Accidental Entrapment of Electrical Mapping Catheter by Chiari’s Network in Right Atrium during Catheter Ablation ProcedureReportar como inadecuado




Accidental Entrapment of Electrical Mapping Catheter by Chiari’s Network in Right Atrium during Catheter Ablation Procedure - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Case Reports in Cardiology - Volume 2016 2016, Article ID 1302473, 5 pages -

Case ReportDivision of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan

Received 18 January 2016; Accepted 12 May 2016

Academic Editor: Kurt C. Roberts-Thomson

Copyright © 2016 Atsushi Sakamoto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 78-year-old male was admitted to our hospital due to frequent palpitation. His electrocardiogram ECG presented regular narrow QRS tachycardia with 170 bpm, and catheter ablation was planned. During electroanatomical mapping of the right atrium RA with a multiloop mapping catheter, the catheter head was entrapped nearby the ostium of inferior vena cava. Rotation and traction of the catheter failed to detach the catheter head from the RA wall. Exfoliation of connective tissue twined around catheter tip by forceps, which were designed for endomyocardial biopsy, succeeded to retract and remove the catheter. Postprocedural echocardiography and pathologic examination proved the existence of Chiari’s network. The handling of complex catheters in the RA has a potential risk of entrapment with Chiari’s network.





Autor: Atsushi Sakamoto, Tsuyoshi Urushida, Tomoaki Sakakibara, Makoto Sano, Kenichiro Suwa, Takeji Saitoh, Masao Saotome, Hideki

Fuente: https://www.hindawi.com/



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