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jueves, 4 de junio de 2020

Complications of cardiac ablation

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emDocs - June 3, 2020 - By Arnold C and Hamm J 
Reviewed by: Montrief T, Koyfman A and Long B

"Take Home Points:
  • The overall complication rate for cardiac ablation is 6.29%.
  • Atrio-esophageal fistula has up to a 100% mortality without surgery. If considered, emergently consult cardiothoracic surgery.
  • EGD may cause fatal massive air embolism in the setting of atrio-esophageal fistula. Avoid even in the case of gross hematemesis.
  • Delayed cardiac tamponade may occur even up to several weeks out from the ablation.
  • Atypical migraine is a rare post ablation complication and should be considered a diagnosis of exclusion."