Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3476661 | Journal of the Chinese Medical Association | 2012 | 4 Pages |
Abstract
A 41-year-old man received an electrophysiological study (EPS) and radiofrequency catheter ablation (RFCA) for atrioventricular reentrant tachycardia (AVRT) in our hospital. Massive pulmonary embolism (PE) with hypotension developed 9 hours after these procedures. After emergent pulmonary angiography and catheter-directed intrathrombus urokinase infusion and clot breaking, the patient recovered well. This case suggests that life-threatening PE may occur in patients who receive EPS, RFCA, or both. An adequate observation time after RFCA and clinical alertness are necessary for immediate diagnosis and treatment. Emergent catheter-directed therapy may be of benefit in some patients with acute massive PE.
Keywords
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Authors
Chen-Ying Hung, Tung-Chao Lin, Yu-Cheng Hsieh, Wen-Lieng Lee, Jin-Long Huang, Wei-Chun Chang, Chih-Tai Ting, Tsu-Juey Wu,