A Case of Postablation Pericardial Effusion
Overview
Affiliations
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.
Post-cardiac injury syndrome after a concealed accessory pathway ablation.
Tatlisu M, Konal O, Atici A, Baycan O, Yilmaz Y J Cardiol Cases. 2022; 25(6):351-353.
PMID: 35685254 PMC: 9168982. DOI: 10.1016/j.jccase.2021.12.007.
Managing Postablation Pericardial Effusion.
J Innov Card Rhythm Manag. 2020; 9(10):3369-3371.
PMID: 32479563 PMC: 7252746. DOI: 10.19102/icrm.2018.091001.