Hemoptysis After Pulmonary Vein Isolation with a Cryoballoon: An Analysis of the Potential Etiology

Hemoptysis After Pulmonary Vein Isolation With a Cryoballoon. In a series of 359 cryoballoon ablations with a complete registry of complications, clinically important hemoptysis requiring readmission was observed in 2 patients. One patient had preexisting bronchiectasis; the other had no previous hi...

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Published inJournal of cardiovascular electrophysiology Vol. 22; no. 9; pp. 1067 - 1069
Main Authors BHAGWANDIEN, ROHIT, VAN BELLE, YVES, DE GROOT, NATASJA, JORDAENS, LUC
Format Journal Article
LanguageEnglish
Published Malden, USA Blackwell Publishing Inc 01.09.2011
Subjects
Angioplasty, Balloon - adverse effects
atrial fibrillation
catheter ablation
Catheter Ablation - adverse effects
cryoablation
Cryosurgery - adverse effects
Female
hemoptysis
Hemoptysis - diagnosis
Hemoptysis - etiology
Humans
Male
Middle Aged
pulmonary vein isolation
Pulmonary Veins - physiopathology
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Summary:Hemoptysis After Pulmonary Vein Isolation With a Cryoballoon. In a series of 359 cryoballoon ablations with a complete registry of complications, clinically important hemoptysis requiring readmission was observed in 2 patients. One patient had preexisting bronchiectasis; the other had no previous history of pulmonary disease. In the first patient the guiding wire was very distal in one of the veins and exceptional low freezing temperatures were recorded in the left inferior pulmonary vein. Similarly, in the second patient exceptional low freezing temperatures were recorded in all 4 veins. Four additional patients mentioned hemoptysis at the 3‐month follow‐up visit, which resolved after temporary cessation of anticoagulation. Hemoptysis can occur after cryoballoon ablation for several reasons, especially when a stringent anticoagulation regimen is adhered to, and when occlusion is associated with very low freezing temperatures. (J Cardiovasc Electrophysiol, Vol. 22, pp. 1067‐1069, September 2011)
Bibliography:No disclosures.
ObjectType-Case Study-2
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ISSN:1045-3873
1540-8167
DOI:10.1111/j.1540-8167.2011.02031.x