Accidental Entrapment of Electrical Mapping Catheter by Chiari's Network in Right Atrium during Catheter Ablation Procedure

A 78-year-old male was admitted to our hospital due to frequent palpitation. His electrocardiogram (ECG) presented regular narrow QRS tachycardia with 170 bpm, and catheter ablation was planned. During electroanatomical mapping of the right atrium (RA) with a multiloop mapping catheter, the catheter...

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Autores principales: Sakamoto, Atsushi, Urushida, Tsuyoshi, Sakakibara, Tomoaki, Sano, Makoto, Suwa, Kenichiro, Saitoh, Takeji, Saotome, Masao, Katoh, Hideki, Satoh, Hiroshi, Hayashi, Hideharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4912992/
https://www.ncbi.nlm.nih.gov/pubmed/27366332
http://dx.doi.org/10.1155/2016/1302473
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author Sakamoto, Atsushi
Urushida, Tsuyoshi
Sakakibara, Tomoaki
Sano, Makoto
Suwa, Kenichiro
Saitoh, Takeji
Saotome, Masao
Katoh, Hideki
Satoh, Hiroshi
Hayashi, Hideharu
author_facet Sakamoto, Atsushi
Urushida, Tsuyoshi
Sakakibara, Tomoaki
Sano, Makoto
Suwa, Kenichiro
Saitoh, Takeji
Saotome, Masao
Katoh, Hideki
Satoh, Hiroshi
Hayashi, Hideharu
author_sort Sakamoto, Atsushi
collection PubMed
description A 78-year-old male was admitted to our hospital due to frequent palpitation. His electrocardiogram (ECG) presented regular narrow QRS tachycardia with 170 bpm, and catheter ablation was planned. During electroanatomical mapping of the right atrium (RA) with a multiloop mapping catheter, the catheter head was entrapped nearby the ostium of inferior vena cava. Rotation and traction of the catheter failed to detach the catheter head from the RA wall. Exfoliation of connective tissue twined around catheter tip by forceps, which were designed for endomyocardial biopsy, succeeded to retract and remove the catheter. Postprocedural echocardiography and pathologic examination proved the existence of Chiari's network. The handling of complex catheters in the RA has a potential risk of entrapment with Chiari's network.
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spelling pubmed-49129922016-06-30 Accidental Entrapment of Electrical Mapping Catheter by Chiari's Network in Right Atrium during Catheter Ablation Procedure Sakamoto, Atsushi Urushida, Tsuyoshi Sakakibara, Tomoaki Sano, Makoto Suwa, Kenichiro Saitoh, Takeji Saotome, Masao Katoh, Hideki Satoh, Hiroshi Hayashi, Hideharu Case Rep Cardiol Case Report A 78-year-old male was admitted to our hospital due to frequent palpitation. His electrocardiogram (ECG) presented regular narrow QRS tachycardia with 170 bpm, and catheter ablation was planned. During electroanatomical mapping of the right atrium (RA) with a multiloop mapping catheter, the catheter head was entrapped nearby the ostium of inferior vena cava. Rotation and traction of the catheter failed to detach the catheter head from the RA wall. Exfoliation of connective tissue twined around catheter tip by forceps, which were designed for endomyocardial biopsy, succeeded to retract and remove the catheter. Postprocedural echocardiography and pathologic examination proved the existence of Chiari's network. The handling of complex catheters in the RA has a potential risk of entrapment with Chiari's network. Hindawi Publishing Corporation 2016 2016-06-05 /pmc/articles/PMC4912992/ /pubmed/27366332 http://dx.doi.org/10.1155/2016/1302473 Text en Copyright © 2016 Atsushi Sakamoto et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sakamoto, Atsushi
Urushida, Tsuyoshi
Sakakibara, Tomoaki
Sano, Makoto
Suwa, Kenichiro
Saitoh, Takeji
Saotome, Masao
Katoh, Hideki
Satoh, Hiroshi
Hayashi, Hideharu
Accidental Entrapment of Electrical Mapping Catheter by Chiari's Network in Right Atrium during Catheter Ablation Procedure
title Accidental Entrapment of Electrical Mapping Catheter by Chiari's Network in Right Atrium during Catheter Ablation Procedure
title_full Accidental Entrapment of Electrical Mapping Catheter by Chiari's Network in Right Atrium during Catheter Ablation Procedure
title_fullStr Accidental Entrapment of Electrical Mapping Catheter by Chiari's Network in Right Atrium during Catheter Ablation Procedure
title_full_unstemmed Accidental Entrapment of Electrical Mapping Catheter by Chiari's Network in Right Atrium during Catheter Ablation Procedure
title_short Accidental Entrapment of Electrical Mapping Catheter by Chiari's Network in Right Atrium during Catheter Ablation Procedure
title_sort accidental entrapment of electrical mapping catheter by chiari's network in right atrium during catheter ablation procedure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4912992/
https://www.ncbi.nlm.nih.gov/pubmed/27366332
http://dx.doi.org/10.1155/2016/1302473
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