Hemoptysis after five months of cryoballoon ablation: What is the relationship?  Keita Watanabe, MD, Junichi Nitta, MD, PhD, Akira Sato, MD, Masahiko Goya,

Slides:



Advertisements
Similar presentations
Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy 
Advertisements

Jayasheel Eshcol, MD, Alan P. Wimmer, MD, FHRS 
A unique case of pulmonary embolism presenting as a paroxysmal atrial tachycardia instigated only by recumbency and stooping  Nagesh Chopra, MD  HeartRhythm.
Left ventricle penetration—A rare complication of transseptal puncture and catheter ablation for supraventricular tachycardia  Nelson Chavarria, MD, Seth.
Drug-induced acute pneumonitis following initiation of flecainide therapy after pulmonary vein isolation ablation in a patient with mitral stenosis and.
Unusual case of late dislodgment of a superior vena cava coil
Respiratory rate trending as a cause for atrial lead noise: A first report in an implantable cardioverter-defibrillator patient  Isla McClelland, MD,
An interesting case of reverse electrical remodeling of the left atrium after radiofrequency ablation  Bharath Yarlagadda, MD, Tawseef Dar, MD, Valay.
Common veins, common freezes
Single-shot antral isolation of a common pulmonary vein by the hot balloon  Yuji Wakamatsu, MD, Koichi Nagashima, MD, PhD, Ryuta Watanabe, MD, Masaru Arai,
Darren C. Tsang, BS, Roger G. Carrillo, MD, MBA, FHRS 
Percutaneous lead extraction for patients with large vegetations using an unusual technique  Nobuhiro Nishii, MD, PhD, Akihito Miyoshi, MD, PhD, Yoshimasa.
Right coronary artery wall edema provoked by cavotricuspid isthmus radiofrequency ablation  Takuro Nishimura, MD, Masahiko Goya, MD, Shinya Shiohira,
Surgical patch venoplasty after unsuccessful percutaneous balloon venoplasty for pacemaker lead–related superior vena cava stenosis  Dhaval Desai, MD,
First confirmation of histologic changes in the human heart after cryoballoon ablation  Tatsuhiko Hirao, MD, Junichi Nitta, MD, PhD, Akiko Adachi, MD,
Rapidly formed right ventricular thrombus detected by intracardiac echocardiography before catheter ablation in a case of arrhythmogenic right ventricular.
Fracture and retrieval of an Achieve circular mapping catheter in and from a pulmonary vein during cryoballoon ablation for atrial fibrillation  Richard.
Substernal implantation of a subcutaneous implantable cardioverter-defibrillator in a patient with preexisting Hemodialysis Reliable Outflow graft  Thomas.
Pericardial-esophageal fistula complicating cryoballoon ablation for refractory atrial fibrillation  Bria D. Giacomino, DO, Nicole Worden, MD, Raffaele.
Left axillary active can positioning markedly reduces defibrillation threshold of a transvenous defibrillator failing to defibrillate at maximum output 
A rare variant of pulmonary vein drainage
Swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity  Koji Higuchi, MD, PhD,
Intra-atrial reentrant tachycardia originating from the pulmonary vein cuff anastomosis in a lung transplantation patient: Ultra-high-density 3-dimensional.
Daniel P. Morin, MD, MPH, FACC, FHRS  HeartRhythm Case Reports 
Termination of anticoagulation therapy at 45 days after concomitant atrial fibrillation catheter ablation and left atrial appendage occlusion resulting.
Pneumopericardium after epicardial catheter ablation detected with “bruit de moulin”  Rintaro Hojo, MD, Seiji Fukamizu, MD, PhD, Marina Arai, MD, Dai Inagaki,
Recurrent and late-onset coronary spasms after cryoballoon ablation procedure in a patient with atrial fibrillation  Tomonori Watanabe, MD, Hitoshi Hachiya,
Successful transseptal puncture and cryoballoon ablation of symptomatic paroxysmal atrial fibrillation via jugular access in a patient with bilateral.
Bronchogenic cyst of the atrioventricular septum presenting with ventricular fibrillation  Shinya Shiohira, MD, Takeshi Sasaki, MD, Shingo Maeda, MD, Mihoko.
Mindy Vroomen, MD, Mark La Meir, MD, Harry J
Intravenous sotalol for conversion of atrial flutter in infants
Stephen A. Howard, PhD, Ryan P. Goff, PhD, David G
A case series and review of the literature regarding coronary artery complications associated with coronary sinus catheter ablation  Paul J. Garabelli,
Esophageal T-tube: A novel approach to atrioesophageal fistula repair
Phrenic nerve injury contemporaneous with acute decrease in compound motor action potential during laser balloon pulmonary vein isolation for atrial fibrillation 
Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy 
Successful ablation for non-pulmonary multi-foci atrial fibrillation/tachycardia in a patient with coronary sinus ostial atresia by transseptal puncture.
Pericardial adhesions as a consequence of cryoballoon ablation detected during the hybrid AF ablation procedure  Vedran Velagic, MD, Carlo de Asmundis,
Endocardial-only catheter ablation with substantial improvement in ventricular fibrillation recurrences in a patient with Brugada syndrome  Tatsuya Hayashi,
Cryoballoon pulmonary vein isolation and voltage mapping for symptomatic atrial fibrillation 9 months after Watchman device implantation  Henry D. Huang,
Congenital heart disease confounding the diagnosis of arrhythmogenic right ventricular cardiomyopathy  Omid Kiamanesh, MD, Maryam Farhan, MD, Shubhayan.
Adam J. Small, MD, Eric F. Buch, MD, FHRS, FACC, Daniel R
Spastic occlusion of coronary artery during cryoballoon pulmonary vein isolation  Takashi Kaneshiro, MD, Yoshiyuki Matsumoto, MD, Minoru Nodera, MD, Masashi.
Serious case of the hiccups
Clinical and electrophysiological features of respiratory cycle–dependent atrial tachycardia: An analysis of three cases  Osamu Inaba, MD, Junichi Nitta,
Emergency left arial appendage clipping after percutaneous pulmonary vein isolation in a patient with a partial anomalous pulmonary venous connection 
Pulmonary vein stenosis after second-generation cryoballoon ablation for atrial fibrillation  Kenichi Tokutake, MD, Michifumi Tokuda, MD, PhD, Takayuki.
Nishaki Mehta, MD, Benjamin E. Peterson, MD, Roy M. John, MD, PhD 
Atrial fibrillation ablation performed in the developing world: A description of the first atrial fibrillation ablation performed in Cambodia  Sri Sundaram,
Lengthening the atrioventricular delay reduces large left atrial v waves and dyspnea after atrial fibrillation and tachycardia ablation  Raman Mitra,
Overcoming an impossible anatomy with a novel left ventricular active fixation lead in the coronary sinus: A case report  Gabriele Giannola, MD, PhD,
Syncope on exertion in a young male
Late atrial tachycardia originating from donor pulmonary vein in a double lung transplant recipient  Kumar Sanam, MD, Daniel Holmes, RCIS, CCT, Dipak.
Mechanical esophageal deviation: an approach for pulmonary vein reconnection attributed to esophageal heating  Jorge G. Panizo, MD, Jacob S. Koruth, MD,
High-output heart failure due to subclavian vessel fistula as a late complication following implantation of a biventricular pacemaker  Björn Müller-Edenborn,
Abdul R. Mourad, MD, Michael H. Kim, MD, FHRS, Malcolm M
Multipolar electrode spline embolization
Getting to the right left atrium: Catheter ablation of atrial fibrillation and mitral annular flutter in cor triatriatum  Ryan T. Borne, MD, Jaime Gonzalez,
Intravascular fracture of the Impella device during removal
Periesophageal vagal nerve injury following catheter ablation of atrial fibrillation: A case report and review of the literature  Sandeep A. Saha, MD,
Usefulness of a 2-F catheter electrode in a case with successful electrical isolation of remarkably hypoplastic right inferior pulmonary vein  Takeshi.
Robot-assisted thoracoscopic diaphragm plication for symptomatic diaphragm paralysis after cryoballoon ablation  Adriaan Daniels, MD, Tom Danau, MD, Gian-Battista.
Hepatic vein access for pulmonary vein isolation in patients without femoral vein access  Ijeoma A. Ekeruo, MD, FHRS, Saumya Sharma, MD, Allan Cohen, MD,
Left cardiac sympathetic denervation for recurrent ventricular tachyarrhythmias in children with congenital heart disease  Erica D. Bonura, MD, Christopher.
Unique clinical presentation and management of lead-stent abrasion
Left ventricular pseudoaneurysm as a complication of left ventricular summit premature ventricular contraction ablation  Sanjay Dandamudi, MD, Susan S.
HeartRhythm Case Reports
Radiofrequency ablation–assisted extraction of a pacing lead fragment
Bradycardia-induced polymorphic ventricular tachycardia after radiofrequency catheter ablation for right atrial flutter  Matthew Zada, BMedSc(Hons), MBBS,
Atrial flutter following ethanol infusion in the vein of Marshall
Presentation transcript:

Hemoptysis after five months of cryoballoon ablation: What is the relationship?  Keita Watanabe, MD, Junichi Nitta, MD, PhD, Akira Sato, MD, Masahiko Goya, MD, PhD, Mitsuaki Isobe, MD, PhD, Kenzo Hirao, MD, PhD, FHRS  HeartRhythm Case Reports  Volume 3, Issue 7, Pages 357-359 (July 2017) DOI: 10.1016/j.hrcr.2017.05.010 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 A, B: The deep position and incomplete circle of the balloon in the left superior pulmonary vein can be seen in angiography. C: Considerable blood volume in the left lower trachea and coagulation and blood outflow with coughing was observed on bronchofibroscopy at segment 4–5 of the left lung. HeartRhythm Case Reports 2017 3, 357-359DOI: (10.1016/j.hrcr.2017.05.010) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 Temperature trend of the left superior pulmonary vein. At 30 seconds, the temperature was −40°C. The balloon temperature reached −60°C at 80 seconds. The nadir temperature was −65°C. HeartRhythm Case Reports 2017 3, 357-359DOI: (10.1016/j.hrcr.2017.05.010) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 3 No pulmonary vein stenosis was observed on contrast-enhanced computed tomography (A, B; preablation). Five-and-a-half months after ablation, severe stenosis of the left superior pulmonary vein and complete occlusion of the pulmonary vein for the lingular segment were observed (C, D). HeartRhythm Case Reports 2017 3, 357-359DOI: (10.1016/j.hrcr.2017.05.010) Copyright © 2017 Heart Rhythm Society Terms and Conditions