Vaka Eşliğinde Atriyal Fibrilasyon Kriyoablasyonu Sonrası Gelişen Sol Atriyal Taşikardilere Yaklaşım
Özet
Günümüzde kardiyak aritmilerin tanı ve tedavisinde kullanılan teknolojilerin gelişmesiyle birlikte sol atriyuma yapılan girişimlerin sayısı artmaktadır. Bu girişim sayısının artmasının bir sonucu da kateter ablasyon ilişkili sol atriyal taşikardilerin (AT) artmasıdır. Bu olgu sunumunda daha önce atriyal fibrilasyon (AF) kriyoablasyonu uygulanmış 55 yaşındaki kadın hastada gelişen sol AT’nin yönetiminden bahsedilecektir.
With the advancement of technologies used in the diagnosis and treatment of cardiac arrhythmias today, the number of procedures performed on the left atrium is increasing. One consequence of this increase is a rise in catheter ablation-related left atrial tachycardia (AT). This case report will discuss the management of left AT that developed in a 55-year-old female patient who had previously undergone cryoablation for atrial fibrillation (AF).
Referanslar
Hermida A, Kubala M, Traullé S, Buiciuc O, Quenum S, Hermida JS. Prevalence and predictive factors of left atrial tachycardia occurring after second-generation cryoballoon ablation of atrial fibrillation. J Cardiovasc Electrophysiol. 2018 Jan;29(1):46-54.
Gerstenfeld EP, Callans DJ, Dixit S, Russo AM, Nayak H, Lin D, et al. Mechanisms of organized left atrial tachycardias occurring after pulmonary vein isolation. Circulation 2004;110:1351–7.
Wasmer K, Mönnig G, Bittner A, Dechering D, Zellerhoff S, Milberg P, et al. Incidence, characteristics, and outcome of left atrial tachycardias after circumferential antral ablation of atrial fibrillation. Heart Rhythm 2012;9:1660–6.
Sawhney N, Anousheh R, Chen W, Feld GK. Circumferential pulmonary vein ablation with additional linear ablation results in an increased incidence of left atrial flutter compared with segmental pulmonary vein isolation as an initial approach to ablation of paroxysmal atrial fibrillation. Circ Arrhythm Electrophysiol 2010;3:243–8.
Cardoso R, Mendirichaga R, Fernandes G, Healy C, Lambrakos LK, VilesGonzalez JF, et al. Cryoballoon versus radiofrequency catheter ablation in atrial fibrillation: a meta-analysis. J Cardiovasc Electrophysiol 2016;27:1151–9.
Mikhaylov EN, Bhagwandien R, Janse PA, Theuns DAMJ, Szili-Torok T. Regular atrial tachycardias developing after cryoballoon pulmonary vein isolation: incidence, characteristics, and predictors. Europace 2013;15:1710–7.
Akerström F, Bastani H, Insulander P, Schwieler J, Arias MA, Jensen-Urstad M. Comparison of regular atrial tachycardia incidence after circumferential radiofrequency versus cryoballoon pulmonary vein isolation in real-life practice. J Cardiovasc Electrophysiol 2014;25:948–52.
Juliá J, Chierchia GB, de Asmundis C, Mugnai G, Sieira J, Ciconte G, et al. Regular atrial tachycardias following pulmonary vein isolation for paroxysmal atrial fibrillation: a retrospective comparison between the cryoballoon and conventional focal tip radiofrequency techniques. J Interv Card Electrophysiol 2015;42:161–9.
Hermida A, Kubala M, Traullé S, Buiciuc O, Quenum S, Hermida J-S. Prevalence and predictive factors of left atrial tachycardia occurring after second-generation cryoballoon ablation of atrial fibrillation. J Cardiovasc Electrophysiol 2018;29:46–54.
Meyer C, Kahle AK, Dagres N, Derval N, Dewland TA, Drago F, Eckardt L, Frontera A, Gerstenfeld EP, Hardy C, Jais P, Kalman J, Kistler PM, Martin C, Pürerfellner H, Takigawa M, Wong T, Zeppenfeld K. Management of patients with atrial tachycardia: a clinical consensus statement of the European Heart Rhythm Association (EHRA) of the ESC, endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), and the Association for European Paediatric and Congenital Cardiology (AEPC). Europace. 2025 Dec 1;27(12):euaf324.
Qiao Y, Zhao Z, Fu M, Cai X, Guo Y, Liu K, Guo J, Guo T, Niu G. Performance of two tools for pulmonary vein occlusion assessment with a novel navigation system in cryoballoon ablation procedure. J Cardiovasc Electrophysiol. 2023 Jan;34(1):16-23.
