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Direct autotransfusion in the management of acute pericardial tamponade during catheter ablation for atrial fibrillation: An imperfect but practical method
BACKGROUND: Acute pericardial tamponade (APT) is one of the most serious complications of catheter ablation for atrial fibrillation (AF-CA). Direct autotransfusion (DAT) is a method of reinjecting pericardial blood directly into patients through vein access without a cell-salvage system. Data regard...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537684/ https://www.ncbi.nlm.nih.gov/pubmed/36211564 http://dx.doi.org/10.3389/fcvm.2022.984251 |
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author | Zhao, Xin Liu, Jian-feng Su, Xin Long, De-yong Sang, Cai-hua Tang, Ri-bo Yu, Rong-Hui Liu, Nian Jiang, Chen-xi Li, Song-nan Guo, Xue-yuan Wang, Wei Zuo, Song Dong, Jian-zeng Ma, Chang-sheng |
author_facet | Zhao, Xin Liu, Jian-feng Su, Xin Long, De-yong Sang, Cai-hua Tang, Ri-bo Yu, Rong-Hui Liu, Nian Jiang, Chen-xi Li, Song-nan Guo, Xue-yuan Wang, Wei Zuo, Song Dong, Jian-zeng Ma, Chang-sheng |
author_sort | Zhao, Xin |
collection | PubMed |
description | BACKGROUND: Acute pericardial tamponade (APT) is one of the most serious complications of catheter ablation for atrial fibrillation (AF-CA). Direct autotransfusion (DAT) is a method of reinjecting pericardial blood directly into patients through vein access without a cell-salvage system. Data regarding DAT for APT are rare and provide limited information. Our present study aims to further investigate the safety and feasibility of DAT in the management of APT during the AF-CA procedure. METHODS AND RESULTS: We retrospectively reviewed 73 cases of APT in the perioperative period of AF-CA from January 2014 to October 2021 at our institution, among whom 46 were treated with DAT. All included patients successfully received emergency pericardiocentesis through subxiphoid access guided by X-ray. Larger volumes of aspirated pericardial blood (658.4 ± 545.2 vs. 521.2 ± 464.9 ml), higher rates of bridging anticoagulation (67.4 vs. 37.0%), and surgical repair (6 vs. 0) were observed in patients with DAT than without. Moreover, patients with DAT were less likely to complete AF-CA procedures (32/46 vs. 25/27) and had a lower incidence of APT first presented in the ward (delayed presentation) (8/46 vs. 9/27). There was no difference in major adverse events (death/disseminated intravascular coagulation/multiple organ dysfunction syndrome and clinical thrombosis) (0/0/1/0 vs. 1/0/0/0), other potential DAT-related complications (fever/infection and deep venous thrombosis) (8/5/2 vs. 5/3/1), and length of hospital stay (11.4 ± 11.6 vs. 8.3 ± 4.7 d) between two groups. CONCLUSION: DAT could be a feasible and safe method to deal with APT during AF-CA procedure. |
format | Online Article Text |
id | pubmed-9537684 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95376842022-10-08 Direct autotransfusion in the management of acute pericardial tamponade during catheter ablation for atrial fibrillation: An imperfect but practical method Zhao, Xin Liu, Jian-feng Su, Xin Long, De-yong Sang, Cai-hua Tang, Ri-bo Yu, Rong-Hui Liu, Nian Jiang, Chen-xi Li, Song-nan Guo, Xue-yuan Wang, Wei Zuo, Song Dong, Jian-zeng Ma, Chang-sheng Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: Acute pericardial tamponade (APT) is one of the most serious complications of catheter ablation for atrial fibrillation (AF-CA). Direct autotransfusion (DAT) is a method of reinjecting pericardial blood directly into patients through vein access without a cell-salvage system. Data regarding DAT for APT are rare and provide limited information. Our present study aims to further investigate the safety and feasibility of DAT in the management of APT during the AF-CA procedure. METHODS AND RESULTS: We retrospectively reviewed 73 cases of APT in the perioperative period of AF-CA from January 2014 to October 2021 at our institution, among whom 46 were treated with DAT. All included patients successfully received emergency pericardiocentesis through subxiphoid access guided by X-ray. Larger volumes of aspirated pericardial blood (658.4 ± 545.2 vs. 521.2 ± 464.9 ml), higher rates of bridging anticoagulation (67.4 vs. 37.0%), and surgical repair (6 vs. 0) were observed in patients with DAT than without. Moreover, patients with DAT were less likely to complete AF-CA procedures (32/46 vs. 25/27) and had a lower incidence of APT first presented in the ward (delayed presentation) (8/46 vs. 9/27). There was no difference in major adverse events (death/disseminated intravascular coagulation/multiple organ dysfunction syndrome and clinical thrombosis) (0/0/1/0 vs. 1/0/0/0), other potential DAT-related complications (fever/infection and deep venous thrombosis) (8/5/2 vs. 5/3/1), and length of hospital stay (11.4 ± 11.6 vs. 8.3 ± 4.7 d) between two groups. CONCLUSION: DAT could be a feasible and safe method to deal with APT during AF-CA procedure. Frontiers Media S.A. 2022-09-23 /pmc/articles/PMC9537684/ /pubmed/36211564 http://dx.doi.org/10.3389/fcvm.2022.984251 Text en Copyright © 2022 Zhao, Liu, Su, Long, Sang, Tang, Yu, Liu, Jiang, Li, Guo, Wang, Zuo, Dong and Ma. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Zhao, Xin Liu, Jian-feng Su, Xin Long, De-yong Sang, Cai-hua Tang, Ri-bo Yu, Rong-Hui Liu, Nian Jiang, Chen-xi Li, Song-nan Guo, Xue-yuan Wang, Wei Zuo, Song Dong, Jian-zeng Ma, Chang-sheng Direct autotransfusion in the management of acute pericardial tamponade during catheter ablation for atrial fibrillation: An imperfect but practical method |
title | Direct autotransfusion in the management of acute pericardial tamponade during catheter ablation for atrial fibrillation: An imperfect but practical method |
title_full | Direct autotransfusion in the management of acute pericardial tamponade during catheter ablation for atrial fibrillation: An imperfect but practical method |
title_fullStr | Direct autotransfusion in the management of acute pericardial tamponade during catheter ablation for atrial fibrillation: An imperfect but practical method |
title_full_unstemmed | Direct autotransfusion in the management of acute pericardial tamponade during catheter ablation for atrial fibrillation: An imperfect but practical method |
title_short | Direct autotransfusion in the management of acute pericardial tamponade during catheter ablation for atrial fibrillation: An imperfect but practical method |
title_sort | direct autotransfusion in the management of acute pericardial tamponade during catheter ablation for atrial fibrillation: an imperfect but practical method |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537684/ https://www.ncbi.nlm.nih.gov/pubmed/36211564 http://dx.doi.org/10.3389/fcvm.2022.984251 |
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