Timely diagnostics of catheter ablation complications: clinical case of pulmonary vein stenosis.

Timely diagnostics of catheter ablation complications: clinical case of pulmonary vein stenosis.

Sapelnikov O.V., Merkulov E.V., Nikolaeva O.A., Cherkashin D.I., Grishin I.R., Vlasova E.E., Galyautdinov D.M., Shiryaev A.A., Saidova M.A., Gramovich V.V., Pevzner D.V., Tereshchenko A.S., Fedotenkov I.S., Gaman S.A., Ternovoy S.K., Akchurin R.S.

Purpose. Modern methods of diagnostics and visualization allow timely identifying and some-times even preventing the development of complications. Our clinical case demonstrates the possibilities and diagnostic algorithm of such serious complication of catheter ablation as pulmonary vein (PV) stenosis. Materials and methods. 61-year old patient after repeated catheter ablations is pre-sented. Results. The use of echocardiography and MSCT allowed determining the stage and characteristics of PVs stenosis. Catheter ablation is one of the most common and effective methods in atrial fibrilla-tion treatment. However, significant increase in number of operations and specialists who perform catheter ablation, leads to appearance of specific complications. Modern methods of visualization and diagnostics allow to timely recognize and sometimes even prevent the devel-opment of complications. Conclusion. An echocardiography and MSCT are the main instruments in diagnos-tics of PVs stenosis.

1 - National medical re-search center of cardiology. 2 - First Moscow State Medical University named after I.M. Sechenov (Sechenov Uni-versity). Moscow, Russia.

Keywords: pulmonary vein isolation, pulmonary vein stenosis, atrial fibrillation, MSCT, echocardiography.

Corresponding author: Sapelnikov O.V., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

For citation: Sapelnikov O.V., Merkulov E.V., Nikolaeva O.A., Cherkashin D.I., Grishin I.R., Vlasova E.E., Galyautdinov D.M., Shiryaev A.A., Saidova M.A., Gramovich V.V., Pevzner D.V., Tereshchenko A.S., Fedotenkov I.S., Gaman S.A., Ternovoy S.K., Akchurin R.S.Timely diagnostics of catheter ablation complications: clinical case of pulmonary vein stenosis. REJR 2018; 8(4):248-255. DOI:10.21569/2222-7415-2018-8-4-248-255.

Received: 07.11.18 Accepted: 22.11.18