Abstract

DIAZ MARTINEZ, Juan Carlos et al. Inferior vena cava rupture associated with the use of an intracardiac echocardiography probe and successfully treated with a high-compliance balloon. Rev. Colomb. Cardiol. [online]. 2020, vol.27, n.2, pp.117-121.  Epub Oct 30, 2020. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2019.04.011.

Rupture of the inferior vena cava during percutaneous intervention procedures is an uncommon complication. It is associated with a high rate of mortality, even when it is detected at the time and the current standard management, surgical repair is performed. At present there are no cases reported of the percutaneous management of a vena cava perforation during electrophysiology procedures. The case is described of a patient subjected to electric ablation of pulmonary veins for the management of paroxysmal atrial fibrillation. During the procedure there was an accidental rupture of the inferior vena cava with the echocardiography cardiac catheter. She was successfully treated using a high-compliance balloon, with adequate haemostasis being achieved without surgical intervention. The use of a high-compliance balloon is considered as a useful tool in the control of bleeding associated with iatrogenic vascular injuries, and for this reason all interventionist should be aware of it.

Keywords : Pulmonary vein ablation / isolation; Lesion; Perforation; Rupture; Inferior vena cava.

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