PulseSelect™导管在肺静脉内夹陷：软组织阻塞引起的罕见并发症

IF 2.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Arrhythmia Pub Date : 2025-05-28 DOI:10.1002/joa3.70098

Kohei Iwasa MD, Masato Okada MD, Mebae Mizutani BS, Yoshihiko Ikeda MD, PhD, Nobuaki Tanaka MD

{"title":"PulseSelect™导管在肺静脉内夹陷：软组织阻塞引起的罕见并发症","authors":"Kohei Iwasa MD, Masato Okada MD, Mebae Mizutani BS, Yoshihiko Ikeda MD, PhD, Nobuaki Tanaka MD","doi":"10.1002/joa3.70098","DOIUrl":null,"url":null,"abstract":"<p>We encountered a case in which a guidewire and PulseSelect™ catheter became entrapped within a pulmonary vein during atrial fibrillation ablation. Although careful manual traction allowed successful retrieval without complications, the maneuver carried a risk of serious adverse events. Operators should be aware of this rare but important complication and avoid excessive catheter advancement into a distal pulmonary vein to minimize the risk of entrapment.\n <figure>\n <div><picture>\n <source></source></picture><p></p>\n </div>\n </figure></p>","PeriodicalId":15174,"journal":{"name":"Journal of Arrhythmia","volume":"41 3","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/joa3.70098","citationCount":"0","resultStr":"{\"title\":\"Entrapment of the PulseSelect™ catheter in the pulmonary vein: A rare complication due to soft tissue obstruction\",\"authors\":\"Kohei Iwasa MD, Masato Okada MD, Mebae Mizutani BS, Yoshihiko Ikeda MD, PhD, Nobuaki Tanaka MD\",\"doi\":\"10.1002/joa3.70098\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>We encountered a case in which a guidewire and PulseSelect™ catheter became entrapped within a pulmonary vein during atrial fibrillation ablation. Although careful manual traction allowed successful retrieval without complications, the maneuver carried a risk of serious adverse events. Operators should be aware of this rare but important complication and avoid excessive catheter advancement into a distal pulmonary vein to minimize the risk of entrapment.\\n <figure>\\n <div><picture>\\n <source></source></picture><p></p>\\n </div>\\n </figure></p>\",\"PeriodicalId\":15174,\"journal\":{\"name\":\"Journal of Arrhythmia\",\"volume\":\"41 3\",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-05-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/joa3.70098\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Arrhythmia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/joa3.70098\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Arrhythmia","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/joa3.70098","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

摘要

我们遇到了一个病例，在心房颤动消融期间，导丝和PulseSelect™导管被困在肺静脉内。虽然小心的手动牵引使成功的取出无并发症，但该操作有严重不良事件的风险。操作人员应注意这一罕见但重要的并发症，避免导管过度进入远端肺静脉，以尽量减少夹持的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Entrapment of the PulseSelect™ catheter in the pulmonary vein: A rare complication due to soft tissue obstruction

We encountered a case in which a guidewire and PulseSelect™ catheter became entrapped within a pulmonary vein during atrial fibrillation ablation. Although careful manual traction allowed successful retrieval without complications, the maneuver carried a risk of serious adverse events. Operators should be aware of this rare but important complication and avoid excessive catheter advancement into a distal pulmonary vein to minimize the risk of entrapment.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊