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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Catheter ablation for atrial fibrillation

5

VI.z Pulmonary vein stenosis

3
Last update : 15/12/2016
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Anticoagulants, direct oral (anti-thrombin, -IIa, -Xa) - NOAC
3
Anticoagulants, oral (vitamin K antagonists-VKA)
5
Electrophysiologic procedures
2

Publications

Refractory Hemoptysis Caused by Severe Pulmonary Vein Stenosis after Multiple Catheter Ablations.
Internal medicine (Tokyo, Japan) 2021;60;3279-3284 2021
Radiologic review of acquired pulmonary vein stenosis in adults.
Cardiovascular diagnosis and therapy 2018 Jun;8;387-398 2018 Jun
Incidence of Pulmonary Vein Stenosis After Radiofrequency Catheter Ablation of Atrial Fibrillation.
JACC. Clinical electrophysiology 2017 Jun;3;589-598 2017 Jun
Severe Pulmonary Vein Stenosis Resulting From Ablation for Atrial Fibrillation: Presentation, Management, and Clinical Outcomes.
Circulation 2016 Dec 06;134;1812-1821 2016 Dec 06
Learning from the pulmonary veins.
Radiographics : a review publication of the Radiological Society of North America, Inc 2013;33;999-1022 2013
[Pulmonary vein stenosis after radio frequency ablation].
Medicina 2011;71;251-3 2011
Total pulmonary vein occlusion complicating pulmonary vein isolation: diagnosis and treatment.
Heart rhythm 2010 Sep;7;1233-9 2010 Sep
Fibrosing mediastinitis and occlusion of pulmonary veins after radiofrequency ablation.
The Annals of thoracic surgery 2009 Nov;88;1674-6 2009 Nov
Ventilation-perfusion mismatch resulting from iatrogenic pulmonary vein stenosis after radiofrequency ablation: a case report.
Clinical cardiology 2009 Nov;32;E67-70 2009 Nov
Pulmonary vein stenosis complicating ablation for atrial fibrillation: clinical spectrum and interventional considerations.
JACC. Cardiovascular interventions 2009 Apr;2;267-76 2009 Apr
[Pulmonary vein stenosis after radiofrequency ablation for atrial fibrillation].
Revue des maladies respiratoires 2008 Jan;25;73-7 2008 Jan
Irreversible intrapulmonary vascular changes after pulmonary vein stenosis complicating catheter ablation for atrial fibrillation.
Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology 2007;16;51-5 2007
Clinical problem-solving. Search for the complication.
The New England journal of medicine 2006 Mar 02;354;957-63 2006 Mar 02
Acquired pulmonary vein stenosis as a cause of life-threatening pulmonary hypertension.
The Annals of thoracic surgery 2003 Jan;75;275-7 2003 Jan
Total pulmonary vein occlusion as a consequence of catheter ablation for atrial fibrillation mimicking primary lung disease.
Journal of cardiovascular electrophysiology 2003 Apr;14;366-70 2003 Apr

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