What is the clinical evidence from this study?

Study design: Case Report. Population: vagal paroxysmal atrial fibrillation (n=1). Intervention: Selective epicardial and endocardial atrial vagal denervation. Primary outcome: Gastroparesis.

What does this research mean for the field?

Selective epicardial and endocardial atrial vagal denervation for atrial fibrillation can lead to transient gastroparesis. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

August 17, 2007Journal of Cardiovascular Electrophysiology

Gastric Hypomotility Following Epicardial Vagal Denervation Ablation to Treat Atrial Fibrillation

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Key result

Selective atrial vagal denervation for AF linked to transient gastroparesis with complete recovery.

Why the study?

Does selective epicardial and endocardial atrial vagal denervation cause gastroparesis in a patient with vagal paroxysmal atrial fibrillation?

Population

55-year-old man with vagal paroxysmal atrial fibrillation (n=1)

Design

Case_report

Authors

CPCristiano PisaniElectrophysiology DHDenise HachulHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo ESEduardo SosaInstituto do Coração

Discussion

Member takes

Implication

Highlights transient gastroparesis risk with atrial vagal denervation; hypothesis-generating and requires confirmation before broader adoption.

Study Design

Type

Case Report (n=1)

Structured PICO

Does selective epicardial and endocardial atrial vagal denervation cause gastroparesis in a patient with vagal paroxysmal atrial fibrillation?

Population

A 55-year-old man with vagal paroxysmal atrial fibrillation who underwent selective epicardial and endocardial atrial vagal denervation.

Intervention

Selective epicardial and endocardial atrial vagal denervation using radiofrequency pulses applied on the epicardial and endocardial surface of the left atrium close to right pulmonary veins and epicardial surface close to left inferior pulmonary vein

Outcome

Development of gastroparesissafety

Epicardial and endocardial atrial vagal denervation for atrial fibrillation can result in transient gastroparesis as a procedural complication.

Cite This Study

Pisani et al. (2007) conducted a case report in vagal paroxysmal atrial fibrillation (n=1). Selective epicardial and endocardial atrial vagal denervation was evaluated on Gastroparesis. Selective epicardial and endocardial atrial vagal denervation for atrial fibrillation resulted in transient gastroparesis, from which the patient recovered completely.

synapsesocial.com/papers/6aa6a504bc2c7db7488e6a7b https://doi.org/10.1111/j.1540-8167.2007.00937.x

Topics

Atrial fibrillation Persistent AF management AF ablation outcomes Anticoagulation in AF

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Implication

Highlights transient gastroparesis risk with atrial vagal denervation; hypothesis-generating and requires confirmation before broader adoption.

Gastric Hypomotility Following Epicardial Vagal Denervation Ablation to Treat Atrial Fibrillation

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Topics

Gastric Hypomotility Following Epicardial Vagal Denervation Ablation to Treat Atrial Fibrillation

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider