Acute massive pulmonary embolism after radiofrequency catheter ablation: A rare complication after a common procedure

被引：2
作者：
Hung, Chen-Ying [1 ]
Lin, Tung-Chao [1 ,2 ,3 ]
Hsieh, Yu-Cheng [1 ,2 ]
Lee, Wen-Lieng [1 ,2 ]
Huang, Jin-Long [1 ,2 ,4 ]
Chang, Wei-Chun [1 ,2 ]
Ting, Chih-Tai [1 ,2 ]
Wu, Tsu-Juey [1 ,2 ,4 ]
机构：
[1] Taichung Vet Gen Hosp, Ctr Cardiovasc, Taichung 407, Taiwan
[2] Natl Yang Ming Univ, Sch Med, Cardiovasc Res Ctr, Dept Internal Med,Fac Med,Inst Clin Med, Taipei 112, Taiwan
[3] Show Chwan Mem Hosp, Dept Internal Med, Changhua, Taiwan
[4] Chung Shan Med Univ, Sch Med, Taichung, Taiwan
来源：
JOURNAL OF THE CHINESE MEDICAL ASSOCIATION | 2012年 / 75卷 / 08期
关键词：
catheter-directed therapy; electrophysiological study; pulmonary embolism; radiofrequency catheter ablation;
D O I：
10.1016/j.jcma.2011.07.002
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 41-year-old man received an electrophysiological study (EPS) and radiofrequency catheter ablation (RFCA) for atrioventricular reentrant tachycardia (AVRT) in our hospital. Massive pulmonary embolism (PE) with hypotension developed 9 hours after these procedures. After emergent pulmonary angiography and catheter-directed intrathrombus urokinase infusion and clot breaking, the patient recovered well. This case suggests that life-threatening PE may occur in patients who receive EPS, RFCA, or both. An adequate observation time after RFCA and clinical alertness are necessary for immediate diagnosis and treatment. Emergent catheter-directed therapy may be of benefit in some patients with acute massive PE. Copyright (c) 2012 Elsevier Taiwan LLC and the Chinese Medical Association. All rights reserved.
引用
收藏
页码：409 / 412
页数：4
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