Kichloo Asim, Aljadah Michael, Naji Mohammed Bakir, Kanjwal Khalil
Department of Internal Medicine Samaritan Medical Center Watertown NY USA.
Department of Internal Medicine Central Michigan University Saginaw MI USA.
J Arrhythm. 2021 Mar 17;37(3):544-549. doi: 10.1002/joa3.12526. eCollection 2021 Jun.
Coronary injury presenting as ST segment elevation (STE) during ablation procedures for different arrhythmias is a rare and most feared complication. There have been multiple reports on STE during various ablation procedures in the recent past. Herein, we review various mechanisms, presentations, and management of STE observed during various ablations, including atrial fibrillation ablation cavotricuspid isthmus and ablation, supraventricular tachycardia ablations, coronary sinus ablation, and ventricular arrhythmia ablations.
在针对不同心律失常的消融手术过程中,以ST段抬高(STE)形式出现的冠状动脉损伤是一种罕见且最令人担忧的并发症。近期有多项关于各种消融手术过程中ST段抬高的报告。在此,我们回顾在各种消融过程中观察到的ST段抬高的各种机制、表现及处理方法,包括房颤消融三尖瓣峡部及消融、室上性心动过速消融、冠状窦消融以及室性心律失常消融。