Right phrenic injury after radiofrequency catheter ablation of atrial tachycardia at crista terminalis

A 62-year-old woman with frequent occurrence of symptomatic atrial tachycardia with a foci located at the root of the upper crista terminalis was found to have right diaphragm paresis after receiving a total of 8 radiofrequency energy deliveries （40-60 W, 50-60℃） and a total duration of 540 seconds...

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Bibliographic Details
Published in:Chinese medical journal 2011-05, Vol.124 (10), p.1588-1589
Main Authors: Jia, Yu-He, Wang, Fang-Zheng, Gao, Dong-Sheng, Chu, Jian-Min, Pu, Jie-Ling, Ren, Xiao-Qing, Hua, Wei, Zhang, Shu
Format: Article
Language:English
Subjects:
Catheter Ablation - adverse effects
Diaphragm - injuries
Female
Humans
Middle Aged
Tachycardia, Supraventricular - therapy
X光检查
导管
射频能量
持续时间
损伤
膈肌
过速
麻痹
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Summary:A 62-year-old woman with frequent occurrence of symptomatic atrial tachycardia with a foci located at the root of the upper crista terminalis was found to have right diaphragm paresis after receiving a total of 8 radiofrequency energy deliveries （40-60 W, 50-60℃） and a total duration of 540 seconds of ablation therapy （7Fr 8 mm deflectable ablation catheter）. The right diaphragm paresis remained resolved up to 14 months after the procedure as confirmed by repeated chest X-rays.
ISSN:0366-6999
2542-5641
DOI:10.3760/cma.j.issn.0366-6999.2011.10.030