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Postprocedural neuropathy after atrial fibrillation ablation.
- Source :
-
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing [J Interv Card Electrophysiol] 2013 Apr; Vol. 36 (3), pp. 279-85. Date of Electronic Publication: 2012 Dec 09. - Publication Year :
- 2013
-
Abstract
- Purpose: Access-related neuropathy after atrial fibrillation (AF) ablation is underappreciated. We intend to describe the incidence, management, and prognosis of postprocedural neuropathy after AF ablation.<br />Methods: We performed a retrospective analysis of all consecutive patients with postprocedural neuropathy who underwent AF ablation in three high-volume tertiary care hospitals between January 2007 and April 2011.<br />Results: Of the 3,128 patients who underwent AF ablation during the study period, 25 (0.8 %) patients had postprocedural neuropathy and were included in the current study. Mean age was 58.5ā±ā11.5 years with 18 (72 %) being males and 14 (56 %) having paroxysmal AF. Ulnar nerve, lateral femoral cutaneous nerve manifesting as meralgia paresthetica, and femoral nerve were involved in 5 (20 %), 13 (54 %), and 7 (26 %) of the patients, respectively. Majority of neuropathies were associated with periprocedural hematomas (19, 76 %), and a quarter (19/72, 26 %) of all hematomas were associated with neuropathy. Initial treatment included warm and cold compresses followed by nonsteroidal anti-inflammatory and narcotic pain medications. In addition to the above regimen, in some patients (11, 44 %), oral gabapentin was used and it was associated with a shorter time to symptom resolution (9.4 vs. 14.1 days, pā=ā0.007). All patients were symptom free within 90 days of the procedure.<br />Conclusion: Postprocedural neuropathy after AF ablation is rare and is frequently associated with a periprocedural hematoma. Patients typically become symptom free within 90 days of the procedure, and gabapentin may have a role in earlier symptom resolution.
- Subjects :
- Causality
Comorbidity
Female
Humans
Incidence
Kansas epidemiology
Male
Middle Aged
Retrospective Studies
Risk Factors
Atrial Fibrillation epidemiology
Atrial Fibrillation surgery
Catheter Ablation statistics & numerical data
Peripheral Nerve Injuries epidemiology
Peripheral Nervous System Diseases epidemiology
Postoperative Complications epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1572-8595
- Volume :
- 36
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing
- Publication Type :
- Academic Journal
- Accession number :
- 23224798
- Full Text :
- https://doi.org/10.1007/s10840-012-9724-z