Why the study?
Gastroparesis is a rare complication of radiofrequency catheter ablation for atrial fibrillation that can carry high morbidity.
Gastroparesis is a rare but severe complication of radiofrequency catheter ablation for atrial fibrillation that can be effectively managed with botulinum toxin injection for pyloric spasm.
Gastroparesis after AF ablation warrants clinical vigilance; this Level 5 case leaves open incidence, mechanisms, and prevention.
BACKGROUND: Atrial fibrillation is the most common cardiac arrhythmia, and cardiac ablation is one of the treatment modalities for persistent symptomatic atrial fibrillation. Gastroparesis is a rare complication of radiofrequency catheter ablation for atrial fibrillation, which may be associated with high morbidity. CASE PRESENTATION: We present a 44-year-old Caucasian male with persistent atrial fibrillation who presented with nausea, vomiting, bloating, and constipation after radiofrequency catheter ablation. He was found to have gastroparesis due to pyloric spasm that was treated with botulinum toxin injection. CONCLUSION: This case signifies the importance of identifying gastric complications after radiofrequency catheter ablation atrial fibrillation, and the need for prompt diagnosis and treatment of gastroparesis with botulinum toxin injection.
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Kannan et al. (2023) studied this question.
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