神戸大学附属図書館デジタルアーカイブ
https://hdl.handle.net/20.500.14094/90009288

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メタデータID
90009288
アクセス権
open access
出版タイプ
Version of Record
タイトル
Incidence and Characteristics of Coronary Artery Spasms Related to Atrial Fibrillation Ablation Procedures : Large-Scale Multicenter Analysis
著者
Nakamura, Toshihiro ; Takami, Mitsuru ; Fukuzawa, Koji ; Kiuchi, Kunihiko ; Kono, Hiroyuki ; Kobori, Atsushi ; Sakamoto, Yuichiro ; Watanabe, Ryuta ; Okumura, Yasuo ; Yamashita, Soichiro ; Yamashiro, Kohei ; Miyamoto, Koji ; Kusano, Kengo ; Kanda, Takashi ; Masuda, Masaharu ; Yoshitani, Kazuyasu ; Yoshida, Akihiro ; Hirayama, Yasutaka ; Adachi, Kazumasa ; Mine, Takanao ; Shimane, Akira ; Takeda, Masafumi ; Takei, Asumi ; Okajima, Katsunori ; Fujiwara, Ryudo ; Hirata, Ken-ichi
著者名
Nakamura, Toshihiro
著者ID
A2352
研究者ID
1000050793717
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=ebbf902878d01618520e17560c007669
著者名
Takami, Mitsuru
髙見, 充
タカミ, ミツル
所属機関名
医学部附属病院
著者名
Fukuzawa, Koji
著者ID
A0854
研究者ID
1000050777612
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=68702a3743bc8f3c520e17560c007669
著者名
Kiuchi, Kunihiko
木内, 邦彦
キウチ, クニヒコ
所属機関名
医学研究科
著者名
Kono, Hiroyuki
著者名
Kobori, Atsushi
著者名
Sakamoto, Yuichiro
著者名
Watanabe, Ryuta
著者名
Okumura, Yasuo
著者名
Yamashita, Soichiro
著者名
Yamashiro, Kohei
著者名
Miyamoto, Koji
著者名
Kusano, Kengo
著者名
Kanda, Takashi
著者名
Masuda, Masaharu
著者名
Yoshitani, Kazuyasu
著者名
Yoshida, Akihiro
著者名
Hirayama, Yasutaka
著者名
Adachi, Kazumasa
著者名
Mine, Takanao
著者名
Shimane, Akira
著者名
Takeda, Masafumi
著者名
Takei, Asumi
著者名
Okajima, Katsunori
著者名
Fujiwara, Ryudo
著者名
Hirata, Ken-ichi
言語
English (英語)
収録物名
Circulation Journal
巻(号)
85(3)
ページ
264-271
出版者
日本循環器学会
刊行日
2021-02-25
公開日
2022-06-10
抄録
Background: Coronary artery spasms (CASs), which can cause angina attacks and sudden death, have been recently reported during catheter ablation. The aim of the present study was to report the incidence, characteristics, and prognosis of CASs related to atrial fibrillation (AF) ablation procedures. Methods and Results: The AF ablation records of 22,232 patients treated in 15 Japanese hospitals were reviewed. CASs associated with AF ablation occurred in 42 of 22,232 patients (0.19%). CASs occurred during ablation energy applications in 21 patients (50%). CASs also occurred before ablation in 9 patients (21%) and after ablation in 12 patients (29%). The initial change in the electrocardiogram was ST-segment elevation in the inferior leads in 33 patients (79%). Emergency coronary angiography revealed coronary artery stenosis and occlusions, which were relieved by nitrate administration. No air bubbles were observed. A comparison of the incidence of CASs during pulmonary vein isolation between the different ablation energy sources revealed a significantly higher incidence with cryoballoon ablation (11/3,288; 0.34%) than with radiofrequency catheter, hot balloon, or laser balloon ablation (8/18,596 [0.04%], 0/237 [0%], and 0/111 [0%], respectively; P<0.001). CASs most often occurred during ablation of the left superior pulmonary vein. All patients recovered without sequelae. Conclusions: CASs related to AF ablation are rare, but should be considered as a dangerous complication that can occur anytime during the periprocedural period.
キーワード
Atrial fibrillation
Catheter ablation
Coronary artery spasm
Cryoballoon
Radiofrequency
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
CC license
Attribution 4.0 International (CC BY 4.0)
関連情報
DOI
https://doi.org/10.1253/circj.CJ-20-1096