(FIT)-Module 6 Lectures: Special Technology Sessions-Complications of Electrophysiologic Studies

Complications of Electrophysiologic Studies – Avoidance and Treatment (Callans)

Video Transcription

Video Summary

In his lecture, Professor Dave Callans from the Perlman School of Medicine discusses the complications associated with electrophysiological (EP) procedures and strategies for their prevention and management. Despite advancements in technology and techniques, complications such as death, vascular injury, and cardiac perforation remain a reality. These complications are more likely with the complexity of procedures and the severity of patient conditions. Callans emphasizes the need for prompt recognition and management of these issues to prevent a decline in patient outcomes.<br /><br />He presents studies highlighting complication rates, noting that higher expertise correlates with fewer complications. The use of vascular ultrasound and meticulous management can significantly reduce issues like vascular access complications. For AF ablation, continuous anticoagulation and timely detection of pericardial effusion are essential. The potential of complications like thromboembolism and cardiac tamponade increases with procedural complexity.<br /><br />Callans stresses the importance of recognizing Atypical patient and procedural risks, using advanced imaging techniques, and having a well-coordinated team ready to manage acute complications. Tracking personal complication rates and personal understanding of one's own competency compared to industry benchmarks is key for ongoing improvement and patient safety.

Keywords

Electrophysiological procedures

Complications

Prevention strategies

Vascular injury

Cardiac perforation

Atrial fibrillation ablation

Anticoagulation

Advanced imaging

Patient safety