Severe gastroparesis after catheter ablation for atrial fibrillation

Gastroparesis is an uncommon extracardiac complication of catheter ablation procedures for atrial fibrillation. A large case series of patients who underwent percutaneous catheter ablation estimated the prevalence of gastroparesis after radiofrequency ablation and cryoablation procedures at 10% and...

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Bibliographic Details
Published in:Canadian Medical Association journal (CMAJ) 2017-03, Vol.189 (9), p.E368-E368
Main Authors: Zipursky, Jonathan S, Shadowitz, Steven
Format: Article
Language:English
Subjects:
Abdomen
Aged
Atrial fibrillation
Atrial Fibrillation - surgery
Benzofurans - therapeutic use
Cardiac arrhythmia
Care and treatment
Catheter Ablation
Catheters
Complications and side effects
Cryosurgery
Female
Gastroparesis
Gastroparesis - diagnostic imaging
Gastroparesis - drug therapy
Humans
Postoperative Complications - diagnostic imaging
Postoperative Complications - drug therapy
Practice
Risk factors
Serotonin 5-HT4 Receptor Agonists - therapeutic use
Severity of Illness Index
Tomography, X-Ray Computed
Citations: Items that cite this one
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Description
Summary:Gastroparesis is an uncommon extracardiac complication of catheter ablation procedures for atrial fibrillation. A large case series of patients who underwent percutaneous catheter ablation estimated the prevalence of gastroparesis after radiofrequency ablation and cryoablation procedures at 10% and 6%, respectively.1 The most likely mechanism is periesophageal vagal nerve injury: the vagus nerve innervates the stomach and pyloric sphincter, and runs adjacent to the leftatrium and inferior pulmonary veins.1 Predictors of symptomatic gastroparesis following cryoablation may include lower mean temperatures on the inferior pulmonary veins during the procedure and smaller leftatrial diameter.1
ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.160335