Ziffra Jeffrey B, Germano Nicholas D, Phillips Angela N, Olshansky Brian
Department of Cardiology, Mercy Medical Center, Mason City, IA, USA.
Department of Medicine, Des Moines University, Des Moines, IA, USA.
J Innov Card Rhythm Manag. 2018 Oct 15;9(10):3365-3368. doi: 10.19102/icrm.2018.091002. eCollection 2018 Oct.
Complications of atrial fibrillation ablation include pericardial effusion, which tends to occur acutely. Large and hemodynamically important effusions are uncommon, but a small effusion may be present at the end of the procedure in up to 22% of ablations. We monitor for pericardial effusions routinely after ablation with intracardiac echocardiography. However, the follow-up of a small effusion present immediately after ablation remains uncertain, especially with the use of dabigatran or another novel oral anticoagulant. There are no current recommendations on the follow-up of small pericardial effusions after ablation. We present a case and ask a panel of experts for their opinions.
心房颤动消融术的并发症包括心包积液，心包积液往往急性发生。大量且具有血流动力学意义的积液并不常见，但在高达22%的消融术中，术后可能会出现少量积液。我们在消融术后常规通过心腔内超声心动图监测心包积液。然而，消融术后即刻出现的少量积液的后续情况仍不明确，尤其是在使用达比加群或其他新型口服抗凝剂的情况下。目前对于消融术后少量心包积液的随访尚无相关建议。我们呈现了一个病例并征求了专家小组的意见。
