FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377015907> ?p ?o ?g. }

• W4377015907 endingPage "S545" @default.
• W4377015907 startingPage "S545" @default.
• W4377015907 abstract "Coronary artery injury is a rare, but serious complication of ablation. To describe a case in which a left inferolateral accessory pathway (AP) targeted via the great cardiac vein (GCV) was complicated by subacute left circumflex occlusion requiring drug eluting stent (DES). N/A A 62-year-old male with palpitations due to atrio-ventricular reciprocating tachycardia in the setting of Wolff-Parkinson-White syndrome presented to our institution for repeat ablation. He had undergone two unsuccessful ablations in 2005. More recently, he experienced drug refractory recurrences prompting multiple emergency room visits. Coronary angiogram performed one month prior to repeat ablation revealed non-obstructive coronary artery disease. His baseline ECG showed sinus rhythm with preexcitation suggestive of a left inferolateral AP. In the EP lab, orthodromic and antidromic reentrant tachycardia was induced. Ablation was performed at 4 o’clock on the mitral annulus via a transeptal approach which failed to eliminate the pathway. The coronary sinus and GCV were thoroughly mapped (Panel B) and the shortest VA time was found in the GCV. Visualization with intracardiac echocardiogram (ICE) suggested a safe distance from the coronary artery. Radiofrequency (RF) applied at this site successfully eliminated antegrade and retrograde AP conduction. The patient left the lab in stable condition. After less than one hour in recovery, he reported a brief episode of chest pain. Upon review of telemetry, transient ST elevation and ventricular ectopy noted (Panel A), suggesting coronary artery vasospasm. He underwent coronary angiography, which revealed 99% stenosis of the mid-left circumflex (Panel C) and a DES was placed. Echocardiogram performed the following morning demonstrated normal LVEF and no regional wall motion abnormalities. An exercise stress test performed three months later revealed no preexcitation, normal myocardial perfusion, and no evidence of flow-limiting coronary artery stenosis. Although rare, coronary artery injury is a known complication of ablation, particularly when RF is applied from the coronary venous circulation. Despite ICE imaging, our patient experienced a subacute occlusion. Our case highlights the risk of such approach, as well as the importance of judicious monitoring in the post-procedure setting. Coronary artery injury should be high on the differential diagnosis in the presence of chest pain and complex arrhythmias in the immediate recovery period." @default.
• W4377015907 created "2023-05-19" @default.
• W4377015907 creator A5003321939 @default.
• W4377015907 creator A5023256196 @default.
• W4377015907 creator A5025871025 @default.
• W4377015907 creator A5058655394 @default.
• W4377015907 date "2023-05-01" @default.
• W4377015907 modified "2023-10-18" @default.
• W4377015907 title "PO-04-056 NOT ALL POST-ABLATION CHEST PAIN IS PERICARDITIS: THE IMPORTANCE OF POST-PROCEDURE MONITORING" @default.
• W4377015907 doi "https://doi.org/10.1016/j.hrthm.2023.03.1164" @default.
• W4377015907 hasPublicationYear "2023" @default.
• W4377015907 type Work @default.
• W4377015907 citedByCount "0" @default.
• W4377015907 crossrefType "journal-article" @default.
• W4377015907 hasAuthorship W4377015907A5003321939 @default.
• W4377015907 hasAuthorship W4377015907A5023256196 @default.
• W4377015907 hasAuthorship W4377015907A5025871025 @default.
• W4377015907 hasAuthorship W4377015907A5058655394 @default.
• W4377015907 hasBestOaLocation W43770159071 @default.
• W4377015907 hasConcept C126322002 @default.
• W4377015907 hasConcept C164705383 @default.
• W4377015907 hasConcept C2775914520 @default.
• W4377015907 hasConcept C2776131983 @default.
• W4377015907 hasConcept C2776403943 @default.
• W4377015907 hasConcept C2778088351 @default.
• W4377015907 hasConcept C2778213512 @default.
• W4377015907 hasConcept C2778259205 @default.
• W4377015907 hasConcept C2778704086 @default.
• W4377015907 hasConcept C2778902805 @default.
• W4377015907 hasConcept C2779161974 @default.
• W4377015907 hasConcept C2779225596 @default.
• W4377015907 hasConcept C2780283014 @default.
• W4377015907 hasConcept C3019004856 @default.
• W4377015907 hasConcept C500558357 @default.
• W4377015907 hasConcept C71924100 @default.
• W4377015907 hasConceptScore W4377015907C126322002 @default.
• W4377015907 hasConceptScore W4377015907C164705383 @default.
• W4377015907 hasConceptScore W4377015907C2775914520 @default.
• W4377015907 hasConceptScore W4377015907C2776131983 @default.
• W4377015907 hasConceptScore W4377015907C2776403943 @default.
• W4377015907 hasConceptScore W4377015907C2778088351 @default.
• W4377015907 hasConceptScore W4377015907C2778213512 @default.
• W4377015907 hasConceptScore W4377015907C2778259205 @default.
• W4377015907 hasConceptScore W4377015907C2778704086 @default.
• W4377015907 hasConceptScore W4377015907C2778902805 @default.
• W4377015907 hasConceptScore W4377015907C2779161974 @default.
• W4377015907 hasConceptScore W4377015907C2779225596 @default.
• W4377015907 hasConceptScore W4377015907C2780283014 @default.
• W4377015907 hasConceptScore W4377015907C3019004856 @default.
• W4377015907 hasConceptScore W4377015907C500558357 @default.
• W4377015907 hasConceptScore W4377015907C71924100 @default.
• W4377015907 hasIssue "5" @default.
• W4377015907 hasLocation W43770159071 @default.
• W4377015907 hasOpenAccess W4377015907 @default.
• W4377015907 hasPrimaryLocation W43770159071 @default.
• W4377015907 hasRelatedWork W1974137880 @default.
• W4377015907 hasRelatedWork W2061716008 @default.
• W4377015907 hasRelatedWork W2356768786 @default.
• W4377015907 hasRelatedWork W2401600059 @default.
• W4377015907 hasRelatedWork W2791438477 @default.
• W4377015907 hasRelatedWork W2894153435 @default.
• W4377015907 hasRelatedWork W2969481952 @default.
• W4377015907 hasRelatedWork W2992412307 @default.
• W4377015907 hasRelatedWork W3096199406 @default.
• W4377015907 hasRelatedWork W4249363156 @default.
• W4377015907 hasVolume "20" @default.
• W4377015907 isParatext "false" @default.
• W4377015907 isRetracted "false" @default.
• W4377015907 workType "article" @default.