Premium
Disseminated Intravascular Coagulation as a Complication of Radiofrequency Catheter Ablation of Atrial Fibrillation
Author(s) -
PARK HYUNGWOOK,
CHO SANGHEE,
KIM KYEHUN,
CHO JEONGGWAN
Publication year - 2005
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/j.1540-8167.2005.40800.x
Subject(s) - medicine , atrial fibrillation , cardiology , pericardial effusion , disseminated intravascular coagulation , pulmonary vein , catheter ablation , ablation , complication , hemodialysis , catheter , surgery
Since Haissaguerre and his colleagues demonstrated the importance of the pulmonary veins in the generation of atrial fibrillation (AF) in 1998, a variety of different ablative interventions have been performed to eliminate AF. Various complications related to catheterization, ablation itself including pulmonary vein stenosis, pericardial effusion, stroke, and atrioesophageal fistula have been reported. Disseminated intravascular coagulation (DIC) is a systemic syndrome characterized by enhanced activation of coagulation with some intravascular fibrin formation and deposition. This is the first report, to our knowledge, of a patient whose condition was complicated by DIC after segmental ostial isolation of pulmonary veins for persistent AF. The patient has completely recovered from the DIC by hemodialysis, administration of blood constituents for 15 days.