How to prevent, detect and manage complications caused by cryoballoon ablation of atrial fibrillation

Nitin Kulkarni, Wilber Su, Richard Wu

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Atrial fibrillation is the most common cardiac arrhythmia and the prevalence is increasing every year. Patients who fail to maintain sinus rhythm with use of anti-arrhythmic drug therapy are referred for catheter ablation. Cryoballoon (CB) ablation has emerged as an effective and alternative treatment option to traditional point-by-point radiofrequency ablation, but there can be complications. This article reviews the incidence, presentation, risk factors, management and preventative strategies of three major complications associated with CB ablation: phrenic nerve injury, atrial oesophageal fistula and bronchial injury. Although these complications are rare, electrophysiologists should institute measures to identify high-risk patients, implement best-practice techniques to minimise risks and maintain a high index of suspicion to recognise the complications quickly and implement correct treatment strategies.

Original languageEnglish (US)
Pages (from-to)18-23
Number of pages6
JournalArrhythmia and Electrophysiology Review
Volume7
Issue number1
DOIs
StatePublished - Mar 1 2018

Fingerprint

Atrial Fibrillation
Esophageal Fistula
Phrenic Nerve
Catheter Ablation
Anti-Arrhythmia Agents
Wounds and Injuries
Risk Management
Practice Guidelines
Cardiac Arrhythmias
Drug Therapy
Incidence
Therapeutics

Keywords

  • Atrial fibrillation
  • Atrio-oesophageal fistula
  • Bronchial injury
  • Catheter ablation
  • Cryoablation
  • Cryoballoon
  • Dosing
  • Phrenic nerve injury

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

How to prevent, detect and manage complications caused by cryoballoon ablation of atrial fibrillation. / Kulkarni, Nitin; Su, Wilber; Wu, Richard.

In: Arrhythmia and Electrophysiology Review, Vol. 7, No. 1, 01.03.2018, p. 18-23.

Research output: Contribution to journalArticle

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