ST segment elevation and chest pain during cryoablation of atrial flutter

A 61-year-old male was treated with cryoablation for typical atrial flutter. Cryoablation was performed percutaneously with an 8-mm tip catheter to achieve a bidirectional conduction block of the cavo-tricuspid isthmus. When freezing at the point where bidirectional isthmus block occurred, the patie...

Full description

Saved in:
Bibliographic Details
Published in:Europace (London, England) England), 2007-06, Vol.9 (6), p.407-410
Main Authors: Johansson, Birgitta I., Hrafnkelsdóttir, Thórdís J., Edvardsson, Nils
Format: Article
Language:English
Subjects:
Atrial Flutter - surgery
Chest Pain - etiology
Coronary Angiography
Cryosurgery - adverse effects
Electrocardiography
Humans
Male
MEDICAL AND HEALTH SCIENCES
MEDICIN OCH HÄLSOVETENSKAP
Middle Aged
Citations: Items that this one cites
Items that cite this one
Online Access:Request full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 61-year-old male was treated with cryoablation for typical atrial flutter. Cryoablation was performed percutaneously with an 8-mm tip catheter to achieve a bidirectional conduction block of the cavo-tricuspid isthmus. When freezing at the point where bidirectional isthmus block occurred, the patient experienced chest pain and ECG showed ST segment elevations corresponding to the right coronary artery. Cryoablation may be painless per se, but patients should be told to report chest discomfort and surface ECG must be followed carefully during ablation.
ISSN:1099-5129
1532-2092
DOI:10.1093/europace/eum046