Femoral vein thrombosis after right-sided electrophysiological procedures

Abstract

Asymptomatic femoral DVT occur in 5% of electrophysiological studies and right-heart radiofrequency catheter ablations, particularly when large sheaths are inserted for a longer period. The role of anticoagulation in this clinical setting warrants further evaluation.

Pulmonary Thromboembolism Caused by Prolonged Compression at the Femoral Access Site and a Venous Aneurysm of the Ipsilateral Popliteal Vein

“…1,2) However, some of them are lethal and devastating. 2) In this case, who was previously absent of any clinical signs of DVT, a popliteal venous aneurysm might be associated with the occurrence of venous thrombosis.…”

“…1,2) However, some of them are lethal and devastating. 2) In this case, who was previously absent of any clinical signs of DVT, a popliteal venous aneurysm might be associated with the occurrence of venous thrombosis. Popliteal venous aneurysms, defined as an isolated dilatation of twice the normal vein diameter, 3) are usually asymptomatic and about 70% of them are first discovered with pulmonary embolism.…”

“…6) In addition, greater sheath diameter used for venous catheterization, which is reported an independent predictor of thrombus occurrence with odds ratio of 1.41 per 1-French, might play an important role in catheter-related DVT. 2,7) Venous sheath placement itself might promote thrombogenesis by injuring the vessel wall, reducing the lumen and activating the coagulation cascade, 8) which of action is the increase of shear stress in microcirculation of the vein wall releasing anti-inflammatory and anti-coagulatory mediators. 10) Although compression therapies are costly, cumbersome to use, and can cause skin injury, they should be recommended as prophylaxis especially in patients with high risk of VTE.…”

Application of anticoagulant therapy in patients undergoes the procedure radiofrequency catheter ablation

“…По данным мировой литературы, осложне-ния при проведении катетерной аблации право-сторонней желудочковой тахикардии выявля-ются менее чем у 1% пациентов [49][50][51]. В ис-следовании M. Bohnen et al [1] сообщается о серьезных осложнениях при устранении ЖТ в 3,4% случаев.…”

Ablation supraventrikulärer Tachykardien

“…Asymptomatische tiefe Beinvenenthrombosen sind relativ häufig und wurden in einer Arbeit mit rund 5 % beschrieben [1,4,28]. …”