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A Case of Postablation Pericardial Effusion

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Date 2020 Jun 2
PMID 32477786
Citations 2
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Abstract

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.

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References
1.
Calkins H, Kuck K, Cappato R, Brugada J, Camm A, Chen S . 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial.... Heart Rhythm. 2012; 9(4):632-696.e21. DOI: 10.1016/j.hrthm.2011.12.016. View

2.
Gianni C, Di Biase L, Mohanty S, Trivedi C, Bai R, Al-Ahmad A . Management of Periprocedural and Early Pericardial Effusions With Tamponade Following Ablation of Atrial Fibrillation With Uninterrupted Factor Xa Inhibitors: A Case Series. J Cardiovasc Electrophysiol. 2016; 27(4):399-403. DOI: 10.1111/jce.12918. View

3.
Deftereos S, Giannopoulos G, Efremidis M, Kossyvakis C, Katsivas A, Panagopoulou V . Colchicine for prevention of atrial fibrillation recurrence after pulmonary vein isolation: mid-term efficacy and effect on quality of life. Heart Rhythm. 2014; 11(4):620-8. DOI: 10.1016/j.hrthm.2014.02.002. View

4.
Lellouche N, Sebag F, Elbaz N, Hassine M, Chaachoui N, Teiger E . Acute pericardial effusion following atrial fibrillation ablation: characteristics and relationship with arrhythmia recurrences. Arch Cardiovasc Dis. 2011; 104(8-9):450-7. DOI: 10.1016/j.acvd.2011.05.005. View

5.
Weerasooriya R, Khairy P, Litalien J, Macle L, Hocini M, Sacher F . Catheter ablation for atrial fibrillation: are results maintained at 5 years of follow-up?. J Am Coll Cardiol. 2011; 57(2):160-6. DOI: 10.1016/j.jacc.2010.05.061. View