Details

Autor(en) / Beteiligte

• Rahm, Ann-Kathrin
• Linz, Dominik
• Gang, Uffe Jakob Ortved
• Luo, Elton
• Papakonstantinou, Panteleimon E
• Monosilio, Sara
• Vrachatis, Dimitrios A
• Barbieri, Fabien

Titel

Imaging approaches for pulmonary vein isolation in patients after lobectomy or pneumonectomy: a case series

Ist Teil von

• European heart journal : case reports, 2023-03, Vol.7 (3), p.ytad117

Ort / Verlag

England: Oxford University Press

Erscheinungsjahr

2023

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• In patients who underwent pneumonectomy, pulmonary vein isolation for atrial fibrillation by catheter ablation may be complicated by the anatomical alterations caused by the surgical intervention. Pre- and peri-procedural imaging can visualize and guide the procedure to assure safety and procedural success. This case series describes different imaging and ablation strategies in three cases from three different ablation centres with the unusually challenging and complex anatomical conditions in patients following lobectomy or pneumonectomy. Pulmonary vein isolation in patients with previous pulmonary resection was feasible by both radiofrequency and cryocatheter ablation despite the anatomical alterations caused by the surgery. Pre- and peri-procedural imaging by cardiac computed tomography and transoesophageal echocardiography contributed to an increased understanding of the complex anatomical substrate.