Evidence map›Paper›PMID 34917216›Full record

ArticleJournal of cardiology cases2021

Heart failure caused by iatrogenic atrial septal defect after cryoballoon ablation for atrial fibrillation.

Yasunobu Yamagishi, Yasushi Oginosawa, Kan Kikuchi, Jun Muneuchi, Keishiro Yagyu, Taro Miyamoto, Keita Tsukahara, Hisaharu Ohe, Ritsuko Kohno, Haruhiko Abe

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiology cases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yasunobu YamagishiThe Second Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Yasushi OginosawaThe Second Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Kan KikuchiDepartment of Internal Medicine, Japan Community Health Care Organization Kyushu Hospital, Kitakyushu, Japan.
Jun MuneuchiDepartment of Pediatric Cardiology, Japan Community Health Care Organization Kyushu Hospital, Kitakyushu, Japan.
Keishiro YagyuThe Second Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Taro MiyamotoThe Second Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Keita TsukaharaThe Second Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Hisaharu OheThe Second Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Ritsuko KohnoDepartment of Heart Rhythm Management, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Haruhiko AbeDepartment of Heart Rhythm Management, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An 83-year-old man with no structural heart disease underwent pulmonary vein isolation (PVI) for symptomatic paroxysmal atrial fibrillation (AF). The PVI was successfully performed by cryoballoon ablation with a single transseptal puncture. A 12Fr deflectable sheath and an 8.5Fr long sheath crossed the interatrial septum via the same puncture site. Five months after PVI, the patient was readmitted because of heart failure and recurrence of AF. The echocardiogram showed a large (10.7 × 5.8 mm) iatrogenic atrial septal defect (IASD) at the previous puncture site. Both right-to-left and left-to-right shunts were observed during systole and diastole, respectively. Despite the initiation of optimal medical therapy for heart failure, symptoms were not completely controlled and IASD remained 11 months after PVI. Eventually, he received multiple additional PVI for recurrence of AF and percutaneous transcatheter closure (13 mm disc for 10.9 × 8.9 mm- IASD), then heart failure was controlled with the improvement of the right atrial and ventricular size. Although the induction of heart failure by IASD after PVI is rare, it should be noted as one of the causes, especially after cryoballoon ablation with simultaneous mapping catheter insertion via a single transseptal puncture. <

Indexed as

Atrial fibrillationCryoballon ablationHeart failureIatrogenic atrial septal defectPulmonary vein isolation

Identifiers

PMID34917216
PMCPMC8642628

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.