The Drug-Induced Respiratory Disease Website and App

Catheter ablation for atrial fibrillation

Frequency - Incidence

Incidence of respiratory adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for respiratory adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic

IX.j

Phrenic nerve injury - Hemi- or bilateral diaphragmatic paralysis

With a predilection for the right phrenic nerve (PMID 29326828)

Publications

Kis Z, Noten AME, Wijchers S, Bhagwandien R, Szili-Torok T

Left-sided phrenic nerve injury during redo pulmonary vein isolation long after a previous contralateral self-limiting phrenic nerve palsy.

Clinical case reports. 2019;7(7):1391-1394

Abbadessa G, Lavorgna L, Cirillo G, Clerico M, Todisco V, Cirillo M, Trojsi F, Tedeschi G, Bonavita S

Right phrenic nerve palsy following transcatheter radiofrequency current atrial fibrillation ablation: Case report.

The Journal of international medical research. 2019;47(7):3438-3443

Akkaya E, Berkowitsch A, Zaltsberg S, Greiss H, Hamm CW, Sperzel J, Neumann T, Kuniss M

Second-generation cryoballoon ablation as a first-line treatment of symptomatic atrial fibrillation: Two-year outcome and predictors of recurrence after a single procedure.

International journal of cardiology. 2018;259:76-81

Miyazaki S, Kajiyama T, Watanabe T, Hada M, Yamao K, Kusa S, Igarashi M, Nakamura H, Hachiya H, Tada H, Hirao K, Iesaka Y

Characteristics of Phrenic Nerve Injury During Pulmonary Vein Isolation Using a 28-mm Second-Generation Cryoballoon and Short Freeze Strategy.

Journal of the American Heart Association. 2018;7(7)

Chierchia GB, Iacopino S, de Asmundis C

Cryoballoon Ablation in Today's Practice: Can the Left Common Ostium Be Ablated and Injury to the Right Phrenic Nerve Avoided?

Arrhythmia & electrophysiology review. 2017;6(4):156-158

Abugattas JP, de Asmundis C, Iacopino S, Salghetti F, Takarada K, Coutiño HE, Ströker E, De Regibus V, de Greef Y, Brugada P, Sieira J, Chierchia GB

Phrenic nerve injury during right inferior pulmonary vein ablation with the second-generation cryoballoon: clinical, procedural, and anatomical characteristics.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. 2018;20(10):e156-e163

Abugattas JP, Iacopino S, Moran D, De Regibus V, Takarada K, Mugnai G, Ströker E, Coutiño-Moreno HE, Choudhury R, Storti C, De Greef Y, Paparella G, Brugada P, de Asmundis C, Chierchia GB

Efficacy and safety of the second generation cryoballoon ablation for the treatment of paroxysmal atrial fibrillation in patients over 75 years: a comparison with a younger cohort.

Boveda S, Providência R, Defaye P, Pavin D, Cebron JP, Anselme F, Halimi F, Khoueiry Z, Combes N, Combes S, Jacob S, Albenque JP, Sousa P

Outcomes after cryoballoon or radiofrequency ablation for persistent atrial fibrillation: a multicentric propensity-score matched study.

Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing. 2016;47(2):133-142

Ciconte G, Ottaviano L, de Asmundis C, Baltogiannis G, Conte G, Sieira J, Di Giovanni G, Saitoh Y, Irfan G, Mugnai G, Storti C, Montenero AS, Chierchia GB, Brugada P

Pulmonary vein isolation as index procedure for persistent atrial fibrillation: One-year clinical outcome after ablation using the second-generation cryoballoon.

Heart rhythm. 2015;12(1):60-6

Bhat T, Baydoun H, Asti D, Rijal J, Teli S, Tantray M, Bhat H, Kowalski M

Major complications of cryoballoon catheter ablation for atrial fibrillation and their management.

Expert review of cardiovascular therapy. 2014;12(9):1111-8

Chierchia GB, Di Giovanni G, Ciconte G, de Asmundis C, Conte G, Sieira-Moret J, Rodriguez-Mañero M, Casado R, Baltogiannis G, Namdar M, Saitoh Y, Paparella G, Mugnai G, Brugada P

Second-generation cryoballoon ablation for paroxysmal atrial fibrillation: 1-year follow-up.

Shroff GS, Guirguis MS, Ferguson EC, Oldham SA, Kantharia BK

CT imaging of complications of catheter ablation for atrial fibrillation.

Clinical radiology. 2014;69(1):96-102