). Conventional RFA or irrigated RFA was performed in 40.9% and 59.1% of procedures, respectively. Ablation was performed mostly for atrioventricular nodal reentrant tachycardia (25.4%), atrial fibrillation (AF; 18.5%), atrial flutter (18.4%), accessory pathway (16.5%) or idiopathic ventricular arrhythmia (VA; 12.3%), and rarely for structural VA (2.1%). CT occurred in 12 procedures (0.8%): 10 AF ablations, 1 idiopathic VA and 1 typical atrial flutter ablation. Factors significantly associated with CT were older age, pre-procedural oral anticoagulation, left-sided procedures, transseptal access, AF ablation, irrigated RFA and longer fluoroscopy time (on univariate analysis), and AF ablation (on multivariable analysis). The perforation site was located in the left atrium (n = 7), right atrium (n = 3), or in the left ventricle or coronary sinus (n = 1 each). Upon pericardiocentesis, two patients underwent urgent cardiac surgery because of continued bleeding. There was no fatal outcome. During the follow-up of 19 +/- 14 months, eight patients were arrhythmia free. Incidence of RFA-related CT in our medium-volume center was low and significantly associated with AF ablation. The outcome of CT was mostly favorable after pericardiocentesis, but readily accessible cardiothoracic surgery back-up should be mandatory in RFA centers.
PB  - Springer, New York
T2  - Advances in Therapy
T1  - Management and Outcome of Periprocedural Cardiac Perforation and Tamponade with Radiofrequency Catheter Ablation of Cardiac Arrhythmias: A Single Medium-Volume Center Experience
VL  - 33
IS  - 10
SP  - 1782
EP  - 1796
DO  - 10.1007/s12325-016-0402-x
ER  - 

@article{
author = "Mujović, Neboja and Marinković, Milan and Marković, Nebojša and Kocijanić, Aleksandar and Kovaević, Vladan and Simić, Dragan and Ristić, Arsen and Stanković, Goran and Miličić, Biljana and Putnik, Svetozar and Vujisic-Tešić, Bosiljka D. and Potpara, Tatjana S.",
year = "2016",
abstract = "Cardiac tamponade (CT) is a life-threatening complication of radiofrequency ablation (RFA). The course and outcome of CT in low-to-medium volume electrophysiology centers are underreported. We analyzed the incidence, management and outcomes of CT in 1500 consecutive RFAs performed in our center during 2011-2016. Of 1500 RFAs performed in 1352 patients (age 55 years, interquartile range: 41-63), 569 were left-sided procedures (n = 406 with transseptal access). Conventional RFA or irrigated RFA was performed in 40.9% and 59.1% of procedures, respectively. Ablation was performed mostly for atrioventricular nodal reentrant tachycardia (25.4%), atrial fibrillation (AF; 18.5%), atrial flutter (18.4%), accessory pathway (16.5%) or idiopathic ventricular arrhythmia (VA; 12.3%), and rarely for structural VA (2.1%). CT occurred in 12 procedures (0.8%): 10 AF ablations, 1 idiopathic VA and 1 typical atrial flutter ablation. Factors significantly associated with CT were older age, pre-procedural oral anticoagulation, left-sided procedures, transseptal access, AF ablation, irrigated RFA and longer fluoroscopy time (on univariate analysis), and AF ablation (on multivariable analysis). The perforation site was located in the left atrium (n = 7), right atrium (n = 3), or in the left ventricle or coronary sinus (n = 1 each). Upon pericardiocentesis, two patients underwent urgent cardiac surgery because of continued bleeding. There was no fatal outcome. During the follow-up of 19 +/- 14 months, eight patients were arrhythmia free. Incidence of RFA-related CT in our medium-volume center was low and significantly associated with AF ablation. The outcome of CT was mostly favorable after pericardiocentesis, but readily accessible cardiothoracic surgery back-up should be mandatory in RFA centers.",
publisher = "Springer, New York",
journal = "Advances in Therapy",
title = "Management and Outcome of Periprocedural Cardiac Perforation and Tamponade with Radiofrequency Catheter Ablation of Cardiac Arrhythmias: A Single Medium-Volume Center Experience",
volume = "33",
number = "10",
pages = "1782-1796",
doi = "10.1007/s12325-016-0402-x"
}

Mujović, N., Marinković, M., Marković, N., Kocijanić, A., Kovaević, V., Simić, D., Ristić, A., Stanković, G., Miličić, B., Putnik, S., Vujisic-Tešić, B. D.,& Potpara, T. S.. (2016). Management and Outcome of Periprocedural Cardiac Perforation and Tamponade with Radiofrequency Catheter Ablation of Cardiac Arrhythmias: A Single Medium-Volume Center Experience. in Advances in Therapy
Springer, New York., 33(10), 1782-1796.
https://doi.org/10.1007/s12325-016-0402-x

Mujović N, Marinković M, Marković N, Kocijanić A, Kovaević V, Simić D, Ristić A, Stanković G, Miličić B, Putnik S, Vujisic-Tešić BD, Potpara TS. Management and Outcome of Periprocedural Cardiac Perforation and Tamponade with Radiofrequency Catheter Ablation of Cardiac Arrhythmias: A Single Medium-Volume Center Experience. in Advances in Therapy. 2016;33(10):1782-1796.
doi:10.1007/s12325-016-0402-x .

Mujović, Neboja, Marinković, Milan, Marković, Nebojša, Kocijanić, Aleksandar, Kovaević, Vladan, Simić, Dragan, Ristić, Arsen, Stanković, Goran, Miličić, Biljana, Putnik, Svetozar, Vujisic-Tešić, Bosiljka D., Potpara, Tatjana S., "Management and Outcome of Periprocedural Cardiac Perforation and Tamponade with Radiofrequency Catheter Ablation of Cardiac Arrhythmias: A Single Medium-Volume Center Experience" in Advances in Therapy, 33, no. 10 (2016):1782-1796,
https://doi.org/10.1007/s12325-016-0402-x . .