Iatrogenic vertebral artery injury during catheter ablation treated using coil embolization

Pacing Clin Electrophysiol. 2024 Oct;47(10):1370-1372. doi: 10.1111/pace.14970. Epub 2024 Mar 25.

Abstract

The internal jugular vein (IJV) is occasionally used for blood access during catheter ablation. Additionally, accidental injury of the vertebral artery during an IJV puncture is a rare complication that can result in catastrophic events, such as death. However, vascular access complications cannot be completely prevented despite the introduction of ultrasound-guided punctures. Here, we present a case of a patient with symptomatic paroxysmal atrial fibrillation that required catheter ablation.

Keywords: catheter ablation; coil embolization; complication; internal jugular vein; vertebral artery injury.

Publication types

  • Case Reports

MeSH terms

  • Atrial Fibrillation* / surgery
  • Catheter Ablation* / adverse effects
  • Embolization, Therapeutic*
  • Humans
  • Iatrogenic Disease*
  • Jugular Veins / diagnostic imaging
  • Jugular Veins / injuries
  • Jugular Veins / surgery
  • Male
  • Middle Aged
  • Vertebral Artery* / diagnostic imaging
  • Vertebral Artery* / injuries