Recognition and management of perioperative puncture complications in radiofrequency catheter ablation
Wang Fan
Si Huili
Song Xuelian
Abstract：Objective To explore the risk factors for puncture site complications after radiofrequency catheter ablation(RFCA)in patients with tachyarrhythmias and to propose corresponding strategies for early identification and risk reduction.Methods A total of 669 patients who underwent RFCA in our department from January 2017 to June 2023 were enrolled.Among them,23 cases had puncture site complications.Univariate and multivariate logistic regression analyses were performed to identify independent risk factors by comparing clinical data between the complication and non-complication groups.Results The overall incidence of puncture site complications was 3.4％.The incidence was significantly higher in the atrial arrhythmia group than in the supraventricular(6.8％vs 1.1％,P<0.05)and ventricular arrhythmia groups(6.8％vs 0.9％,P<0.05).Hematoma formation was strongly associated with the type of procedure(P<0.05).Multivariate analysis identified atrial arrhythmias(OR=4.92,95％CI:1.98-12.23,P<0.05)and a history of hypertension(OR=2.45,95％CI:1.04-5.78,P<0.05)as independent risk factors for puncture site complications.Conclusion Ablation for atrial arrhythmias(especially atrial fibrillation)and a history of hypertension are independent risk factors for puncture site complications.Preoperative identification of high-risk patients,standardized intraoperative techniques with ultrasound guidance when necessary,and close postoperative monitoring are crucial for minimizing complications.
Keywords：TachyarrhythmiaCatheter ablationPuncture site complications
Publication Date：2025-08-20
Online Publishing Date：2026-01-30(First online date of this platform, not the publication date of the document)
Pages：4( 45-48 )