A Novel Finding

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

“…536,903,1017,1182,1183,1184,1185 The right PN is most commonly affected, given it descends in close proximity to sites of ablation in the SVC and both right-sided PVs (Figure 1). 536,903,1184,1185,1187 It courses slightly further from the RIPV so that injury during treatment of this vein is less common than that occurring with RSPV ablation.…”

“…PN palsy is observed with all technologies for AF ablation, including RF, cryoablation, ultrasound, and laser ablation. 490,536,903,1017,1182,1183,1184,1185,1187 PN palsy can be asymptomatic or can cause dyspnea, tachypnea, cough, hiccups, and thoracic pain. The diagnosis is suggested when newly elevated hemidiaphragm with atelectasis of the ipsilateral lung base is observed on postprocedure chest radiograph.…”

2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation

“… 1179 In addition, electrogastrography can reveal gastric dysrhythmia with bradygastria in patients after ablation. 1183 The integrity of the vagal innervation to the gastrointestinal system can be assessed by the pancreatic polypeptide response to sham feeding. Patients with this complication exhibit an abnormal kinetic and peak response.…”

“…PN palsy is an important complication of AF ablation and results from direct thermal injury. 536 , 903 , 1017 , 1182 , 1183 , 1184 , 1185 The right PN is most commonly affected, given it descends in close proximity to sites of ablation in the SVC and both right-sided PVs ( Figure 1 ). 536 , 903 , 1184 , 1185 , 1187 It courses slightly further from the RIPV so that injury during treatment of this vein is less common than that occurring with RSPV ablation.…”

“…PN palsy is observed with all technologies for AF ablation, including RF, cryoablation, ultrasound, and laser ablation. 490 , 536 , 903 , 1017 , 1182 , 1183 , 1184 , 1185 , 1187 PN palsy can be asymptomatic or can cause dyspnea, tachypnea, cough, hiccups, and thoracic pain. The diagnosis is suggested when newly elevated hemidiaphragm with atelectasis of the ipsilateral lung base is observed on postprocedure chest radiograph.…”