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A case of an ablation catheter entrapped in the pulmonary vein during atrial fibrillation ablation requiring open heart surgery for removal  Ryudo Fujiwara,

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Presentation on theme: "A case of an ablation catheter entrapped in the pulmonary vein during atrial fibrillation ablation requiring open heart surgery for removal  Ryudo Fujiwara,"— Presentation transcript:

1 A case of an ablation catheter entrapped in the pulmonary vein during atrial fibrillation ablation requiring open heart surgery for removal  Ryudo Fujiwara, MD, PhD, Mitsuru Takami, MD, PhD, Yoichi Kijima, MD, Tomoya Masano, MD, PhD, Ryoji Nagoshi, MD, PhD, Amane Kozuki, MD, PhD, Hiroyuki Shibata, MD, Shinsuke Nakano, MD, Yusuke Fukuyama, MD, Syunsuke Kakizaki, MD, Daichi Fujimoto, MD, Junya Shite, MD, PhD  HeartRhythm Case Reports  Volume 3, Issue 1, Pages (January 2017) DOI: /j.hrcr Copyright © 2016 Heart Rhythm Society Terms and Conditions

2 Figure 1 A: Preoperative 3-dimensional constructed enhanced computed tomography image. Seemingly no anatomic abnormality could be pointed out. On an in-depth look, the root of the small branch separated from the right inferior pulmonary vein (PV) ostium could be recognized (arrow);however, the tip of the branch was not visualized. The diameter of the small branch was 2.5 mm. B: Transverse computed tomography images before (left) and after (right) the ablation catheter entrapment. The catheter was positioned in the right inferior PV. However, it was unclear whether the catheter tip was positioned in a small branch of the PV or extracardiac area. HeartRhythm Case Reports 2017 3, 87-89DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

3 Figure 2 Fluoroscopic image of the catheters. A: The ablation catheter entrapment site. B: The ablation catheter was pulled and inserted into the sheath. C: The ablation catheter and sheath were pulled to the maximum. These figures indicate the catheter had mobility of about 20 mm even after the catheter became entrapped. HeartRhythm Case Reports 2017 3, 87-89DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

4 Figure 3 A photograph taken during the surgery, from the head of the patient. The lower side is cranial and the upper side is caudal. Two suction tubes were in the right superior pulmonary vein (PV) and right inferior PV, respectively. The ablation catheter was entrapped in a small branch of the right inferior PV. The catheter tip was placed 15 mm distal to the RIPV ostium. HeartRhythm Case Reports 2017 3, 87-89DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

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