Hemoptysis After Cryoablation for Atrial Fibrillation
Narendra Kumar1, Madhan Kumar Ranganathan2, Shaimaa Mustafa3
1Dept. Of Cardiology, Manchester University NHS Foundation Trust. Oxford Road, Manchester, M13 9WL, UK.
Journal of Atrial Fibrillation
|May 22, 2020
Summary
Cryoballoon ablation for atrial fibrillation (AF) can cause hemoptysis. This meta-analysis found that while most cases are mild, severe hemoptysis occurred in 3.5% of patients undergoing AF cryoablation.
Area of Science:
- Cardiology
- Pulmonology
- Medical Devices
Background:
- Atrial fibrillation (AF) is a common arrhythmia.
- Cryoballoon ablation is a frequently used treatment for AF.
- Complications, including hemoptysis, can occur after cryoablation procedures.
Purpose of the Study:
- To determine the incidence and severity of hemoptysis following cryoballoon ablation for AF.
- To analyze the timing and potential contributing factors of hemoptysis.
Main Methods:
- Systematic review and meta-analysis of studies published between 2008 and 2019.
- Literature search conducted in PubMed, Cochrane Library, and EMBASE databases.
- Inclusion of studies reporting hemoptysis after cryoballoon ablation for AF.
Main Results:
- Analysis of 3534 patients from 20 studies.
- Overall hemoptysis incidence was 3.08% (109 patients).
- Majority of hemoptysis cases were mild (76.1%); severe hemoptysis occurred in 3.7%.
Conclusions:
- Mild hemoptysis is a notable complication after cryoballoon AF ablation.
- Severe hemoptysis is infrequent but associated with lower temperatures in inferior pulmonary veins and larger cryoballoons.
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