Risk factors and management measures for perioperative puncture site complications of radiofrequency ablation due to tachyarrhythmias
Si Huili
Wang Fan
Li Haohan
Li Shuren
Abstract：Objective To explore the risk factors for puncture site complications after radiofrequen-cy catheter ablation(RFCA)in elderly patients with tachyarrhythmias.Methods A retrospective study was conducted on 290 elderly tachyarrhythmic patients undergoing RFCA in our depart-ment from January 2017 to June 2023.According to the occurrence of postoperative complications during hospitalization,they were divided into a complication group(13 cases)and a non-complica-tion group(277 cases).The basic clinical data were compared between the two groups.Multivari-ate logistic regression analysis was used to identify the independent influencing factors for periop-erative puncture site complications in RFCA,and ROC curves were plotted to determine the pre-dictive value of BMI on puncture site complications.Results Puncture site complications were more common in atrial arrhythmia radiofrequency ablation,followed by supraventricular arrhyth-mia,and but rare in ventricular arrhythmia,with statistical difference in the incidence(P=0.014).The complication group had significantly higher BMI and larger proportion of atrial ar-rhythmias when compared with the non-complication group(P＜0.05).There were no statistical differences between the two groups in terms of age,proportions of ventricular arrhythmia,su-praventricular arrhythmia,hypertension and type 2 diabetes(P＞0.05).Multivariate logistic re-gression analysis showed that higher BMI was a risk factor for puncture site complications in eld-erly tachyarrhythmic patients after RFCA(OR=1.256,95％CI:1.032-1.528,P=0.023).ROC curve analysis indicated that the AUC value of BMI in predicting puncture site complications was 0.702(95％CI:0.586-0.817,P=0.018),with a sensitivity of 91.7％,a specificity of 49.6％,and a Yoden index of 0.413.Conclusion RFCA for atrial arrhythmias is closely associated with punc-ture site complications,and BMI has a predictive value for the complications of puncture site.
Keywords：arrhythmiascardiaccatheter ablationrisk factorscomplications
Publication Date：2025-01-14
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 53-56 )