Venous thrombosis after catheter ablation. Features of diagnostics, efficacy and safety of different regimens of anticoagulant therapy

Loginova A.I.; Kropacheva E.S.; Maykov E.B.; Balakhonova T.V.

doi:https://doi.org/10.17116/Cardiobulletin20191401112

Loginova A.I.

Institute of Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

Kropacheva E.S.

Institute of Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

Maykov E.B.

Institute of Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

Balakhonova T.V.

Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia RF, Moskva

Venous thrombosis after catheter ablation. Features of diagnostics, efficacy and safety of different regimens of anticoagulant therapy

Authors:

Loginova A.I., Kropacheva E.S., Maykov E.B., Balakhonova T.V.

More about the authors

Journal: Russian Cardiology Bulletin. 2019;14(1): 12‑17

DOI: 10.17116/Cardiobulletin20191401112

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To cite this article:

Loginova AI, Kropacheva ES, Maykov EB, Balakhonova TV. Venous thrombosis after catheter ablation. Features of diagnostics, efficacy and safety of different regimens of anticoagulant therapy. Russian Cardiology Bulletin. 2019;14(1):12‑17. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20191401112

Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)

Использование инфографики авторами научных работ

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Abstract:

Among the complications associated with catheter ablation, special attention should be paid to thrombosis of the femoral vein puncture site, which is associated with the potential danger of thromboembolism from the proximal segment of the femoral vein. Special recommendations for the diagnosis and treatment of venous thrombosis after catheter interventions are currently not available. The review highlights the main etiological factors and principles for diagnosing this complication, as well as reflects aspects currently at issue — the possibility of using D-dimer and the optimal duration of anticoagulant therapy.

Keywords:

catheter ablation

venous thrombosis

D-dimer

anticoagulation therapy

Authors:

Loginova A.I.

Institute of Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

Kropacheva E.S.

Institute of Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

Maykov E.B.

Institute of Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

Balakhonova T.V.

Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia RF, Moskva

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References:

Rukovodstvo po kardiologii. Pod red. akad. Chazova E.I. V 4 t. T. 3. M.: Praktika; 2014. (In Russ.)
Rossiyskiye klinicheskiye rekomendatsii po diagnostike, lecheniyu i profilaktike venoznykh tromboembolicheskikh oslozhneniy. Flebologiya. 2015;9:2. (In Russ.)
Burstein B, Barbosa RS, Kalfon E, Joza J, Bernier M, Essebag V. Venous Thrombosis after Electrophysiology Procedures: A Systematic Review. Chest. 2017;152(3):574-586. https://doi.org/10.1016/j.chest.2017.05.040
Horowitz LN, Kay HR, Kutalek SP, Discigil KF, Webb CR, Greenspan AM, Spielman SR. Risks and complications of clinical cardiac electrophysiologic studies: a prospective analysis of 1.000 consecutive patients. J Am Coll Cardiol. 1987;9:1261-1268. PMID: 3584718.
Hindricks G. The Multicentre European Radiofrequency Survey (MERFS): complications of radiofrequency catheter ablation of arrhythmias. Eur Heart J. 1993;14 (12):1644-1653. PMID: 8131762.
Scheinman MM. NASPE Survey on Catheter Ablation. Pacing Clin Electrophysiol. 1995;18:1474-1478. PMID: 7479168.
Bohnen M, Stevenson WG, Tedrow UB, Michaud GF, John RM, Epstein LM, Albert CM, Koplan BA. Incidence and predictors of major complications from contemporary catheter ablation to treat cardiac arrhythmias. Heart Rhythm. 2011;8(11):1661-1666. https://doi.org/10.1016/j.hrthm.2011.05.017
Dagres N, Hindricks G, Kottkamp H, Sommer P, Gaspar T, Bode K, Arya A, Husser D, Rallidis LS, Kremastinos DT, Piorkowski C. Complications of atrial fibrillation ablation in a high-volume center in 1,000 procedures: still cause for concern? J Cardiovasc Electrophysiol. 2009;20(9):1014-1019. https://doi.org/10.1111/j.1540-8167.2009.01493.x
Prudente LA, Moorman JR, Lake D, Xiao Yuping, Greebaum H, Mangrum JM, DiMarco JP, Ferguson JD. Femoral vascular complications following catheter ablation of atrial fibrillation. J Interv Card Electrophysiol. 2009;26(1):59-64. https://doi.org/10.1007/s10840-009-9402-y
Baman TS, Jongnarangsin K, Chugh A, Suwanagool A, Guiot A, Madenci A, Walsh S, Ilg KJ, Gupta SK, Latchamsetty R, Bagwe S, Myles JD, Crawford T, Good E, Bogun F, Pelosi FJr, Morady F, Oral H. Prevalence and predictors of complications of radiofrequency catheter ablation for atrial fibrillation. J Cardiovasc Electrophysiol. 2011;22(6):626-631. https://doi.org/10.1111/j.1540-8167.2010.01995.x
Haman L, Parizek P, Maly R, Duda J, Maly J. Analysis of thrombotic complications after catheter ablation. Acta Medica (Hradec Kralove). 2006;49(1):47-50. PMID: 16696443.
Moubarak G, Bonhomme S, Vedrenne G, Bouleti C, Ollitrault J, Priollet P, Cador R, Cazeau S. Femoral vein thrombosis after right-sided electrophysiological procedures. J Interv Card Electrophysiol. 2013;38(3):155-158. https://doi.org/10.1007/s10840-013-9832-4
Chen JY, Chang KC, Lin YC, Chou HT, Hung JS. Safety and outcomes of short-term multiple femoral venous sheath placement in cardiac electrophysiological study and radiofrequency catheter ablation. Jpn Heart J. 2004; 45:2:257-264. https://doi.org/10.1056/NEJMra0801082
Bruce Furie MD, Barbara C, Furie PhD. Mechanisms of Thombus Formation. N Engl J Med. 2008;359(9):938-949. https://doi.org/10.1056/NEJMra0801082
Kiriyenko AI, Panchenko EP, Andriyashkin VV. Venoznyy tromboz v praktike terapevta i khirurga. M.: Planida; 2012. (In Russ.)
Kearon C, Ageno W, Cannegieter SC, Cosmi B, Geersing G-J, Kyrle PA. Categorisation of patients as having provoked or unprovoked venous thromboembolism: guidance from the SSC of ISTH. Journal of Thrombosis and Haemostasis. 14:1480-1483. https://doi.org/10.1111/jth.13336
Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2 suppl):691-736. https://doi.org/10.1378/chest.11-2300
Goodacre S, Stevenson M, Wailoo A, Sampson F, Sutton AJ, Thomas S. How should we diagnose suspected deep-vein thrombosis? QJM. 2006;99(6):377-388. https://doi.org/10.1093/qjmed/hcl051
Zubarev AR, Bogachev VYu, Mitkov VV. Ultrazvukovaya diagnostika ven nizhnikh konechnostey. M.: Vidar; 1999. (In Russ.)
Kotlyarov PM, Zubarev AR, Dudin MM. Ultrazvukovoy monitoring ven nizhnikh konechnostey u patsiyentov s podozreniyem na ostryy tromboz. Ultrazvukovaya i funktsionalnaya diagnostika. 2002;4:71-76. (In Russ.)
Zhou L, Keane D, Reed G, Ruskin J. Thromboembolic complications of cardiac radiofrequency catheter ablation: A review of the reported incidence, pathogenesis and current research directions. J Cardiovascular Electrophysiology. 1999;10:611-620. https://doi.org/10.1378/chest.119.1_suppl.194s
Albers GW, Dalen JE, Laupacis A, Manning WJ, Petersen P, Singer DE. Antithromobotic therapy in atrial fibrillation. Chest. 2001;119(1 suppl): 194-206. https://doi.org/10.1378/chest.119.1_suppl.194S-206S
Scheinman M, Calkins H, Gillette P, Klein R, Lerman BB, Morady F, Saksena S, Waldo A. NASPE Policy Statement on Catheter Ablation: Personnel, Policy, Procedures, and Therapeutic Recommendations. Pacing Clin Electrophysiol. 2003;26(3):789-799. https://doi.org/10.1046/j.1460-9592.2003.00139.x
Calkins H, Brugada J, Packer DL, Cappato R, Chen SA, Crijns HJ, Damiano RJJr, Davies DW, Haines DE, Haissaguerre M, Iesaka Y, Jackman W, Jais P, Kottkamp H, Kuck KH, Lindsay BD, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Natale A, Pappone C, Prystowsky E, Raviele A, Ruskin JN, Shemin RJ. Heart Rhythm Society; European Heart Rhythm Association; European Cardiac Arrhythmia Society; American College of Cardiology; American Heart Association; Society of Thoracic Surgeons. Expert consensus statement on catheter and surgical ablation of atrial fibrillation: Recommendations for personnel, policy, procedures and follow-up. Europace. 9;335-379. https://doi.org/10.1093/europace/eum120
Romualdi E, Donadini MP, Ageno W. Oral rivaroxaban after symptomatic venous thromboembolism: the continued treatment study (EINSTEIN-extension study). Expert Rev Cardiovasc Ther. 2011;9(7):841-844. https://doi.org/10.1586/erc.11.62
Prins MH, Lensing AWA, Bauersachs R, van Bellen Bonno, Bounameaux H, Brighton TA, Cohen AT, Davidson BL, Decousus H, Raskob GE, Berkowitz SD, Wells PS, on behalf of the EINSTEIN Investigators. Oral rivaroxaban versus standard therapy for the treatment of symptomatic venous thromboembolism: a pooled analysis of the EINSTEIN-DVT and PE randomized studies. N Engl J Med. 2010;363(26):2499-2510. https://doi.org/10.1056/NEJMoa1007903