THỰC TRẠNG BIẾN CHỨNG LIÊN QUAN ĐẾN VỊ TRÍ ĐƯỜNG VÀO MẠCH MÁU TRONG THĂM DÒ ĐIỆN SINH LÝ TIM VÀ ĐIỀU TRỊ RỐI LOẠN NHỊP TIM BẰNG NĂNG LƯỢNG SÓNG CÓ TẦN SỐ RADIO (RF) TẠI VIỆN TIM MẠCH-BỆNH VIỆN BẠCH MAI

Abstract

Research objectives: Description situation of complications related to Vascular Access Sites in Cardiac Electrophysiology Studies and Arrhythmia Treatment Using Radio frequency (RF) Energy at the Cardiology Institute - Bach Mai Hospital. Subjects and research methods: Patients were assigned to undergo electrophysiology examination and radiofrequency ablation of arrhythmias at the Cardiovascular Institute - Bach Mai Hospital from March 1, 2021 to May 30, 2021. Patients with coagulation disorders or a history of vascular malformations or abnormalities at the puncture site or who refused to participate in the study were excluded. Results: The rate of complications related to vascular access was 13.2%. Small hematoma complications (size ≤5cm) accounted for 7.5%. Large hematoma complications (>5cm) accounted for 2.8%. Bleeding complications were 1.9% and arterial dissection was 0.9%. Conclusions: Complications related to vascular access site during cardiac electrophysiology examination and treatment of arrhythmias with radiofrequency (RF) energy at the Cardiovascular Institute - Bach Mai Hospital accounted for 13.2%. Of which, the highest rate of complications related to small hematomas was followed by large hematomas, bleeding complications and arterial dissection complications. There were no cases of pseudoaneurysm, arteriovenous fistula or embolic events.