Pericardial adhesions as a consequence of cryoballoon ablation detected during the hybrid AF ablation procedure

Vedran Velagić; Carlo de Asmundis; Gian‐Battista Chierchia; Mark La Meir

doi:10.1016/j.hrcr.2015.07.005

October 24, 2015HeartRhythm Case ReportsOpen Access

Pericardial adhesions as a consequence of cryoballoon ablation detected during the hybrid AF ablation procedure

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Why the study?

Does previous pulmonary vein cryoballoon ablation lead to pericardial adhesions detected during subsequent hybrid AF ablation?

Key Points

Document the formation of pericardial adhesions following pulmonary vein cryoballoon ablation in patients undergoing hybrid ablation.
Evaluated direct endoscopic imaging of the pericardial space during a hybrid atrial fibrillation ablation procedure in a patient with previous pulmonary vein cryoballoon ablation.
Demonstrated dense pericardial adhesions directly related to prior pulmonary vein cryoballoon ablation.
Highlights that endocardial cryoballoon procedures can induce epicardial scarring that complicates or precludes subsequent epicardial access.

Structured PICO

Does previous pulmonary vein cryoballoon ablation lead to pericardial adhesions detected during subsequent hybrid AF ablation?

P

Population

Patients undergoing hybrid atrial fibrillation ablation with a history of previous pulmonary vein cryoballoon ablation

I

Intervention

Pulmonary vein cryoballoon ablation

O

Outcome

Presence of pericardial adhesionssafety

This report highlights that pulmonary vein cryoballoon ablation can cause pericardial adhesions, potentially complicating future epicardial procedures.

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Implication

Pericardial adhesions may follow cryoballoon ablation; extends known etiologies and leaves open questions on epicardial access planning.

Abstract

Pericardial adhesions, which can complicate or even preclude epicardial procedures, are a well-known consequence of cardiac surgery or epicardial radiofrequency (RF) ablation.1,2 Here we present the images of pericardial adhesions related to previous pulmonary vein (PV) cryoballoon ablation.

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Cite This Study

Velagić et al. (2015) studied this question.

synapsesocial.com/papers/6a76ef404fe2e6ffd8ec499c https://doi.org/10.1016/j.hrcr.2015.07.005

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Pericardial adhesions as a consequence of cryoballoon ablation detected during the hybrid AF ablation procedure

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Pericardial adhesions as a consequence of cryoballoon ablation detected during the hybrid AF ablation procedure

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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