ArticleJournal of arrhythmia2023
Incidence, clinical course, and risk factors in the development of femoral pseudoaneurysm after atrial fibrillation ablation.
Article in Journal of arrhythmia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Atrial fibrillation ablation using real-time three-dimensional transesophageal echocardiography as the primary intraprocedural imaging modality: a single-center feasibility study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Unsuccessful Thrombin Injection for Right Femoral Artery Pseudoaneurysm: A Case Report.Cureus · 2025Article
- Incidence, clinical course, and risk factors in the development of femoral pseudoaneurysm after atrial fibrillation ablation.Journal of arrhythmia · 2023Article
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Authors and funding
13 authors.
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Abstract
Background: Previous studies have revealed the risk factors for femoral pseudoaneurysms (FPA). Most data on FPA are based on coronary and peripheral interventions, with limited studies focusing on atrial fibrillation (AF) ablation. However, patient backgrounds, anticoagulation regimens, and vascular access methods differ. In addition, a standard for managing FPA after AF ablation remains elusive due to the difficult nature of achieving thrombosis in pseudoaneurysms. Methods: This single-center, retrospective, observational study included 2805 consecutive patients who underwent AF ablation between January 2016 and December 2021. All patients underwent femoral artery and vein punctures. Puncture sites were checked 1 day post-procedure. Results: A total of 23 FPA patients were identified during the study period. Multivariate logistic regression analysis showed that hypertension (odds ratio 4.66, 95% confidence interval: 1.38-15.71; Conclusion: We must be careful about post-procedural FPA, especially for hypertension and warfarin-using patients. Treatment of pseudoaneurysms with anticoagulants is unlikely to achieve hemostasis, and an early switch to invasive treatments, such as EVT, should be considered.
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