Phrenic nerve injury after catheter ablation: Should we worry about this complication?

Journal of Cardiovascular Electrophysiology

Volumn 17, Issue 9, 2006, Pages 944-948

  Bai, Rong ^a,d   Patel, Dimpi ^a   Di Biase, Luigi ^a,d   Fahmy, Tamer S ^a   Kozeluhova, Marketa ^a   Prasad, Subramanya ^a   Schweikert, Robert ^a   Cummings, Jennifer ^a   Saliba, Walid ^a   Andrews Williams, Michelle ^a   Themistoclakis, Sakis ^b   Bonso, Aldo ^b   Rossillo, Antonio ^b   Raviele, Antonio ^b   Schmitt, Claus ^c   Karch, Martin ^c   Uriarte, Jorge A Salerno ^d   Tchou, Patrick ^a   Arruda, Mauricio ^a   Natale, Andrea ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

^b Umberto I Hospital   (Italy)

^c TECHNICAL UNIVERSITY OF MUNICH   (Germany)

^d UNIVERSITY OF INSUBRIA   (Italy)

Author keywords

Atrial fibrillation; Catheter ablation; Diaphragm; Injury; Phrenic nerve

Indexed keywords

ADULT; ARTIFICIAL VENTILATION; CATHETER ABLATION; CLINICAL ARTICLE; CRYOTHERAPY; DIAGNOSTIC TEST; DIAPHRAGM MOVEMENT; DIAPHRAGM PARALYSIS; DYSPNEA; FEMALE; FLUOROSCOPY; HEART ATRIUM FIBRILLATION; HEART VENTRICLE TACHYCARDIA; HUMAN; LASER; MALE; NERVE INJURY; PHRENIC NERVE; PHRENIC NERVE INJURY; PRIORITY JOURNAL; PULMONARY VEIN; RESPIRATORY FAILURE; REVIEW; SNIFF TEST; SUPERIOR CAVA VEIN; SUPRAVENTRICULAR TACHYCARDIA; SYMPTOM; THORAX RADIOGRAPHY; ULTRASOUND;

ADULT; AGED; CATHETER ABLATION; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; MULTICENTER STUDIES; PHRENIC NERVE; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES;

EID: 33747283696     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2006.00536.x     Document Type: Review

References (17)

1. Marrouche NF, Dresing T, Cole C, Bash D, Saad E, Balaban K, Pavia SV, Schweikert R, Saliba W, Abdul-Karim A, Pisano E, Fanelli R, Tchou P, Natale A: Circular mapping and ablation of the pulmonary vein for treatment of atrial fibrillation: Impact of different catheter technologies. J Am Coll Cardiol 2002;40:464-474.
2. Marrouche NF, Martin DO, Wazni O, Gillinov AM, Klein A, Bhargava M, Saad E, Bash D, Yamada H, Jaber W, Schweikert R, Tchou P, Abdul-Karim A, Saliba W, Natale A: Phased-array intracardiac echocardiography monitoring during pulmonary vein isolation in patients with atrial fibrillation: Impact on outcome and complications. Circulation 2003;107:2710-2716.
3. Verma A, Marrouche NF, Natale A: Pulmonary vein antrum isolation: Intracardiac echocardiography-guided technique. J Cardiovasc Electrophysiol 2004;15:1335-1340.
4. Natale A, Pisano E, Shewchik J, Bash D, Fanelli R, Potenza D, Santarelli P, Schweikert R, White R, Saliba W, Kanagaratnam L, Tchou P, Lesh M: First human experience with pulmonary vein isolation using a through-the-balloon circumferential ultrasound ablation system for recurrent atrial fibrillation. Circulation 2000;102:1879-1882.
5. Saliba W, Wilber D, Packer D, Marrouche N, Schweikert R, Pisano E, Shewchik J, Bash D, Fanelli R, Potenza D, Santarelli P, Tchou P, Natale A: Circumferential ultrasound ablation for pulmonary vein isolation: Analysis of acute and chronic failures. J Cardiovasc Electrophysiol 2002;13:957-961.
6. Themistoclakis S, Wazni OM, Saliba W, Schweikert RA, Bonso A, Rossillo A, Gordon M, Melsky J, Raviele A, Natale A: Endoscopic fiberoptic assessment of balloon occlusion of the pulmonary vein ostium in humans: Comparison with phased-array intracardiac echocardiography. Heart Rhythm 2006;3:44-49.
7. Fell SC: Surgical anatomy of the diaphragm and the phrenic nerve. Chest Surg Clin N Am 1998;8:281-294.
8. Sanchez-Quintana D, Cabrera JA, Climent V, Farre J, Weiglein A, Ho SY: How close are the phrenic nerves to cardiac structures? Implications for cardiac interventionalists. J Cardiovasc Electrophysiol 2005;16:309-313.
9. Haines DE: Advances in energy sources in catheter ablation. In: Wang PJ, ed. New Arrhythmia Technology. Malden, MA: Blackwell Futura Publishing, 2005, pp. 262-273.
10. Bunch TJ, Bruce GK, Mahapatra S, Johnson SB, Miller DV, Sarabanda AV, Milton MA, Packer DL: Mechanisms of phrenic nerve injury during radiofrequency ablation at the pulmonary vein orifice. J Cardiovasc Electrophysiol 2005;16:1318-1325.
11. Arruda M, Azegami K, Wang Z, Anders RA, Burke MC, Lin AC, Swarup V, Stobie P, Wilber DJ: Circumferential ablation of pulmonary vein ostia using different energy source: Determinants of permanent isolation. PACE 2002;25:709.
12. Efthimiou J, Butler J, Woodham C, Benson MK, Westaby S: Diaphragm paralysis following cardiac surgery: Role of phrenic nerve cold injury. Ann Thorac Surg 1991;52:1005-1008.
13. Tripp HF, Bolton JW: Phrenic nerve injury following cardiac surgery: A review. J Card Surg 1998;13:218-223.
14. Durante-Mangoni E, Del Vecchio D, Ruggiero G: Right diaphragm paralysis following cardiac radiofrequency catheter ablation for inappropriate sinus tachycardia. Pacing Clin Electrophysiol 2003;26:783-784.
15. Lee BK, Choi KJ, Kim J, Rhee KS, Nam GB, Kim YH: Right phrenic nerve injury following electrical disconnection of the right superior pulmonary vein. Pacing Clin Electrophysiol 2004;27:1444-1446.
16. Arora R: Phrenic nerve injury-yet another Achilles' heel for AF ablation? J Cardiovasc Electrophysiol 2005;16:1326-1328.
17. Wilcox PG, Pare PD, Pardy RL: Recovery after unilateral phrenic injury associated with coronary artery revascularization. Chest 1990;98:661-666.