ArticleEuropean heart journal supplements : journal of the European Society of Cardiology2025
Serious iatrogenic complications: pulmonary vein stenosis after ablation of atrial fibrillation.
Article in European heart journal supplements : journal of the European Society of Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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11 authors.
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Abstract
Pulmonary vein stenosis (PVS) has been recognized as a clinical entity complicating radiofrequency or cryoenergy ablation for atrial fibrillation. Although reduced by technical and procedural advancements, this complication portends remarkable morbidity and presents insidiously with non-specific symptoms causing frequent misdiagnosis and wrong management that lead to detection delay and major adverse implications. Non-invasive imaging is key for timely diagnosis and transcatheter procedural planning. Most recent consensus on severe and symptomatic PVS management indicates that stenting is the preferred treatment because of superior long-term patency compared to balloon angioplasty, particularly in patients with larger reference vessel diameter. However, the rate of recurrent stent restenosis is high and remains a great challenge. Goal of our manuscript is to provide a comprehensive review regarding pathophysiology, detection, treatment, and prevention of this serious iatrogenic complication.
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